Dr. Smith's ECG Blog
FEBRUARY 2, 2024
Altered Mental Status, Bradycardia == MY Comment , by K EN G RAUER, MD ( 2/2 /2024 ): == Dr. Meyers began today’s case with the clinical challenge of asking you to identify the underlying cause of ECG #2. -- Read this ECG -- Osborn Waves and Hypothermia (this is the "Figure" above) What does LBBB look like in severe hypothermia?
EMS 12-Lead
MARCH 30, 2024
The patient did have massive pulmonary emboli, but he also had profound intraventricular and subarachnoid hemorrhages. Learning points: TCP is primarily recommended for bradycardia that does not respond to atropine, or other agents. The patient was ultimately discharged with a poor neurologic outcome.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated. Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). : A Child with Blunt Trauma -- See how the ECG can be definite for myocardial contusion, but subtle, and what happens if you miss it.
Dr. Smith's ECG Blog
FEBRUARY 8, 2022
Osborn waves have been reported with hypercalcemia, brain injury, subarachnoid hemorrhage, Brugada syndrome, cardiac arrest from VFib — and — severe, acute ischemia resulting in acute MI ( See My Comment in the November 22, 2019 post on Dr. Smith’s Blog ). Rituparna et al — as well as Chauhan and Brahma ( Int.
Dr. Smith's ECG Blog
AUGUST 9, 2024
lidocaine) can result in severe bradycardia or asystole (Weinberg, Sedowski and Alexander, below) The presence of accelerated idioventricular rhythm does not affect prognosis, and there is no definitive evidence that, if left untreated, the incidence of VF or death is increased. Do not treat AIVR. In fact, use of antidyrhythimcs (e.g.,
Dr. Smith's ECG Blog
JUNE 19, 2024
Three months prior to this presentation, he received a pacemaker for severe bradycardia and syncope due to sinus node dysfunction. The post pericardiocentesis impression and plan read: Pericardial effusion / tamponade - hemorrhagic , fairly acute as hemodynamically significant w only 150cc.
Dr. Smith's ECG Blog
NOVEMBER 25, 2022
A man in his 40s with multitrauma from motor vehicle collision Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated. Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). Sinus Tachycardia ( common in any trauma patient. ).
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