Remove ICU Remove Tachycardia Remove Ultrasound
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Another deadly triage ECG missed, and the waiting patient leaves before being seen. What is this nearly pathognomonic ECG?

Dr. Smith's ECG Blog

The patient was upgraded to the ICU for closer monitoring. Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism. Now another, with ultrasound. and tachycardia, 1.8. Echocardiogram showed severe RV dilation with McConnell’s sign and an elevated RVSP. What is the Diagnosis?

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A Child with Blunt Trauma

Dr. Smith's ECG Blog

Interpretation: There is sinus tachycardia, with right bundle branch block (RBBB). Course : A CT of the head, neck, chest, abdomen and pelvis showed no other unanticipated injuries and she was admitted to the ICU. She was pulseless, with a narrow complex tachycardia on the monitor. She was intubated.

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"Pericarditis" strikes again

Dr. Smith's ECG Blog

in the ICU but survived with excellent function. Beware a negative Bedside ultrasound. The team was notified and they ordered a stat aortagram which showed type A aortic dissection from the aortic valve to the iliacs. Not surprisingly the cardiology HPI changed yet again in the next note following diagnosis of the aortic dissection: ".chest