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 ...
11136
PMATERAMD@...
pmateramd
Feb 1, 2009 1:15 pm
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 ...
11137
Klaus Skrudland
lapsklaus
Feb 1, 2009 1:19 pm
Exactly... so 50 mm/s should be the international standard! ;-)Go Norway! :) ... -- Mvh, Klaus Nilsen Skrudland http://www.sykepleieforum.no ...
11138
Nikiah Nudell
mtparamednick
Feb 1, 2009 1:21 pm
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...
11139
Klaus Skrudland
lapsklaus
Feb 1, 2009 1:32 pm
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...
11140
Joe Bunch
jbunch12002
Feb 1, 2009 2:55 pm
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...
11141
Teresa M
mumsyrnbsn
Feb 1, 2009 2:58 pm
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...
11142
Teresa M
mumsyrnbsn
Feb 1, 2009 3:02 pm
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...
11143
Robert Vroman
scooby_437
Feb 1, 2009 7:23 pm
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...
11144
Klaus Skrudland
lapsklaus
Feb 4, 2009 7:25 pm
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...
11145
Tom Bouthillet
code3insc
Feb 4, 2009 7:39 pm
Paper speed 50 mm/sec? ... -- Tom Bouthillet Lieutenant / Paramedic Town of Hilton Head Island Fire & Rescue Division 843-247-3453 (cell) ...
11146
Klaus Skrudland
lapsklaus
Feb 4, 2009 7:57 pm
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 ...
11147
Tom Bouthillet
code3insc
Feb 4, 2009 8:15 pm
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 ...
11148
PMATERAMD@...
pmateramd
Feb 4, 2009 8:26 pm
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...
11149
Kelly, Jim
emtpkelly
Feb 4, 2009 8:27 pm
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...
11150
Erskine James, M.D.
medintern
Feb 4, 2009 8:52 pm
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...
11151
Klaus Skrudland
lapsklaus
Feb 4, 2009 9:10 pm
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? ...
11152
Andrew J Bowman
sumieb_6962
Feb 4, 2009 9:40 pm
Patient masturbating on telemetry. Andrew...
11153
PMATERAMD@...
pmateramd
Feb 4, 2009 9:46 pm
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...
11154
Klaus Skrudland
lapsklaus
Feb 4, 2009 9:46 pm
Hahaha.. On Wed, Feb 4, 2009 at 10:40 PM, Andrew J Bowman ... -- Mvh, Klaus Nilsen Skrudland http://www.sykepleieforum.no http://www.lapsklaus.com ...
11155
Klaus Skrudland
lapsklaus
Feb 4, 2009 10:39 pm
Any other theories? If not, I'll reveal the answer to this freaky ekg.. ... -- Mvh, Klaus Nilsen Skrudland http://www.sykepleieforum.no ...
11156
Klaus Skrudland
lapsklaus
Feb 5, 2009 1:07 am
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:...
11157
PMATERAMD@...
pmateramd
Feb 5, 2009 1:16 am
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...
11158
Ken1852@...
Feb 5, 2009 1:21 am
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...
11159
Andrew J Bowman
sumieb_6962
Feb 5, 2009 1:33 am
ISIS looked at mononitrate impact on post infarction mortality. It had no impact. Only thing I could find. Andrew...
11160
Nikiah Nudell
mtparamednick
Feb 5, 2009 2:33 am
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...
11161
Ken1852@...
Feb 5, 2009 2:58 am
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...
11162
Nikiah Nudell
mtparamednick
Feb 5, 2009 3:14 am
What is their justification for altering the standard of care against the AHA guidelines? Also, what is their justification for not treating pain? ... -- Sent...
11163
Tom Bouthillet
code3insc
Feb 5, 2009 3:17 am
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...
11164
PMATERAMD@...
pmateramd
Feb 5, 2009 3:18 am
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 ...
