Rhythm Nation - ECG
Rhythm Nation May 2015
67 yo F with permanent atrial fibrillation. Why is her rhythm regular? Best answer by May 18th at noon is our winner!
Rhythm Nation - ECG
Rhythm Nation April 2015 – Answer!
Excellent interpretation by Dr. Tepler! Exactly right, bradycardia and Osborn waves were concerning for a cold patient – in this case had moderate hypothermia. The Osborn wave (aka J wave) is seen in a variety of conditions. It can be a normal variant, but with the combination of bradycardia other Read more…
Rhythm Nation - ECG
Rhythm Nation April 2015
You are handed this ECG and immediately get up to go see this new patient … why? What are you worried about? Best answer by Friday 4/17/15 at noon is our winner!
Cardiovascular
Morning Report: Diagnosing PE in Pregnancy
Dr. Grock presents today’s Morning Report! Case: 32 F 18 wks by LMP presents with chest pain: sharp, non-exertional, 7/10, mildly decreased ET, bilat LE edema. VS HR 102, BP 130/74, RR 20, Temp 99.8 oral, O2sat 98% on RA. What are you worried about? PE? MI? Let’s start Read more…
Rhythm Nation - ECG
Rhythm Nation March 2015 – Answer!
Rhythm Nation March 2015 – Answer! Congratulations to VTACHomas for being first! Excellent discussion from JFreedman and Eschnitz. This is a complicated ECG! Let’s first look at the option of ventricular bigeminy. Ventricular bigeminy has recurring premature ventricular contractions (PVCs) after every atrial sinus beat. There is then a Read more…
Cardiovascular EM Principles
Wellens Syndrome
Thanks to Dr. Kincade for today’s Morning Report! Wellens Syndrome Pattern of inverted or biphasic T waves in precordial leads that are specific for critical LAD stenosis Critical stenosis LAD High risk of anterior MI w/o medical tx: 75% pt advance to ant MI in avg 8.5 days Read more…
Rhythm Nation - ECG
Rhythm Nation March 2015
26 yo M pmh multiple episodes of syncope as child p/w anxiety symptoms for months. No meds or illicits. His father died at age 39. He has the following dysrhythmia: Questions: What is this rhythm? What is your ED care and dispo? Best answer by March 23 Read more…
Rhythm Nation - ECG
Rhythm Nation February 2015 – Answer
Kudos go to Dr. Bryan Jarrett for an excellent interpretation! Much discussion was had over this ECG. There is an AV dissociation where the P waves march out. There is a slightly wide QRS, but not that wide. There is a small variability in the morphology of the Read more…
Cardiovascular
Acute Pulmonary Edema Management
Thanks to Dr. Lewis for today’s Morning Report! Congestive Heart Failure: Acute Pulmonary Edema Goal: (1) Preload Reduction (2) Afterload Reduction (3) Inotropic Support Nitroglycerin short-acting, rapid onset systemic venous and arterial dilator – decreases MAP by reducing afterload and preload repeated SL nitro (0.4 mg) q3-5 Read more…