Dr. Smith's ECG Blog

MAY 5, 2022

On arrival in the ED, he was hypotensive with a systolic blood pressure in the 70s. He was admitted to the ICU and transferred emergently to a facility where he could undergo emergent dialysis as a part of further evaluation and management. Fluid resuscitation was initiated. Here is the initial ED ECG: What do you think?

Chest Pain 52

Chest Pain Bradycardia Cardiac Arrest STEMI 52

Dr. Smith's ECG Blog

APRIL 6, 2018

Because hyperkalemia kills by either VT or VF arrest, or by bradycardia with PEA arrest, this should be assumed to be VT until proven otherwise. The arterial line blood pressure immediately jumped from 80/40 with blunted monomorphic waveform to 140s/80s with bounding, normal-appearing waveform.

Cardiac Arrest 52

Cardiac Arrest Tachycardia Defibrillator ICU 52

Dr. Smith's ECG Blog

JULY 24, 2018

Compartment pressures in the right calf were all 40-50 mmHg. At that time his diastolic blood pressure was also hovering between 45 and 55 mmHg. Upon arrival in the ICU, before getting Continuous Veno-Venous Hemodialysis (CVVHD), his potassium had risen again to 7.8

Cardiac Arrest 52

Cardiac Arrest Tachycardia Chest Pain ICU 52