Emergency Care Today

Non-respiratory Sinus Arrhythmia

ECG Guru

JULY 26, 2023

This is the ECG of an 81-year-old man with hypertension. There is a non-respiratory sinus arrhythmia present, which is essentially the minimal variant of a sick sinus syndrome. Currently, he has no complaints: no palpitations, no shortness of breath, no syncope, no chest pain.

EKG/ECG

Sinusarrythmia (nonrespiratory)

ECG Guru

JULY 26, 2023

This is the ECG of an 81-year-old man with hypertension. There is a non-respiratory sinus arrhythmia present, which is essentially the minimal variant of a sick sinus syndrome. Currently, he has no complaints: no palpitations, no shortness of breath, no syncope, no chest pain.

EKG/ECG

ECG OF A 3 YO BOY, IS IT NORMAL?

ECG Guru

JULY 31, 2023

Here is the ECG of a 3-year-old boy. The ECG shows a sinus rhythm with significant sinus arrhythmia. The heart rate increases with inspiration and decreases with expiration, which is called respiratory sinus arrhythmia. Is there cause for concern?

EKG/ECG

Unconscious + STEMI criteria: activate the cath lab?

Dr. Smith's ECG Blog

JANUARY 21, 2023

Vitals : HR 45; systolic BP was 110-120; irregular respiratory rate; oxygen saturation was normal; tympanic temperature 30; glucose was 6. ECG met STEMI criteria and was labeled STEMI by computer interpretation. What is your ECG interpretation, and would you activate the cath lab? What do you think?

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia EKG/ECG Seizures Fractures

A young lady with wide complex tachycardia. My first time actually making this diagnosis de novo in real life in the ED!

Dr. Smith's ECG Blog

JUNE 2, 2023

She denied chest pain and denied feeling any palpitations, even during her triage ECG: What do you think? My bedside ultrasound was of insufficient quality, but showed somewhat reduced overall EF, distended IVC without respiratory variation, no pericardial effusion, and diffuse bilateral B lines. == What do you think of her ECG?

EKG/ECG

EKG/ECG Wellness Ultrasounds EMS

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

What is your ECG interpretation and what would you do next? This ECG shows a normal sinus rhythm with a normal conduction pattern (normal PR, normal QRS, and normal QTc), normal axis, late R wave progression (and misplaced V2), normal voltages, ST-elevation in aVR and global ST-depressions. Left main? 3-vessel disease?

EKG/ECG

EKG/ECG Shock Sepsis Emergency Department

Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

JANUARY 30, 2019

She was obtunded, not following commands, hypoxic, and in respiratory distress. An initial EKG was obtained: Computer read: sinus tachycardia, early acute anterior infarct. An initial EKG was obtained: Computer read: sinus tachycardia, early acute anterior infarct. A rectal temperature was obtained which read 107.9 per year.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding

ToxCard: Benzonatate

EMDocs

JANUARY 17, 2024

Her electrocardiogram (ECG) showed atrial fibrillation which was cardioverted to sinus rhythm. Interventions are supportive including benzodiazepines for seizures, sodium bicarbonate for prolonged QRS and arrhythmias, and intravenous lipid emulsion for cardiac arrest. Her QRS interval was 90 and QTc was 491.

Poisoning

Poisoning Seizures Pediatrics Administration

EM@3AM: Hyperthermia

EMDocs

DECEMBER 16, 2023

A 12-lead EKG shows sinus tachycardia but is otherwise normal. C, heart rate of 210 bpm, respiratory rate of 50/minute, and blood pressure of 82/34 mm Hg. Triage vital signs include BP 80/40 mm Hg, HR 154 bpm, T 41C rectal, RR 28 breaths per minute, saturation 94% on room air. Temps greater than 41.5C Temps greater than 41.5C

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia EMS Stroke Seizures

A woman in her 20s with syncope

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

She had a normal respiratory effort, and her lungs were clear to auscultation bilaterally. Given her reported chest pain, shortness of breath, and syncope, an ECG was quickly obtained: What do you think? For clarity in Figure-1 — I've reproduced her initial ECG. Figure-1: The initial ECG in today's case.

EKG/ECG

EKG/ECG Ultrasounds Documentation/Coding COPD

POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

APRIL 22, 2024

Identification of a dilated IVC lacking respiratory variation (Plethoric IVC) supports the finding of elevated right heart pressures (Vid 12). During a short period of ROSC an ECG was performed. The findings of RV strain on the ECG also supported the POCUS echo findings in this case. DVT Left Saphenofemoral Junction.

Ultrasounds

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Shock

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Although this is considered a "STEMI equivalent" and the ACC/AHA guidelines even approve of thrombolytics for ACS with this ECG, the usual criteria used to alert the cath lab team of an inbound Code STEMI are not met by this ECG. The ECG cannot diagnose the etiology of ischemia; it only the presence of ischemia, from whatever etiology.

EKG/ECG

EKG/ECG Shock Fluid Resuscitation Documentation/Coding

Emergency Care Today

Non-respiratory Sinus Arrhythmia

Sinusarrythmia (nonrespiratory)

Trending Sources

ECG OF A 3 YO BOY, IS IT NORMAL?

Unconscious + STEMI criteria: activate the cath lab?

A young lady with wide complex tachycardia. My first time actually making this diagnosis de novo in real life in the ED!

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Hyperthermia and ST Elevation

ToxCard: Benzonatate

EM@3AM: Hyperthermia

A woman in her 20s with syncope

POCUS findings of hemodynamically unstable PE with cardiac arrest

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

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