Okay, well it no being junctional and I not being A fib does narrow the field a bit. I'll have to say that you can definitely tell that she was hypokalemic due...
Nick and all, The rhythm is regular not irregular. Printing on notebook paper is not a good idea. Patient's hypokalemia is caused by a diuretic med ? There...
Jenny You are the closest here so far! There are a couple of issues with this case and EKG. The patient was not suffering from CHF and was only mildly...
Jenny You are the closest here so far! There are a couple of issues with this case and EKG. The patient was not suffering from CHF and was only mildly...
Hi gang. I created a chart for rapid axis determination and uploaded it to the files page. It's also attached to this email. I hope you enjoy it. Let me know...
I have always been confused about axis¹s. Do all three leads have to be in place the way that it is shown to be considered the an axis deviation? Jenny PS...
Jenny, It's pretty accurate, but the chart errs on the side of simplicity. For example, if you have an equiphasic complex in lead I and upright complexes in...
EMS is called for a Male with Chest Pain. The patient is an 89 yom with 30 minute onset of CP, non-radiating. Patient is A+OX4, skin is slightly moist. Skin...
Jason, Great case! This is a wide complex tachycardia at a rate of about 150. Looks like a left axis deviation. My first impression is VT, especially when ...
Well I'll say a couple initial things 1st a 3 lead is non-diagnostic. All it can tell you is that something is too fast, too slow, doesn't look right and Needs...
Hi Jason, I used to like you...This is a tough strip that will bring up a lot of discussion. On the surface I agree with Tom B and Mike when they say that you...
Great responses so far . A lot of these thoughts were racing through my mind at 0300 hrs. this morning as well . We did perform a 12 Lead, and it will shed a...
Let's see... LBBB morphology in lead V1 (definitely not bifascicular block). Atypical LBBB morphology in lead V6 (deep S wave). Left axis deviation. In short,...
woohoo 12 lead!~ LBBB LAD i also note what appears to be symmetrical T waves is lead V5 V6 Overall this is pretty abnormal though some of it may be old....
Mike, Keep in mind that the 5 mm rule applies to patients with preexisting LBBB. Any patient exhibiting signs and symptoms of ACS who presents with new LBBB ...
Mike, Another thing I forgot to mention is that you can't call a LBBB until you know for a fact that your patient is in a supraventricular rhythm. This is ...
Okay - Just as you said !! We have 5 of us staring at this 12 Lead, and I am trying to reason why it is not a Wide Complex Tachycardia(?? Must have been the...
... mike ... From: Bouthillet Tom To: 'ekg_club@yahoogroups.com' Sent: Friday, February 06, 2004 4:24 PM Subject: RE: [ekg_club] ECG Case Review Mike, Keep in...
Well that definitely shows some information Obviously EKG #2 is faster. Hard to see the p waves and such EKG#1 1st degree block biphasic p waves in V1 (looks...
Wow! Jason this case is amazing. The entire VT theory has just been shot to hell. There is a preexisting supraventricular rhythm with wide complexes, left axis...
Oh end result,i think it IS a wide complex tach and you were right :) Only problem is the symptoms, so assumably if you fix the rate they should go away mike ...
I am assuming it is the deep S wave in lead V6 that prevents the computer from calling this LBBB. The next obvious question is, what makes this "left ...
Jason, Just a thought, but why not use a 10 gtt drip set? That's how we were taught to give Bretylium to a conscious patient with malignant PVCs back in the...
Tom, This is a typical example of why computers should not be reading ECGs. As you know, you cannot talk about LVH in LBBB. The machine is not picking up the...
Awesome graphic, Tom G., as usual! Well Jason? Do you have the 12 lead taken after the Amiodarone? Let's put the cherry on top! This case deserves to be ...
Hey guys what a great case! Ok cable internet is working in my favor in my new house once again. I had the fortunate occurance to catch this after a few...
I will try to get the Hospital 12 lead and post it ... It may take a few days. Jason K. Code3inSC@... wrote: Awesome graphic, Tom G., as usual! Well Jason?...
Some of us old nurse/medics (21 years in the biz) still do it that way. Andrew B Why not hook up the syringe and just give it via syringe slowly? Like how new...