Remove Dysrhythmia Remove Hospital Remove Pacemaker
article thumbnail

An adolescent with trauma, chest pain, and a wide complex rhythm

Dr. Smith's ECG Blog

This case was sent by Dr Avinash Krishnamurthy, a fine emergency medicine resident from Australia Cairns base hospital Case : An adolescent male had a mechanical fall and injured his left shoulder and arm. A Patient with Ischemic symptoms and a Biventricular Pacemaker His chest was tender. A bedside cardiac ultrasound was normal.

article thumbnail

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Negative predictors of adverse outcome: Pacemaker Pre-syncope or "near-syncope," but there is still some small risk (5, 18) These last two are identified in studies, but I consider them dangerous signs and symptoms in their own right, as above: 10. —QRS Syncope with Exertion (EGSYS) 7. S yncope while supine (EGSYS) 8. orthostatic vitals b.