Everything you need to know about ECGs in the Emergency Department
This 18yo F presented with one episode of chest pain which lasted a 2-3 minutes, was left sided, sharp and 8/10. Vitals in the ED were BP 112/71 HR 106, RR 18, T98.9. The above EKG was obtained as part of the workup for ACS. Post your questions/comments Read more…
First of all thanks to those of you who interpreted this EKG. It’s a difficult one to begin with and to do it without a history is even harder. So lets fill in some of the blanks about this patient’s history. This was a 69 y/o woman w/ PMH of Read more…
Here’s this months EKG! As usual… post your comments and questions below… I will post the answer on Friday!
ANSWER The first thing to note with this EKG is the 3rd degree heart block. As you can see, there is no clear associated between the P waves and the QRS. A good way to do this in practice is to mark the PP interval on the rhythm strip and Read more…
You’re working one night in UHB and you see this patient roll into the resus bay. Its a woman in her 60s with a history of scleroderma who’s chief complaint is shortness of breath. The tech hands you the following EKG: Please reply in the comments with your Read more…
Here’s the answer to our last EKG! The major finding in this EKG is the abnormal rhythm. Looking at the rhythm strip (II) the patient starts out in sinus rhythm. Then after the 4th QRS we start to see additional p-waves. The rest of the rhythm strip shows an ectopic Read more…
Here is this weeks EKG! Post your reading and your plan in the comments. I’ll post the answer next week!
Answer and ECG submitted by Dr. Eli Brown. Thanks Richie/Shin. Good work in spotting the “widow maker. “ I would like to point out that this patient actually has poor R-wave progression. That, along with the QS complexes (III, aVF, V4), should raise suspicion for a subacute to chronic Read more…
Here’s another EKG to get you guys talking. Thank you Dr. Silverberg and Dr. Brown for the case. 73 chinese female h/o dm, htn and high cholesterol had syncopal episode. Felt heart racing and palpitations prior to passing out at bingo in her church. Only complaint now is slight chest Read more…
Hey guys, Check out this case and let me know what you think. I will post the answer and discussion in 1-2 weeks. 45 year old male with history of abnormal heart beat, htn complaining of difficulty breathing and palpitations. His vital signs are 130/90, HR 215. The pt is Read more…