Dr. Smith's ECG Blog

APRIL 15, 2020

There are 6 KEY parameters to consider in systematic assessment of any arrhythmia. In summary — this leaves us with the abrupt onset of a regular WCT rhythm at ~185-190/minute ( that woke this nursing home patient up from a sound sleep ) — without any clear sign of atrial activity. PEARL #1 — Remember statistical likelihoods.

Tachycardia 52

Tachycardia Nursing Heart Disease Dysrhythmia 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

She had home health nurse visits, and a BMP was sent the next day (the day prior to admission, presumably after 120 mEq of KCl replacement -- if she was taking as directed). IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5 Is 40 mEq too much?

Cardiac Arrest 40

Cardiac Arrest Tachycardia Nursing Ultrasound 40

Vector Remote

MARCH 9, 2023

Device nurses and techs can better prioritize their workloads with software that relieves the clerical burden of manually reviewing, editing, and triaging alerts. Cardiac devices managed by RPM software are reducing hospital admissions and time to diagnosis and treatment for patients with arrhythmias and heart failure.

Heart Failure 52

Heart Failure Patient Care Heart Rhythm Hypertension 52

Dr. Smith's ECG Blog

AUGUST 3, 2018

In the evening, a middle-aged man complained of chest pain at the nursing home. Nurses found him with a BP of 50/30 and heart rate of 130 and called EMS. I’ll focus my comments on arrhythmia diagnosis. P EARL # 2 : In my experience — the most commonly overlooked arrhythmia ( by far! ) Fluids were started. is AFlutter.

Chest Pain 40

Chest Pain Tachycardia Atrial Flutter Ultrasound 40

Cardiometabolic Health Congress

AUGUST 8, 2024

Key contributions: Advanced cardiac imaging (e.g., high-sensitivity troponin, NT-proBNP) in risk stratification Utilization of advanced echocardiographic techniques (e.g., Key contributions: Registered Dietitians (RDs): Personalized medical nutrition therapy, including specialized diets for comorbid conditions (e.g.,

Education 59

Education Cardiovascular Disease Diabetes Kidney Disease 59

Dr. Smith's ECG Blog

APRIL 8, 2016

IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5 malignant ventricular arrhythmias are present), rapid replacement of potassium is required. It would be difficult to get a nurse to give it faster! Is 40 mEq too much? Or the right amount?

STEMI 52

STEMI Myocardial Infarction Cardiac Arrest Arrhythmia 52

Stroke Journal

FEBRUARY 1, 2024

The significance of underdosing or overdosing of TNK may not achieve the desired patient outcome and may increase the risk of complications such as hemorrhage, anaphylaxis, thromboembolism, arrhythmia, intracranial hemorrhage, extended hospitalizations, and death.

Myocardial Infarction 40

Myocardial Infarction Stroke Strokes Nursing 40

Dr. Smith's ECG Blog

OCTOBER 8, 2023

Triage is backed up, and 10 minutes into your shift one of the ED nurses brings your several ECG s that has not been overread by a physician. Imagine you just started your ED shift. It's a busy Friday afternoon. All of the patients presented with chest pain , and they are all in triage.

Ischemia 121

Ischemia Chest Pain Cardiogenic Shock Cardiac Arrest 121

EMS 12-Lead

JUNE 1, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGblog A 72 y/o Male experiences a syncopal episode while seated. Chapter 17: Ventricular Arrhythmias. References [1] Surawicz, B. & Knilans, T. Saunders-Elsevier: Philadelphia, PA. [2] 2] Meyers, H.

Heart Failure 52

Heart Failure Myocardial Infarction Bradycardia Chest Pain 52

American College of Cardiology

FEBRUARY 1, 2025

The simple test revealed Wolff-Parkinson-White syndrome, an easily diagnosable and treatable arrhythmia. "I These have ranged from heart attacks, cardio-obstetrics, breast cancer, prevention and arrhythmias.8-13 I could not believe that anyone would be treated that way," Volgman says.

Cardiovascular Disease 43

Cardiovascular Disease Education Coronary Artery Disease Risk Factors 43

Circulation: Arrhythmia and Electrophysiology

DECEMBER 19, 2024

Circulation: Arrhythmia and Electrophysiology, Ahead of Print. BACKGROUND:Patients with atrial fibrillation (AF) are often ill-equipped for shared decision-making.

Nursing 40

Nursing Atrial Fibrillation Quality of Life Electrophysiology 40

Dr. Smith's ECG Blog

APRIL 9, 2025

I'll never forget when I ordered such an infusion in 1991 and then my patient started seizing and I looked up and the nurse had hung the lidocaine wide open! If breakthrough ventricular arrhythmias occurred, additional 50-mg boluses were given every 5 minutes, as needed to a maximum of 325 mg.

Defibrillator 63

Defibrillator Cardiac Arrest Myocardial Infarction STEMI 63