And you are 100% right Nick! I wish I had some calipers to give ya. :) Actually I saw this case and the QTC was (believe it or not) relatively normal...or at...
Jcbartus@...
Jul 1, 2005 12:53 pm
5190
... I agree with the anything is possible. I have seen too many things that are not supposed to happen. Just because something has not been documented does not...
Good points, Tim. Not to sound like a broken record, but this is why I don't teach the various criteria for differential diagnosis of wide complex tachycardias...
Before anyone asks, I have absolutely no information about this patient!!! Regardless, I think it's an interesting rhythm strip, and one I'm going to add to my...
Does the pulse match the monitor (I would expect that this is more of an approximation with the difficulty of differentiating pulses at such a rapid rate)?...
... Tom, you just do not know how to market ideas with catchy phrases. A few weeks of haiku training and you will be all better :-) We need to find ways of...
I am in the middle of a CME from Epocrates on SCD and Athletes... very interesting figures they present. Those who are "healthy" and athletic may not be all...
Dr. Kenneth H. Cooper, the doctor who has pushed aerobics more than just about anyone else, wrote a book called "Running Without Fear, How to reduce the risk...
The compensation period for this guy was absolutely AMAZING! Otherwise I agree with you. He had made it to 40 and his WPW had never been picked up. By the...
Jcbartus@...
Jul 1, 2005 7:16 pm
5198
This is a rather vague scenario as I only know what I heard on a call -in (radio report): 30's male, working outside on a hot and humid day when he started...
Mike, The patient qualifies for immediate cardioversion, but you'd better hope it works, because the patient probably won't let you do it again! I would...
I believe that this arrhythmia is a sinus rhythm with an IVCD (probably RBBB), then PAC (certainly a different P wave morphology) followed by a PVC and...
EMTA1497@...
Jul 1, 2005 8:29 pm
5201
Nifty lookin! Let me see waht i can come up with There appears to be 2 separate rhythms occurring here. The fist one in Lead
II is before the initial Unifocal...
Oxygen and a couple of quick attempts at vagal maneuvers, WHILE MOVING TO THE HOSPITAL. They have more options there, central line to give meds, more med ...
Pre hospital here is what i would do: If the patient was extremely symptomatic and there was no chance of an IV (including EJ) i would probably have my...
Neil! How the heck are you? Long time, no see! For anyone who has joined the EKG Club in the last year or so, Neil is the co-author of _12 Lead ECG - The Art...
Do you know what his blood pressure was. I remember watching a bit of the Tour de France one year, they were taking resting vital signs on the racers, the...
All right, guys.... If this is a RBBB, then would you agree that the T waves in lead V1 are concordant (in the underlying rhythm)? I just noticed, to tell the...
I would agree they are very concordant! Mike MacKinnon mmackinnon@... ... From: Station2Medic@... Date: 07/01/05 13:44:01 To: ekg_club@yahoogroups.com ...
Lets review fusion complexes first For those who are unsure, here is what they are: Fusion complexes result from simultaneous activation of the ventricle from...
Can you imagine the size of the cannon wave in someone who has this as a normal? I have seen quite a few Lance Armstrong wannabes who had heart rates under...
Athletic Heart Syndrome is not pathological but Hypertrophic Cardio Myopathy is. They will appear very similar in EKG findings and really require an echo to...
Get him on O2, listen to BS, urge him to cough, load him in the truck and head for the hospital. EKG, BGL, vitals enroute, attempt further IVs, probably be...
He meets all the criteria for unstable tachycardia and thus the definitive treatment is cardioversion. I would probably give him Versed later so he didn't...
LRichardson
LRichardson@...
Jul 2, 2005 2:29 am
5216
Sure, he does meet criteria for unstable tachycardia. BUT I'm with Gene on this one. Your transport time is only 5 minutes. He's probably been in his current...
And another thing: Mike, I take it that you would have your CVL ready to insert if the patient lost his mental state / arrested post cardioversion. Why not...
I don't remember what his BP was, unfortunately my clear memories (this case was 2 years ago) were of reading the 12 lead. I suspect it was relatively ...
Having problems with message search?
Fill out this form to ensure your group is one of the first to be migrated to the new message search system.
