Heart BMJ
DECEMBER 13, 2024
The patient was grimacing and agitated, presented with bradycardia at 40 beats per minute, and was mottled and cold. Troponin is pending, and the ECG performed by the ED nurse is shown in figure 1. The patient was in a comatose state, the Glasgow Coma Scale Score was 8 (E2, V2, M4), with no localising neurological findings.
Dr. Smith's ECG Blog
MAY 22, 2024
An old ECG was available, confirming this wide QRS is new and appears to be a dramatically widened version of his normal, narrow QRS: I stood up from my desk and asked our nurses to draw a VBG and place the patient on a monitor. As I did this, another nurse said, “room 19 is in V-tach!” Labs resulted, showing a potassium of 8.0
Circulation
NOVEMBER 11, 2024
Reasons for not prescibing or discontinuing were: CKD 6, severe aortic stenosis 5, asthma 3, symptomatic bradycardia 5, hypotension 3, type1 diabetes 2, syncope 1, Raynauds 1, patient choice 8 and 6 patients died before all appropriate medications could be initiated. In 10 cases no clinical reason could be identified.It
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. Imagine you just started your ED shift. It's a busy Friday afternoon. All of the patients presented with chest pain , and they are all in triage.
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. 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. And they teach me a lot. What was the diagnosis?
EMS 12-Lead
MARCH 19, 2023
David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (Ret) @DidlakeDW Expert contribution by Dr Robert Herman @RobertHermanMD @PowerfulMedical (Chief Medical Officer) An adult male called 911 for new-onset epigastric burning. Fire/EMS crews found him clammy and uncomfortable.
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.
Expert insights. Personalized for you.
52 
Let's personalize your content