I had the Displeasure of reading "The National EMS Scope Of Practice Model" last night. What I read turned my stomach. Mr. Gandy I love to take opposite...
Hi guys, Sorry that it's been so long in the making but here is teaching case #8. I gave up labelling it monthly but will try to stick with that schedule....
... Actually that link was bad too, but I used my trusty bookmark (heartstuff is the numero uno link under education) and navigated the site with it's usual...
Great work. That was interesting. Good thing I read your book:) Tom Garcia <tbgarcia26@...> wrote:Hi guys, Sorry that it's been so long in the making but...
Thanks to Bob and Jason for the additional help! I'll stick to ECGs for awhile now... Tom G ... ===== ++++++++++++++++++ Tomas B. Garcia, M.D., F.A.C.E.P. ...
Here are some strips that a coworker queried me on. 74 y.o F, c/o CP which awakes her the past few nights; duration ~10 min, recurs, then it's no more, until...
We were dispatched to assist the city FD with a patient (they don't transport out of the city... go figure). Upon arrival, pt found in recliner, sitting up,...
Well a quick look makes me think there is flutter. Alot of flutter waves
there. From my perspective, you did the right things. This isnt a rhythm you
would...
I agree with Mike. Looks like flutter with a block. Pacemaker is firing, no long periods of ventricular asystole... O2 takes care of most ventricular ectopy,...
Ok, first there is a lot of general artifact and second the QRS are small. Than I read that she is COPD... so, you have a skinny patient, that explains the...
I don't recall the med list (it was the last run of a loooong night), but dig wasn't on it. IIRC, nothing was overly remarkable for the med list--not that...
What is seen is atrial flutter with variable block and occasional paced complexes, including a couple of fusion complexes. What should be done about it is...
Josephson's sign refers to a notch in the downstroke of the S wave often
found in ventricular rhythms. It is used to differentiate between SVT with
aberrancy...
Hi Jon, Mike is right about his description of Josephson's sign. For those of you who don't happen to own my books (shame...shame...shame...), I have included...
You know I can't pass up an opportunity to pontificate! How does this sound: Retrograde flow through the single bundle starts depolarization across to the...
Ok, i have a number of EKG's to present over the next few weeks since i have
been lazy and not posting recently. So here is the first case (which is a
good...
Mike, interesting strip! I am hoping to see more, but from the lead 2 it appears to be a regular rythm with a rapid ventricular rate ( looks 160-ish from what...
Hi Tom, Josephson's sign may be found in any of the precordials and is more common in the mid-precordials. The exact sensitivity and specificity numbers are ...
You are a bad man, Mike MacKinnon...A very, very bad man... (copied from Seinfeld) Heh,heh,heh... Hard to say, it could be a couple of things but, for you ...
My differential includes.... VT VT VT SVT w BBB or aberrancy. I am strongly leaning to VT more than SVT as there appear to be dissociated P waves peeking out...
No I do not see any atrial activity preceding the QRS's. Ok, so we have WCT with a p-wave following. The R-P interval being about 0.10. That means we have a...
First, any provider not looking at multiple leads, even simply as strips needs to get flogged with a wet noodle :) Anyway. I had to look closely to count...
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