Post-Cardiac Arrest

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ECG STAT May 5, 2026
Post-Cardiac Arrest ECGs Hub

Key Points: The first post-ROSC ECG is essential but imperfect. Obtain it immediately, but interpret it in context. Global ischemia, defibrillation, acidosis, hypothermia, vasopressors, artifact, and severe metabolic derangements can…

ECG STAT May 5, 2026
Post-Arrest STEMI: Cath Lab Decisions

Key Points: Persistent ST elevation after ROSC remains a guideline-supported indication for emergency coronary angiography. The 2025 ACC/AHA/ACEP/NAEMSP/SCAI ACS guideline recommends emergency angiography for patients after cardiac arrest with suspected…

ECG STAT May 5, 2026
Post-Arrest No STEMI: When Cath Can Wait

Key Points: Stable post-arrest patients without ST elevation should not go to reflex immediate cath solely because cardiac arrest occurred. Randomized trials in OHCA patients without ST elevation have not…

ECG STAT May 5, 2026
Pediatric ECG in Cardiac Arrest

Key Points: Pediatric arrest is usually respiratory, hypoxic, or shock-related, not primary coronary occlusion. The ECG still matters because it can reveal reversible metabolic, toxicologic, structural, inflammatory, or inherited electrical…

Weekly Workout May 4, 2026
A Post-Arrest ECG With a Dangerous New Bundle Branch Block

A 72-year-old man is brought to the ED after a witnessed out-of-hospital cardiac arrest. Bystander CPR is started quickly, EMS finds a non-shockable rhythm, and ROSC is achieved after one…

ECG STAT November 3, 2025
Torsade de Pointes (TdP)

Key Points Definition: TdP is a specific subtype of polymorphic ventricular tachycardia associated with a prolonged QTc interval. It often presents with a “twisting” pattern on ECG but can be…

ECG STAT October 11, 2025
Electrical Storm

Key Points: Definition: Electrical storm is defined as three or more episodes of sustained ventricular tachycardia (VT), ventricular fibrillation (VF), or appropriate implantable cardioverter-defibrillator (ICD) shocks within 24 hours. Some…

ECG STAT October 11, 2025
Pulseless Electrical Activity (PEA) Arrest

Key Points: Definition: Organized electrical activity on ECG without a palpable pulse. PEA is a non-shockable arrest rhythm requiring CPR, epinephrine, and identification of reversible causes. Confirmation: Verify in two…

ECG STAT October 11, 2025
Asystole (Cardiac Arrest)

Key Points: Definition: Asystole is a non-shockable cardiac arrest rhythm characterized by absence of ventricular electrical activity. Treat with high-quality CPR, epinephrine every 3–5 minutes, and an urgent search for…

ECG STAT October 11, 2025
Ventricular Fibrillation (VF) Arrest

Key Points: Defibrillation First, Minimal Pauses: VF is rapidly fatal without immediate shocks and high‑quality CPR. Charge during compressions and resume compressions immediately after each shock. Chaotic Electrical Activity: VF…

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