Remove Blog Remove Dysrhythmia Remove Ultrasound
article thumbnail

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

Dr. Smith's ECG Blog

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. Do you see proof that confirms VT?

article thumbnail

An adolescent with trauma, chest pain, and a wide complex rhythm

Dr. Smith's ECG Blog

A bedside cardiac ultrasound was normal. He has a great blog too: ECG Interpretation He is also well known on the Facebook EKG Club page , where you can learn tons about ECGs: Here is his response, with the first ECG labelled: Hello Steve & Avinash. His chest was tender. He wrote: "ECG 1 - shows wide ???IVCD IVCD type rhythm ??

article thumbnail

A Child with Blunt Trauma

Dr. Smith's ECG Blog

Blunt cardiac injury my result in : 1) Acute myocardial rupture with tamponade 2) Valve rupture (tricuspid, aortic, mitral) 3) Coronary thrombosis or dissection (and thus Acute MI) from direct coronary blunt injury 4) Dysrhythmias of all kinds. In the ED, ultrasound showed hemopericardium with tamponade.

article thumbnail

New Onset Heart Failure and Frequent Prolonged SVT. What is it? Management?

Dr. Smith's ECG Blog

A bedside POC cardiac ultrasound was done: Findings: Decreased left ventricular systolic function. I focus My Comment on determination of the e tiology of this patient’s tachyarrhythmia — and compare it to other SVT rhythms previously published in Dr. Smith’s ECG Blog. The patient was given furosemide and admitted to the hospital.

article thumbnail

Severe shock, obtunded, and a diagnostic prehospital ECG. Also: How did this happen?

Dr. Smith's ECG Blog

On arrival, the patient was in shock, was intubated, and had an immediate cardiac ultrasound. What does a heart look like on ultrasound when the EKG looks like that? Here you go: It's not the world's greatest cardiac ultrasound video, but it does appear to show poor function and low volume. They transported to the ED.

article thumbnail

The three things that can go wrong with the heart

Dr. Sanjay Gupta

Echocardiography – We can use ultrasound to visualize the heart and look at how well it pumps. The heart is an electrical organ and occasionally the electrics can choose to malfunction and the patient may develop a heart rhythm disturbance or a dysrhythmia such as AF or SVT or VT. This is termed as diastolic dysfunction.

article thumbnail

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

Dr. Smith's ECG Blog

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.