Remove Cardiogenic Shock Remove Dysrhythmia Remove Ultrasound
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.

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A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

Dr. Smith's ECG Blog

Shocked x 2 without effect. Pads were placed with ultrasound guidance, so they were in the correct position. If you don't know what the dysrhythmia is, then try procainamide. If it is VT, adenosine is safe but not effective. What to do now? If you believe it is SVT, then try adenosine. Patient intubated.