Bradycardia Chest Pain Nursing 
Dr. Smith's ECG Blog
MARCH 30, 2014
One of my most talented readers is a health care assistant (a nursing assistant) who has taken a keen interest in ECGs. Now chest pain free. There is a junctional bradycardia. My most talented blog readers are paramedics because they have to put themselves on the line every time they activate the cath lab.
Dr. Smith's ECG Blog
DECEMBER 20, 2013
He said that his pain does not feel like his previous episode of pericarditis, and is not related to meals. He denied chest pain, shortness of breath, nausea, fever, chills, rashes, cough, and leg pain. He admitted to lifting some heavy objects a few days ago but denied trauma.
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. All of the patients presented with chest pain , and they are all in triage. Imagine you just started your ED shift. It's a busy Friday afternoon.
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. 2] Although the clinical context in today’s case does not fit these descriptors for Type I OMI (e.g.
Dr. Smith's ECG Blog
APRIL 8, 2016
A late middle-aged man presented with one hour of chest pain. There is also bradycardia. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Torsades in acquired long QT is much more likely in bradycardia because the QT interval following a long pause is longer still. Is 40 mEq too much?
Dr. Smith's ECG Blog
JANUARY 15, 2025
Case A 68 year old man with a medical history of hypertension, hyperlipidemia, and CAD with stent deployment in the RCA presented to the emergency department with chest pain. Pretty impressive for someone who has not yet attended med school, or even been a nurse or paramedic yet. He had an EKG recorded right away.
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