Niklah - I'm not sure what you mean when you refer to unreliable P wave detection...? The problem here was just that the bigeminy concealed the base ...
on this issue of paper speed and subsequently mV amplitude, as you know the US std is 25mm/sec and 10mm/mV, I often ask for 12 leads and 3 lead rhythm ...
Klaus, By standard practice we use Pwaves as the primary/initial rythm determinant. Think about all the rythms that are based on sinus activity. If you can't...
Yes, I do know why you need to see P waves to differentiate rhythms... I just didn't know why you mentioned P wave detection in the discussion about the...
I flew a women a few months ago with a prox RCA IWMI RVI. She was given 2 liters on dobutamine, S/P TPA and low nitrates for pain. When she reperfused, it was...
As a Cath Lab nurse that is crossed trained to scrub in with the interventionalist as well as monitoring the patients hemodynamic status during routine caths...
For our ablations, we always run at 50 mm....drives me crazy because everyone in there is so much better at reading that speed and I hate it when everyone...
I agree that at times 50 mm/s can be beneficial, especially in fast narrow rhythms and when looking for other nuances. When using the LP11 there was the option...
I snapped this ekg from a blog that I enjoy reading. The blogger works on a telemetry floor and sometimes posts ekg strips for debate. He recently posted a...
Well... this is from an american telemetry floor, so I'm guessing that it is 25 mm/s... ?! You probably know better than me what speeds they use on their ...
Okay.... it looked narrow for 50 mm/sec! :) I know what I would call it, but I'll let others have their say. Tom ... -- Tom Bouthillet Lieutenant / Paramedic ...
fascinating, as mr spock would say, we will assume 10mm/mV and 25mm/s, whatever it is it is disassociated with evidence of fusion, the smaller complexes are...
I'll emerge temporarily from the land of lurkers to take a whack: atrial flutter with complete AV block and an accelerated junctional escape. I would consider...
Paul, I do not see an extra different P wave, to think it is your number 3. Problem with atrial flutter is that the "p waves" are not regular enough for me to...
Great response and great suggestions! Keep'em coming! I'll let you discuss some more before we proceed and reveal the answer. Anyone else got any suggestions? ...
andrew , ..., lol, i think that fits in on my list at #4 (artifact) without being so graphic , paul In a message dated 2/4/2009 4:40:43 P.M. Eastern Standard...
Alright. Several of you guessed correctly. This is an artifact. The original post is at this blog: http://lostonthefloor.wordpress.com/ And as the author says:...
ok what do i win , do we want to know exactly what was causing the rhythmic, rapid, repetitious, artifact ????????????? paul In a message dated 2/4/2009...
Does anyone know?of any clinical studies that exist regarding the efficacy of administering nitro sl in the setting of chest pain.? Our Regional Emergency...
Ken1852@...
Feb 5, 2009 1:21 am
11159
ISIS looked at mononitrate impact on post infarction mortality. It had no impact. Only thing I could find. Andrew...
It has been a few years but as I recall most of the limited studies on NTG were lab based and conjecture. Those that involved NTG for treatment of chest pain...
The fact that it does nothing for the occlusion is understandable, but I?was under the impression?that nitro would dilate any existing collateral circulation...
Ken1852@...
Feb 5, 2009 2:58 am
11162
What is their justification for altering the standard of care against the AHA guidelines? Also, what is their justification for not treating pain? ... -- Sent...
Let's not forget that NTG is a potent coronary vasodilator, and sometimes coronary vasospasm is responsible for (or complicates) ACS. A year or two ago, the...
well i would say your remac council needs to set what the goals are to be, the reason ntg reduces anginal pain is not because it is a pain reliever, it is ...
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