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. Was there pulmonary edema? 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.

Outcomes 52

Outcomes Cardiogenic Shock STEMI Chest Pain 52

Dr. Smith's ECG Blog

DECEMBER 20, 2013

However, the triage nurse wrote a note saying that he did admit to chest pain yesterday, which he vaguely endorsed when questioned again. The D-dimer was elevated at 942, and the subsequent CT angiogram of the chest showed bilateral lower lobe subsegmental pulmonary emboli with a small right pleural effusion.

Pericarditis 52

Pericarditis Chest Pain Pulmonary STEMI 52

Dr. Smith's ECG Blog

APRIL 8, 2016

Bedside ultrasound showed no effusion and moderately decreased LV function, with B-lines of pulmonary edema. There is also bradycardia. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Is 40 mEq too much?

STEMI 52

STEMI Myocardial Infarction Cardiac Arrest Arrhythmia 52