Cardiac Arrest Chest Pain Nursing 
Dr. Smith's ECG Blog
DECEMBER 23, 2014
The patient was diagnosed with esophageal reflux and was being discharged by the nurse when he had a cardiac arrest. Formula : There is not enough ST elevation in V2-V4 to be applying the LAD/early repol formula, but if it is applied, one gets 1.5 The formula results in 23.43, just above the 23.4 He was defibrillated.
EMS 12-Lead
JULY 24, 2023
David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (ret) @DidlakeDW Expert commentary and peer review by Dr. Steve Smith [link] @smithECGBlog A 57 y/o Female with PMHx HTN, HLD, DM, and current use of tobacco products, presented to the ED with chest discomfort. A 12 Lead ECG was captured on her arrival.
Dr. Smith's ECG Blog
APRIL 8, 2016
A late middle-aged man presented with one hour of chest pain. If cardiac arrest from hypokalemia is imminent (i.e., It would be difficult to get a nurse to give it faster! As I indicated above, in our cardiac arrest case, after pushing 40 mEq, the K only went up to 4.2 He had recently had a NonSTEMI.
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. What was the pH and K?
Dr. Smith's ECG Blog
APRIL 9, 2025
A middle-age woman with no previous cardiac history called 911 for chest pain. I'll never forget when I ordered such an infusion in 1991 and then my patient started seizing and I looked up and the nurse had hung the lidocaine wide open! This was her prehospital ECG: What do you think? DOI: 10.1016/j.resuscitation.2025.110515
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