Hyperkalemia
Results:
STAT ECG Diagnoses: the most rapid killer in diabetic ketoacidosis (DKA)
A 38-year-old male presents to the emergency department with intermittent chest pain for a few weeks. He has insulin dependent diabetes and a history of noncompliance with medications. He looks…
STAT ECG Diagnoses: REALLY wide complex tachycardia
A patient is brought into the emergency department with palpitations, weakness, and shortness of breath. She has a normal blood pressure. The following ECG is obtained:
Bradydysrrhytmias: altered mental status, hypotension, and not able to transcutaneously pace
A 50-year-old male is brought into the emergency department from prison with bradycardia, hypotension, and altered mental status. Medics started IV fluids and treated with atropine with no response prior…
Literature Review: severe hyperkalemia, ST segment elevation in aVR, and many more interesting topics
A 60-year-old woman with PMHx of HTN is brought in by EMS with chest pain and diaphoresis. The following prehospital ECG was obtained:
Something, that can do anything it wants to the ECG!
A 58-year-old male presents to the emergency department with shortness of breath, vomiting, palpitations, and mild chest discomfort. The following ECG was obtained on arrival:
Wide Complex Tachycardias: when suspected ventricular tachycardia is too wide and too slow
A 56-year-old man with PMHx of HTN, DM, PVD, and ESRD on dialysis presents to the ED with dyspnea. The following ECG was obtained on arrival:
STAT ECG Diagnoses: what to do when advanced life support (ACLS) does not work
A 40-year-old man is brought to the ED moribund with agonal respirations, hypotension (SBP~50) and bradycardia. The following ECG was obtained and ACLS started with no response to atropine or…
Several challenging EMS cases to help you make the diagnosis and save more lives!
A 44-year-old man with PMHx of diabetes is transported to the ED by EMS for lethargy and altered mental status. His finger stick blood glucose measurement read as “high”. The…
Literature Review: aVR – The forgotten 12th lead
A 55-year-old man with PMHx of end stage renal disease on dialysis presents to the ED for fatigue and pain all over. He denies ischemic chest pain. The following ECG…
EMS ECGs: ventricular tachycardia (VT) pearls and pitfalls
A 47-year-old woman is brought in by EMS with intermittent palpitations and lightheadedness. The following prehospital ECG was obtained:
Literature Review: ECG findings in PE associated with hemodynamic instability and increased morbidity and mortality
An 80-year-old man is brought to the ED by EMS for chest pain and dyspnea. He is found to be tachypneic, tachycardic, hypoxic, with a blood pressure of 105/50. The…
2017 ECG Competition Answers (Part 2/2)
This week we review the answers to questions 7-14 from the 5th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red box…
STAT ECG Diagnoses: regular wide complex tachycardia (RWCT) after succinylcholine?
A middle-age man presents to the ED with acute hypoxemic respiratory failure from multilobar pneumonia. He is intubated using etomidate and succinylcholine and noted to have a change in rhythm…
Wide Complex Tachycardias: regular wide complex tachycardia (RWCT) vs. regular REALLY wide complex tachycardia (RRWCT)
A 70-year-old male presents to the ED with generalized weakness and dizziness. He is suspected to be in atrial fibrillation with a heart rate of ~ 150 bpm. He is…
EMS Cases: The definition of normal sinus rhythms and so much more!
A 89-year-old woman calls EMS for palpitations. The following ECG is obtained:
Bradyarrhthmias: considerations in unstable patients with discussion on an important causes of refractory bradycardia
A 42-year-old woman presents to the ED with decreased level of consciousness after a seizure. She has no obvious signs of trauma, and vitals signs are normal except for marked…
EMS ECGs: differentials to consider when dealing with ST elevation and right axis deviation in sick patients
A 26-year-old man presents to the ED with chest pain. The following prehospital ECG is obtained:
STAT ECG Diagnoses: Post-cardiac arrest ECG with this pattern, what is the most likely cause of arrest and would you activate the cath lab?
An elderly male with no known past medical history is brought into the ED via EMS s/p cardiac arrest. He was found to be unresponsive with a weak pulse at…
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