Remove 2023 Remove Critical Care Remove Ultrasound
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GE HealthCare to Spotlight Industry-Leading AI-Enabled Portfolio and Digital Solutions at HIMSS 2024

DAIC

"At GE HealthCare, we understand the critical challenges healthcare providers face, from staffing shortages to complex workflows. Our AI-enabled portfolio, including our Command Center Software Platform, Edison True PACS , and Venue Family ultrasound systems with Caption Guidance , is designed to directly address these issues.

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A 50-something with chest pain.

Dr. Smith's ECG Blog

Arrival at time 0 ECG 7 min Roomed in hallway at 17 min Moved to room with monitor at 37 min The patient was seen briefly by the physician, who then went to get an ultrasound machine. Then the patient would have been taken to the critical care area with a defibrillator at his side while waiting for the cath lab to be ready.

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Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. The September 15, 2023 post — for PTA ( Pulse-Tap Artifact ). The March 17, 2023 post — for PTA. The January 17, 2023 post — for PTA.

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What do you think of this ECG?? Is this during pain, or after pain resolution? Also, see the CT image of the heart.

Dr. Smith's ECG Blog

There was high suspicion of OMI, so patient was brought to critical care area and another ECG was recorded just 7 minutes later as the pain had diminished to 4/10. Regional wall motion abnormality-inferolateral (this is the formal ultrasound location of a posterior wall motion abnormality). V5 and V6 have hyperacute T-waves.

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What is going on in V2 and V3, with a troponin I rising to 1826 ng/L at 4 hours?

Dr. Smith's ECG Blog

Later, I was working in the ED and a patient was moved from a regular room to the critical care area due to recurrent hypotension. The patient was now under my care. So we did a bedside cardiac ultrasound. So I thought it probably is not posterior OMI and I just moved on and kept reading EKGs.

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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

Despite otherwise normal vital signs, she was appropriately triaged to the critical care area of the ED. 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?