21 results
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
polymorphic ventricular tachycardia ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
TCA Overdose on EKG
 • Sinus tachycardia
 • QRS prolongation
 • QT prolongation
 • Rightward deviation
TCA Overdose on EKG ... • Sinus tachycardia ... antidepressants #EKG ... #ECG #electrocardiogram ... #clinical #criteria
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... (4) SA node arrest ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Loperamide and QT Prolongation #Clinical #EM #Cardiology #EKG #QT #Prolongation #QTProlongation #Loperamide #ALiEM
Loperamide and QT ... Prolongation #Clinical ... #EM #Cardiology ... #EKG #QT #Prolongation
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Sudden cardiac arrest ... **Get baseline EKG ... family history) Treatment ... or very long QTc ... Syndrome #Diagnosis #Cardiology
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... supraventricular #tachycardia ... peds #Pediatric #treatment
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
and a prolonged QT ... segment (Panel A) #Clinical ... #Cardiology #EM ... #EKG #Hyperkalemia
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... #Treatment #management ... #cardiology #algorithm
Classic EKG triad of long QT, ST-depression, and PVCs in Hypokalemia
Worry about hypokalemia; this patient had
Classic EKG triad ... patient had cardiac arrest ... LongQTC #PVCs #EKG ... #ECG #Electrocardiogram ... #Cardiology #Clinical