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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

I have used this to educate our residents, and I think they find it useful. Annotated Bibliography For an excellent overview of ED Syncope management , see this article by Kessler C et al. starts at end of article on p. 5% had "serious outcomes," but because of poor definitions, this article greatly exaggerates the danger.

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What is this rhythm? And why rhythm problems are easier for the Emergency Physician than acute coronary occlusion (OMI).

Dr. Smith's ECG Blog

Sinus tach is often misinterpreted as a dysrhythmia. They often have good ejection fraction and tolerate the dysrhythmia quite well. There is no evidence that this elderly patient has suffered from VT or other primary dysrhythmias in the past. See this case, for example: A Relatively Narrow Complex Tachycardia at a Rate of 180.