You may be interested in this, if not please forgive me. I'm sending the link because I am interested in how you think the concept could impact prehospital...
Here's a new case, hot off the press. 71 yom CC: Syncope, heart burn last night. No previous history of syncope. Today he was feeling weak and according to his...
Looks like a wide complex qrs at a rate of approx 175, gotta think v-tach until proven otherwise. I would get the pads out, put a line in place try amiodarone...
Has anyione ever heard of this. Pt got 100mcg of intracoronary nitroglycerin during a cardiac cath. Had transient and MARKED ST depression. Cardiologist said...
The depression. I am presuming that it reflects replacement of the blood "column" by drug causing transient ischemia, which I have seen with dye injection....
Maybe it reversed pseudo-normalization? Tom ... From: Andrew J Bowman <andrewj.bowman@...> To: ekg_club@yahoogroups.com Sent: Fri, 7 Dec 2007 1:57 pm ...
hi guys, happy holidays, nice case, symptomatic wide complex tachy, with only a 3 lead ecg difficult but 1st thing would still be abc, at this age, with little...
Cardiologist said he "sees this all of the time" with IC NTG. I never had and he could not explain pathophys behind it. Andrew ... From: Station2Medic@... ...
Just the ST segment? Or T wave changes as well? Tom ... From: Andrew J Bowman <andrewj.bowman@...> To: ekg_club@yahoogroups.com Sent: Sat, 8 Dec 2007...
The treating paramedic placed the patient on oxygen, started an IV, started a fluid bolus, and obtained a 12 lead ECG. Computer measurements: HR: 234 PR: * ...
Good 12-lead. Wide and fast? Check. Concordance across the precordium? Check. Extreme RAD? Check. Retrograde p-wave conduction? Check(V5&V6). Onset of...
IC nitro causes both significant T wave inversions and ST segment depression. Â The same affect occurs with IC adenosine as well. Â We use both to dilate...
EMTA1497@...
Dec 8, 2007 8:59 pm
9817
Okay, so for some reason, not all of what I typed came through... I'm curious as to how well the fluid bolus worked and how much was given. Also, was the...
Okay.... But what is the physiology behind it??? Thanks, Andrew ... From: EMTA1497@... To: ekg_club@yahoogroups.com Sent: Saturday, December 08, 2007 3:59...
Even without reading the rest of what you wrote, I agree with your general sentiment! The burden of proof is on the person who claims this is something other...
Etomidate or propofol with full airway rescue capability and synchronized cardioversion. AJB ... From: Station2Medic@... To: ekg_club@yahoogroups.com Sent:...
Hi Andrew, et al, it depends on how prolonged an event you mean, IC anything does not carry O2 so anything injected IC, especially if relatively large volume...
That was my worry - that his BP would worsen with an antiarrhythmic. What I was thinking was that if the bolus did nothing to improve his vital signs, skin...
Yes, this I am aware of, and have it seen many times with contrast injection of the coronaries. This is usually a comparatively large volume that displaces the...
What did the arteries look like? Were there collaterals? Was it a distal vessel? NTG is going to cause a drop in intracoronary pressure where its injected for...
I am a non-invasive cardiologist, but do not recall this during training. When I get off this broken leg, and am back at work, I will ask one of the ...
Hi, Janet. Thanks for the reply. I appreciate that you have the courage to jump in and ask questions. Hundreds of people subscribe to the EKG Club, most the...
Andrew; Although one cc per 100 mcg is the concentration and dose IC for nitro, most of the time we will dilute that one cc in ten cc's of heparinized saline...
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