10 results
Right sided ECG leads (V1R-V6R) are positioned in a mirror image fashion to the standard 12-lead
Right sided ECG ... the standard 12-lead ... (RV) infarcts #EM ... #EKG #Lead #Placement ... #ALiEM
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... avR - proximal LAD ... #Ischemia #ECG ... #EKG #diagnosis
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... all wraparound LAD ... #STEMI #EKG #clinical ... #ecg
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
Posterior ECG leads ... lateral wall AMI #EM ... #Cardiology #Posterior ... #EKG #Lead #Placement ... #ALiEM
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
in aVL and in lead ... suggestive of STEMI ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... bradycardia #diagnosis #differential ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... ventricle pacing lead ... STElevation #ST #STEMI ... #ecg #ekg #electrocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
occlusion that may lead ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... pump, Impella, LVAD ... #diagnosis #differential ... #algorithm #management ... #cardiology #treatment
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
time, this may lead ... CO2 production (e.g ... drainage cannula draws ... problems #diagnosis #differential ... #management #criticalcare