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A young woman in her early 20s with syncope

Dr. Smith's ECG Blog

The cardiac monitor showed sinus rhythm but the automatic blood pressure cuff was not reading. While calling for some help and arranging to have her transported to our critical care zone, I got this quick ultrasound which confirmed my suspicion: This quick view was all I was able to obtain in the circumstances.

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Another deadly and confusing ECG. Are you still one of the many people who will be fooled by this ECG, or do you recognize it instantly?

Dr. Smith's ECG Blog

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?

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Extension of an ICU-based noninvasive model to predict latent shock in the emergency department: an exploratory study

Frontiers in Cardiovascular Medicine

However, the usefulness of an ICU-based model to predict latent shock risk in an emergency department (ED) setting remains unclear. An adult noninvasive model was constructed based on the MIMIC-IV-ICU v3.0 Multiple regression analysis of the MIMIC-IV-ICU and MIMIC-IV-ED datasets showed mostly similar characteristics.

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