Wow, I'm surprised that someone of that age could get a pacemaker paid for. Cheers, Nick...
12236
Terje Myrstad
tmyrstad
Jun 25, 2009 10:32 pm
I agree, but if you had seen the patient and how well he was doing you probably would agree on this. He was working full time in the shop and was very active,...
12237
Galpert Jacob (St Mar...
Jacob.galpert@...
Jun 25, 2009 10:38 pm
What surprises me is why a VVI in a patient with 3 AVB. These are surely the type of patients who if they are getting a device maintenance of AV synchrony...
12238
Terje Myrstad
tmyrstad
Jun 25, 2009 11:40 pm
It was because of his age. But this was some years ago and DDD pacemakers was not so common. Today we would have implanted a DDD pacemaker. His brother was...
12239
wegandy1938@...
wegandy
Jun 26, 2009 5:02 am
MVC = motor vehicle collision in prehospital lingo. I'm not aware of another meanings other than things like Missouri Valley College, and so forth. It's the...
12240
PMATERAMD@...
pmateramd
Jun 26, 2009 12:05 pm
Or you could say " uva uvam visendo varia fit " = latin for - a grape changes color when it sees another grape = a comment about showing your true colors :-) ...
12241
Nikiah Nudell
mtparamednick
Jun 27, 2009 10:54 pm
I just thought that I would share this interesting EKG with you all. Sorry about the quality and my lack of ability to crop it or "shrink" the file size but I...
12242
Klaus Skrudland
lapsklaus
Jun 28, 2009 12:44 am
Quality was a-ok, just had to rotate it a bit. In general, the 4 strips show a rapid wide qrs tachycardia with AV dissociation. In other words this is most...
12243
Jim Girvin
ghetto_medic...
Jun 28, 2009 1:28 am
Looks like Torsades or Multifocal VTach. Unsynchronized shock of unstable or Magnesium if hemodynamically stable. Jim Girvin, CC/NREMT-P, EMT-T 740.222.9613...
12244
Nikiah Nudell
mtparamednick
Jun 28, 2009 3:13 am
Short story for now. The paramedic who had this patient is an EKG Clubber, perhaps he'll be able to reply with specifics. For now I'll protect his identity....
12245
Nikiah Nudell
mtparamednick
Jun 28, 2009 3:50 am
Attached you'll find a case of a 67 year old male two days post open abdominal hernia repair. He experienced 45 minutes of sudden onset SOB while resting at...
12246
Erskine James
medintern
Jun 28, 2009 6:26 pm
Would have been a little leery about using amiodarone in someone who had possible torsades, as evidenced by that EKG. Erskine James, M.D., FACC...
12247
Nikiah Nudell
mtparamednick
Jun 28, 2009 7:17 pm
That is also a thought I had however, perhaps the initial 12 lead indicated a normal QT interval? Its possible we'll be able to get it to share along with more...
12248
Nikiah Nudell
mtparamednick
Jun 28, 2009 7:17 pm
Really? No comments? :-) It is not a trick case! Nick ... -- Sent from my mobile device...
12249
J.D. Heffern
jdheffern
Jun 28, 2009 9:03 pm
Nick, The ECG didn't come through to me. Maybe others. Can ya send her through. Thanks Mate J.D....
12250
Nikiah Nudell
mtparamednick
Jun 28, 2009 9:14 pm
Second attempt for JD. Thanks, Nick ... From: Nikiah Nudell <medicnick@...> Date: Sat, 27 Jun 2009 23:49:10 -0400 Subject: Hmmm To:...
12251
Klaus Skrudland
lapsklaus
Jun 29, 2009 4:27 am
Strange thing this, attachments visible for some, but not all. I had no trouble viewing the attached pdf. Ok, IŽll give it a try: The 12 lead shows sinus...
12252
Klaus Skrudland
lapsklaus
Jun 29, 2009 4:51 am
IŽd sell my right kidney for a 12 lead of this episode, but all those rhythm strips are not bad either. You could get my spleen for them. Great strips! Agree...
12253
Nikiah Nudell
mtparamednick
Jun 29, 2009 11:26 am
Nice Klaus... 210 means mg/dl. His room air SpO2 was 87 and improved to 95-97 on 15lpm by NRBM. His EtCO2 was consistently 47 or greater over more than five...
12254
PMATERAMD@...
pmateramd
Jun 29, 2009 2:57 pm
hi i cant see ecg either i will go by case presentation and vitals and descriptions of the ecg by others,,, in general he is 48h sp surgery and he has plenty...
12255
rwj3032
Jun 29, 2009 3:33 pm
Not to be a tease, but we do have more rhythms to share about this patient, however they are locked inside the LP12 until I get back to work tomorrow. This...
12256
Nikiah Nudell
mtparamednick
Jun 29, 2009 3:43 pm
Hi Paul, No subQ air, no JVD evident, equal appearing excursion but definite chest wall retractions with inspiration. No evidence of Nudell sign. The only...
12257
Darlene Petersen
ekgtools
Jun 29, 2009 10:53 pm
I cannot open the files either. How strange. Never had problems before. d From: ekg_club@yahoogroups.com [mailto:ekg_club@yahoogroups.com] On Behalf Of...
12258
Nikiah Nudell
mtparamednick
Jun 30, 2009 12:16 am
Hmmm... is there no link at the bottom of the email? Nick ... -- Sent from my mobile device...
12259
Darlene Petersen
ekgtools
Jun 30, 2009 3:15 am
Yes there is a link to a pdf file, but it never opens. Acts like it is going to and then explorer closes and I am back to the email. d From:...
12260
wegandy1938@...
wegandy
Jun 30, 2009 4:46 am
I think that's the problem. Yahoo can't seem to make up its mind where it's going to put the links. So where it says "attachment" at the top, one thinks to...
12261
wegandy1938@...
wegandy
Jun 30, 2009 5:12 am
There's no S1Q3T3 pattern or anything else to suggest pulmonary embolism that I can see. He's tacky, so there's something happening but I agree with Paul...
12262
PMATERAMD@...
pmateramd
Jun 30, 2009 4:45 pm
Hi gene u r not full of it :-) well thought out differential. Ates sp surgery would be a good bet. Thanks for the full egg description I still haven't seen the...
12263
Klaus Skrudland
lapsklaus
Jun 30, 2009 5:26 pm
Nick, et al.: If youŽd like to, I could upload the ecg to my private so that everyone gets to see it...? klaus ... -- Mvh, Klaus Nilsen Skrudland ...
12264
Nikiah Nudell
mtparamednick
Jun 30, 2009 5:46 pm
That sounds plausible... What would capnography look like in that situation? The high BP concerns me still... Nick ... -- Sent from my mobile device...
