2022, Dysrhythmia and Ultrasound - Cardiovascular Update

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2022

Dysrhythmia

Ultrasound

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

Pads were placed with ultrasound guidance, so they were in the correct position. If you don't know what the dysrhythmia is, then try procainamide. If it is VT, adenosine is safe but not effective. Shocked x 2 without effect. What to do now? If you believe it is SVT, then try adenosine. IV Diltiazem was Contraindicated!

Tachycardia

Tachycardia Cardiogenic Shock Angina Coronary Angiogram

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

OCTOBER 10, 2022

Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism. Now another, with ultrasound. Then there is loss of pulses with continued narrow complex on the monitor ("PEA arrest") Learning Points: Sudden witnessed Cardiac Arrest due to ACS is almost always due to dysrhythmia.

Cardiac Arrest

Cardiac Arrest Chest Pain Embolism Pulmonary

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

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