I’ve written posts before about times that the cardiac monitor disagrees with the pulse oximeter as to how many times the heart is beating. In the prior post, it was due to PVC’s. This time it is something different…
Cardiac monitored fooled again…
ECG
Paced EKGs
Not all “Paced” EKGs are the same. Let’s look at some of the differences among them.
Continue readingDo the details matter?
What’s wrong with these ECGs?
We had something come up twice over the past month or so with our ECGs. Several of the residents had trouble spotting the issue. I bet they were not the only ones. Can you see the problem?
Continue readingRegional Wall Motion Abnormality
A 45 year-old man presents by EMS after a VF arrest. On arrival at the ED he has a pulse. An ECG shows an anterior STEMI. The cath lab is activated and the cardiologist is en route. While waiting for the cavalry to arrive, you ultrasound his heart and strike gold.
Continue readingECG Brain Buster Hints
Two brave souls took a stab at it. Both accurately found that number 3 was the one with the leads in the correct places. Both had other things correct as well. Neither had all of the answers. To finish it up, I’ll give you some food for thought and see if anyone can put it all together.
Continue readingIs this a STEMI? – answer
Is this a STEMI?
There is clearly ST elevation in leads V1-V3. Are we activating the cath lab based on this EKG?
EKG answer
Wellens’ syndrome it is. (For completeness sake, Dr. Wellens has an “s” a the end of his name – it is not “Wellen’s syndrome” it is “Wellens’ syndrome.” And, whether one should use the apostrophe or not with an eponymous syndrome is debatable. Some sources omit it completely: “Wellens Syndrome” but not “Wellen syndrome” – I feel better now that that’s off my chest.)
Continue readingWhat do you think about this EKG?
Searcy EM 