This patient presented with altered mental status and was thought to be intoxicated. He did not have any other apparent medical issues. I’m not certain why an ECG was recorded, but it was: The computer and the overreading physician diagnosed “Sinus rhythm with LVH.”What is it? This is an accelerated idioventricular rhythm (AIVR). There is
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog Welcome to the 336th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine
A middle-aged patient with lung cancer had presented to clinic complaining of generalized malaise, cough, and chest pain. He had an ECG in clinic which worried the providers because of possible inferior MI, and they sent him to the ED. Here is that ECG: What do you think? There is sinus tachycardia.There is ST Elevation
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 008 Peer Reviewer Dr McBride ID physician, Wisconsin TB affects 1/3rd of the population and one patient dies every 20 seconds from TB. Without
This ECG is from a 42 yr old male with known pre-excitation who presented with a 3 day history of episodic palpitations, dizziness and GI illness. Click to enlarge Things to think about What are the key ECG abnormalities ? Powered by WPeMatico
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. For the next few weeks, we’ll be posting videos from
This ECG is from a 60 yr old male with known haemochromatosis who presented with a 1 week history of intermittent cardiac sounding chest pain. Click to enlarge Rate: 72 bpm Rhythm: Sinus rhythm Sinus arrythmia Axis: Normal Intervals: PR – Normal (~180ms) QRS – Normal (80ms) QT – 370ms (QTc Bazette 390 ms) Additional: ST Elevation lead II
The first time you see it, there can be any number of emotions. On some patients, it looks like their chest is being caved in by a machine. On other patients, it feels like a smooth and controlled aspect of an otherwise difficult resuscitation. There are many opinions and stories about mechanical cardiopulmonary resuscitation (mCPR),
