Remove Nursing Remove Pulmonary Remove Ultrasound
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Austin Thomas Erb

Conquering CHD

Additionally, we had to go to a high risk OBGYN for an additional ultrasound to make sure Austin’s heart chambers developed properly (everything appeared OK at the time). When the day came that it was time to say goodbye to Austin, the doctors and nurses were right next to us every step of the way.

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A Middle-Aged Man with Chest pain, Hypotension and Tachycardia

Dr. Smith's ECG Blog

In the evening, a middle-aged man complained of chest pain at the nursing home. Nurses found him with a BP of 50/30 and heart rate of 130 and called EMS. Here was his prehospital ECG, which I viewed immediately while the resident performed cardiac ultrasound: What do you think? He was awake, with a pulse of 130 and BP of 50/30.

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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

Bedside ultrasound showed no effusion and moderately decreased LV function, with B-lines of pulmonary edema. It would be difficult to get a nurse to give it faster! He was managed medically with Clopidogrel. Medics stated that he had not been taking his clopidogrel for 2 weeks. He appeared to be in shock. See below.

STEMI 52
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A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

CT angiogram chest: no aortic dissection or pulmonary embolism. Serial chest xrays: progressive bilateral pulmonary edema. Beware a negative Bedside ultrasound. No further troponins were measured. This gets drilled into them. Chest Pain in a Male in his 20's; Inferior ST elevation: Inferior lead "early repol" diagnosed.

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Anterior OMI with RBBB has VF x 3: how to prevent further episodes of VF?

Dr. Smith's ECG Blog

On arrival in the ED, a bedside ultrasound showed poor LV function (as predicted by the Queen of Hearts) with diffuse B-lines. Chest X-ray also showed pulmonary edema. Primary VF in this study refers to fibrillation occurring in the absence of shock or pulmonary edema. Initial BP was 120/96, HR 102, SpO2 98%. Potassium was 4.5