Hyperkalemia

STAT ECG Diagnoses: what to consider when dealing with grouped or clumped beats causing irregular rhythms

A 95-year-old female presents to the ED with vomiting and abdominal discomfort. The following ECG is obtained:

Great EMS cases that highlight hyperkalemia emergencies, rate related ST segment abnormalities, and so much more!

HPI: A 69-year-old woman presents to the ED with palpitations and lightheadedness. She is noted to be tachycardic. The following ECG is obtained: Case ECG

Great EMS cases that highlight hypothermia emergencies, the ECG findings in acute pulmonary embolism, and so much more!

A 39-year-old woman is being taken to the ED by EMS for palpitations and lightheadedness. She is noted to be tachycardic. The following ECG is obtained:

ECG Basics and Fundamentals: right axis deviation differential and ST segment elevation in rightward leads

A 48-year-old woman presents to the ED with chest pain and near syncope. The following ECG is obtained:

STAT ECG Diagnoses: bradycardia, renal failure, AV nodal blockade, shock, and hyperkalemia

A 54-year-old female presents to the ED with generalized weakness and malaise. She has multiple medical problems and is taking several prescribed medications including aspirin, metoprolol, and warfarin. She recently…

STAT ECG Diagnoses: the great immitator strikes again in a case of wide complex tachycardia

A 48-year-old female presents to the ED 2 days after Thanksgiving with complaints of severe generalized weakness, palpitations, and chest discomfort. She is noted to be tachycardic and tachypneic at…

Differential Diagnoses: new right axis deviation and ST segment elevation

A 27-year-old male with no PMHx is brought in by ambulance for right shoulder pain, nausea, and generalized weakness. He is confused with a blood pressure of 60/40. The following…

EMS ECGs: opportunity to save lives prehospital by recognizing severe hyperkalemia

A 69-year-old man presents to the emergency department with palpitations. He is otherwise well. The following ECG is obtained:

STAT ECG Diagnoses: the value of ECGs in acute neurological emergencies

A 54-year-old male presented to the emergency department with inability to walk for 3 days s/p appendectomy. He reports feeling ill and generally weak. He denies abdominal pain, fever, nausea,…

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…

Literature Review: can the ECG risk stratify for short-term adverse events in severe hyperkalemia?

Differential Diagnoses: hyperkalemia as a cause of ST segment elevation mimicking STEMI

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…