EMDocs

NOVEMBER 1, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

Operations 66

Operations Radiology Radiology Fluid Resuscitation 66

Dr. Smith's ECG Blog

JANUARY 26, 2023

= My Comment by K EN G RAUER, MD ( 1/26 /2023 ): = While reading ECGs — Dr. Smith came across the intriguing tracing shown in Figure-1. How would YOU interpret the ECG in Figure-1 ? Figure-1: 12-lead ECG and simultaneously-recorded 3-lead rhythm for today's case. ( No history was available. Is the Q RS wide? What is the R ate?

EKG/ECG 52

EKG/ECG Wellness 52

Dr. Smith's ECG Blog

JUNE 11, 2011

A 59 year old man with no cardiac history was at work when he developed very typical substernal chest pressure. He went to a clinic across the street and had this ECG recorded: There is sinus tach with LBBB with appropriate discordance and no excessive discordance. The patient arrived in the ED and had this ECG: No difference.

EKG/ECG 52

EKG/ECG Wellness 52

Dr. Smith's ECG Blog

MARCH 4, 2019

This was a healthy young man who did not have a cardiac issue, but was on the monitor: Lead MCL1, which is mid-precordial, is the bottom tracing. For example — imagine you are looking at a 12-lead ECG that indicates, “40 Hz” as the frequency setting given at the bottom of the tracing. There is a huge amount of ST Elevation.

EKG/ECG 52

EKG/ECG Wellness 52

Dr. Smith's ECG Blog

NOVEMBER 12, 2019

There was debate among providers in his institution as to what the rhythm in this ECG was ( Figure-1 ). Figure-1: The initial ECG in this case ( See text ). The most commonly overlooked sustained cardiac arrhythmia ( by far ) is A F lutter ! What do YOU think the rhythm is? What is the d ifferential d iagnosis ?

EKG/ECG 52

EKG/ECG Administration 52

Dr. Smith's ECG Blog

NOVEMBER 24, 2018

This ECG was texted to me with no information: I answered: "Show me the whole 12-lead." If it is a chest pain patient, I would get a formal echo and serial ECGs. And it turns out that this was the baseline ECG. However, the vast majority of ECGs that are sent to me are NOT occlusion, but mimics. And look for an old EKG."

EKG/ECG 52

EKG/ECG Wellness 52

Taming the SRU

FEBRUARY 22, 2023

STEP-UP Self Physical and Psycological IM-SAFE Illness Medications Stress Alcohol Fatigue Eating Psychological Cognitive Threat/Challenge appraisal: PERCEIVED demands vs. resources Threat appraisal - stress levels excessive, performance impaired – vapor lock (autonomic arousal, tunnel vision, auditory exclusion, loss of time awareness, impaired memory (..)

Hospice 40

Hospice EKG/ECG Wellness Resuscitation 40