Emergency Medicine Cases

JUNE 30, 2020

The post EM Quick Hits 20 Imaging Renal Colic, Human Trafficking, Atrial Fibrillation During COVID, Transvenous Pacemaker Placement, COVID Lung POCUS, COVID Derm, Virtual Simulation appeared first on Emergency Medicine Cases.

EMS 52

EMS Ultrasounds Pediatrics Resuscitation 52

ECG Guru

OCTOBER 11, 2023

If the patient is showing signs of poor perfusion, we would stop here and prepare to increase the rate with a temporary pacemaker (transvenous or transcutaneous). The ventricular rate is around 35 bpm, and regular. Why is the rate so slow? There is no P wave in front of each QRS, so this is not sinus bradycardia.

EKG/ECG 98

EKG/ECG 98

Dr. Smith's ECG Blog

OCTOBER 19, 2022

A transvenous pacer was placed in the Emergency Department by the emergency physicians. Asynchronous pacing seems like the safe setting, EXCEPT that it means that the pacemaker can trigger on the T-wave, which can result in Ventricular Fibrillation. PEARL #1: Most of the time the pacemaker is right!

EKG/ECG 52

EKG/ECG Emergency Department Wellness 52

Taming the SRU

JANUARY 12, 2024

Often AE-ILD is idiopathic, but treatable causes must be excluded (PNA, PE, volume overload) Treatment for AE-ILD should include antibiotics for CAP coverage (specifically including azithromycin), steroids, and respiratory support; consider opportunistic infection if immunosuppressed as well as diuresis as needed for euvolemia HFNC should be favored (..)

Fluid Resuscitation 59

Fluid Resuscitation Pediatrics Sepsis Shock 59

RebelEM

APRIL 29, 2024

The “crash” or “dirty” central line, which forgoes strict sterile precautions, should be the last consideration in resuscitation as it increases risks for bloodstream infections, has more associated complications, and takes a potential access site required for ECMO cannulation, transvenous pacemaker, or other cardiac devices.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

Taming the SRU

FEBRUARY 23, 2024

Location of the block will determine the morphology of the QRS (as a higher block may have a narrow QRS with a rate of 40-60bpm) Evaluation in the ED: basic labs including BMP and troponin, EKG, bedside echo, CXR Management: Atropine: push-dose 0.5-1mg,

Pediatrics 68

Pediatrics Ultrasounds Wellness Fractures 68

Dr. Smith's ECG Blog

JANUARY 19, 2020

She was intubated and a transvenous pacemaker was inserted with good capture. Figure-3: ECG #3 — recorded after ~30 minutes in the ED, after placement of a transvenous pacemaker ( See text ). Atropine produced no response. The patient was placed on pressors and transcutaneous pads (which failed to capture).

EKG/ECG 52

EKG/ECG EMS Resuscitation Wellness 52