You and your EMT partner are dispatched for an unconscious male patient at a local hardware store. Upon arrival you find the store staff surrounding a 65 year...
The EKG shows diffuse ST segment elevations, PR segment depressions (particularly in leads I, II, avF and V3, maybe in leads V4-6). PR segment is elevated in...
Given the diffuse ST elevation, PR depression, notching of the QRS and scooped out appearence of the STsegment elevations, I would say it looks like...
Ken1852@...
Mar 2, 2009 1:50 am
11665
LOC with no obvious trauma, MI does not cause LOC, his bp would not be a grounds for loc, his hr would not cause loc, he is not hypoglycemic, bilat dilated...
I knew the case would have a catch somewhere! Although we've talked about EKG and troponin changes during CVA (due to catecholamine release), I associated them...
Paul: Very nice, logical approach to the patient, as always. Thank you for reminding us to remember "the company the EKG keeps". In this case, I fear a...
hi jon, thanks for your note, you have been on this club site longer than I , ..., and I am sure you have seen me write, ad nauseam, that a good clinician...
hi andrew, as i said it was a 20y old lecture, so before modern computer era, but i have it on hard copy and i think on projector slides , man am I old , ...
The JACC has recently published a number of new consensus recommendations. Attached are three that are pertinent to this group. You can retrieve the others...
Please send to the whole group Paul, I am NP student with current work experience in Cath Lab and it would be excellent for me to understand that abnormal ECG,...
thanks Nick that cheered me up, being the old geezer I am at 2 score and 12 years this May, Paul In a message dated 3/2/2009 4:54:18 P.M. Eastern Standard...
Loss of consciousness ___________________ Jim Girvin, NREMT-P jim@... 740.222.9613 (mobile) 24A4D905 (Blackberry PIN) ****Sent wirelessly from my AT&T...
interesting, but also aggravating Nick , your last sentence , ie, "... the new emphasis on ST shifts from normal or known levels" is outrageous, this is the...
Yes, thats my point too! I see the same exact things as you describe with a high fidelity digital DC system. Why do we continue to emphasize "1mm of ST...
exactamente bro, or better yet, how bouts we explain, diagnose, anticipate ANY change in the "baseline" ecg, sometimes "variation of normal" or "normal ...
I normally don't post on this board because quite frankly I feel like I'm not in the same league...but I couldn't agree more than with what Paul said. When I...
thank you Jim, and don't hesitate to participate here, we are all "Students of the ECG" (and related issues), I don't know if you read my March 2008 JEMS ...
Attached is a very simplified illustration of ST shift and its calculation. I also attached an illustration that demonstrates the changes of an EGM signal...
I'm not familiar with the term EGM.? Can someone tell me what it stands for and how it is utilized? ... From: Nikiah Nudell <medicnick@...> To:...
Ken1852@...
Mar 3, 2009 2:03 am
11686
It is electrogram... a direct measurement of the cardiac signal in this context coming from an implanted pacemaker lead in the RV apex. The formation is the...
I believe the terms used in general terms for intracardiac egm is "a" for atrial signals, "v" for ventricular signals and "h" for a his signal. ... From:...
Although I see the point of all the information about what I have always considered to be as ST segment trending, there is inherently some normal variability...
Well, as I remember everything has a frequency, one classic example is respirations. If the high pass filter is set low enough, and you slow the paper speed...
Ahhh... you didn't even mention the changes in Rwave height (aka QRS height). What Rwave height? Yes, Rwave height. It changes... in some people it changes...
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