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Messages 1804 - 1833 of 12557   Oldest  |  < Older  |  Newer >  |  Newest
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1804
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...
Jenny Kobersteen
vamaern01
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Feb 1, 2004
11:45 am
1805
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...
TBOFY52@...
tbofy
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Feb 1, 2004
4:09 pm
1806
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...
medicnick@...
mtparamednick
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Feb 1, 2004
9:29 pm
1807
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...
medicnick@...
mtparamednick
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Feb 1, 2004
9:30 pm
1808
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...
Code3inSC@...
code3insc
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Feb 5, 2004
3:28 am
1809
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 Kobersteen
vamaern01
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Feb 5, 2004
11:07 am
1810
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...
Code3inSC@...
code3insc
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Feb 5, 2004
2:18 pm
1811
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 Kinley
kindog_98
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Feb 6, 2004
6:39 pm
1812
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 ...
Bouthillet Tom
code3insc
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Feb 6, 2004
6:55 pm
1813
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...
Mike MacKinnon
mmackinnon321
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Feb 6, 2004
7:05 pm
1814
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...
Tom Garcia
tbgarcia26
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Feb 6, 2004
8:48 pm
1815
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...
Jason Kinley
kindog_98
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Feb 6, 2004
9:44 pm
1816
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,...
Bouthillet Tom
code3insc
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Feb 6, 2004
10:41 pm
1817
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 MacKinnon
mmackinnon321
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Feb 6, 2004
11:03 pm
1818
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 ...
Bouthillet Tom
code3insc
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Feb 6, 2004
11:26 pm
1819
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 ...
Bouthillet Tom
code3insc
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Feb 6, 2004
11:31 pm
1820
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...
Jason Kinley
kindog_98
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Feb 6, 2004
11:38 pm
1821
... 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...
Mike MacKinnon
mmackinnon321
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Feb 6, 2004
11:39 pm
1822
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...
Mike MacKinnon
mmackinnon321
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Feb 6, 2004
11:58 pm
1823
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...
Bouthillet Tom
code3insc
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Feb 7, 2004
12:01 am
1824
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 ...
Mike MacKinnon
mmackinnon321
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Feb 7, 2004
12:03 am
1825
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 ...
Bouthillet Tom
code3insc
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Feb 7, 2004
3:41 am
1826
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 Bouthillet
code3insc
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Feb 7, 2004
3:53 pm
1827
Hi guys, I am enclosing a graphic of some of the key points that I found in Jason's great case. I hope you guys find it helpful. Tom G ===== ...
Tom Garcia
tbgarcia26
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Feb 7, 2004
4:38 pm
1828
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...
Tom Garcia
tbgarcia26
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Feb 7, 2004
4:43 pm
1829
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 ...
Code3inSC@...
code3insc
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Feb 7, 2004
5:40 pm
1830
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...
medicnick@...
mtparamednick
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Feb 7, 2004
7:51 pm
1831
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?...
Jason Kinley
kindog_98
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Feb 7, 2004
8:11 pm
1832
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...
Andrew J Bowman
sumieb_6962
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Feb 7, 2004
8:27 pm
1833
;-) I know.... just wanted to see if you were still around! Have a great day! Nick...
medicnick@...
mtparamednick
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Feb 7, 2004
11:46 pm
Messages 1804 - 1833 of 12557   Oldest  |  < Older  |  Newer >  |  Newest
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