Hello gang (again)! Here's an EKG of a 4-yr old male who came in contact with a faulty electrical appliance and got a hit. He didn't lost consciousness at any ...
I'm new at EKG interpretation, but what makes is a RBBB? All views show a narrow QRS. Thanks ... From: Gustavo Flores <gflores911@...> To: Ekg_Club...
Hello Stephen, I typed (mistyped) too fast. First mistake: the email was to another group of EKG Clubbers who are working for a joint-venture with EMS1. Having...
Michael, An RBBB pattern (appropriately termed RSR') without the QRS prolongation is termed an "incomplete RBBB". Gustavo Flores ... -- Gustavo E. Flores, MS4...
hi, tendency to right axis and frontal rotation (RV1, RV2) is normal in peds, electrical injuries tend to cause more rhythm disturbance unless the patient...
It is NOT RBBB. RBBB has an RSR's in V1 (as here) but must also have a QRS duration > 120 ms and have an wide S wave in leads V5 and V6, showing late and slow...
Hey there colleagues, question for everyone. We recently had a patient transferred from a small town hospital, complete heart block, junctional escape of 20...
Was this an acute MI patient? Anterior-posterior pad placement minimizes transthoracic resistance and sandwiches the left ventricle between the pads. Good skin...
Tom--it's not just the EMS folks with problems pacing: I'll attempt to get the strips if they're still in the LP's memory, but I took care of a gentleman with...
Throwing an idea around: Could etCO2 capnography be a useful aid in determining the effectiveness of pacing and if capture is occurring? It is known that etCO2...
Warning: I have not read literature on this, but I have an opinion (surprise). Body surface mapping (BSM) show the areas of the surface where normal conduction...
Here is an illustration of what I was thinking... these are from Miller et al, Total body surface potential mapping during exercise: QRS-T-wave changes in...
Tim Noonan (I have no idea if he still monitors the EKG Club or not -- it's been a long time since he's posted anything) has mentioned in the past that he's...
They are actually very simple 'topographic' type maps of the voltages across the torso. These pictures look funny but the left 2/3 is the anterior of the ...
Chest compressions were able to sustain a viable myocardium, but the EEG confirmed there wasn't enough circulation to maintain the brain. We were prepped and...
A couple of other questions I would have.... 1. Is teaching of the asynchronis method of pacing explained to people? 2. Does placement of the monitoring...
Here's a reply I gave in another forum regarding TCP that covers the relevant points. [snip] For what it's worth, (not criticizing and not suggesting TCP was...
1.) Probably not. 2.) I think it does. I have observed that the closer the limb lead electrodes are to the pacing pads the worse the pacing artifact. 3.) I...
I always make certain that the device will capture before I send the patient out of the ED. If it does not with a reasonable milliamperage, the I place a...
Thanks all for the amazing discussion (I just spent 6 hours of my life mapping and ablating 6 morphologies of VT today from a massive infarct). Hope this...
I do occassionally work on the ambulance. I had a 56y/o female patient, transient episode of dyspnea and chest pain, resolved upon arrival. I have attached...
I would consider that a Physiologic Q-wave not Pathologic, but I still can't explain the phenomenon. Maybe it is due to the increased interthoracic pressures....
It is not path. just change of axis in the vertical plane, if you look at V3 you will see slight but definite change of R wave amp. also, in this case it is...
Adding to Paul's dynamic comment... the entire PQRSTU complex is dynamic within itself. What I mean is, you can have the Rwave get taller while the Twave gets ...
In today's NEJM there is an article followed by a commentary on the article that may be of interest to the group. Once it is available online I can share... it...
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