15 results
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
Apical 4-chamber (A4 ... septum #Clinical #EM ... #Cardiology #POCUS ... #Apical #A4 #ApicalFourChamber ... #FourChamber #ALiEM
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
associated with inferior ... lateral wall AMI #EM ... #Cardiology #Posterior ... #EKG #Lead #Placement ... #ALiEM
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
artery (LMCA). left anterior ... #electrocardiogram ... #diagnosis #ekg ... #differential # ... cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... Deeply inverted anterior ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... See thread for POCUS ... inversions V1-V4 plus inferior ... #EKG #Electrocardiogram ... #clinical #cardiology
Sagittal / longitudinal view - Directional indicator: Pointed to anterior of patient (towards the ceiling) -
indicator: Pointed to anterior ... transvaginal exam #EM ... #Obgyn #Radiology ... #TransVaginal #POCUS ... #Orientation #ALiEM
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
in avL - early inferior ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
left atrium (LA), anterior ... #Clinical #EM #Cardiology ... #POCUS #Parasternal ... LongAxis #PSLA #ALiEM
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... (A) a dilated inferior ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology