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ekg aflutter atrial electrocardiogram typical counterclockwise echocardiogram pocus reverse ultrasound ventricular vfib arrest clockwise comparison contusion ctchest independent inferior inferolateral
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
• Inferior leads ... • Inferior leads ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... without typical inferior ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
with probable inferior ... becomes ventricular fibrillation ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... on EKG • Inferior ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... on EKG • Inferior ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
lateral leads, also diagnostic ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber 50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... getting 12 lead ECG ... Note akinesia of anterior ... Echocardiogram #ultrasound #Cardiology ... #clinical
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 Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis 50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... getting 12 lead ECG ... Note akinesia of anterior ... Echocardiogram #ultrasound #Cardiology ... #clinical
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 Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest
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