Atrial flutter

Results:
Weekly Workout January 29, 2024
2024 EMS Cases Part II

A 56-year-old woman is being brought in by EMS for palpitations. The following EMS ECG is obtained and transmitted:

Weekly Workout July 10, 2023
Differential Diagnoses: poor R wave progression, prolonged QT intervals, and much more

A 53-year-old woman presents to the emergency department with shortness of breath. The following ECG is obtained:

Weekly Workout October 9, 2022
Bradydysrhythmia: An irregular rhythm with grouped or clumped beats

 A 75-year-old woman presents to the emergency department with palpitations and near syncope. She is noted to be bradycardic with an irregular rhythm. The following ECG is obtained on arrival:

Weekly Workout October 2, 2022
Narrow Complex Tachycardia: sinus tachycardia, atrial flutter, or SVT?

A 52-year-old man presents to the emergency department with palpitations and is found to be tachycardic. The following ECG is obtained on arrival:

Weekly Workout July 10, 2022
Differential Diagnoses: AV blocks, tachyarrhythmias, and what you need to look for on the ECG of every patient with syncope

A 36-year-old woman is brought into the emergency department after an episode of syncope. She reports palpitations prior to the episode but is otherwise asymptomatic on arrival. Vital signs are…

Weekly Workout February 20, 2022
Rhythm Interpretation: atrial tachyarrhythmia review part 1/2

A 40-year-old woman is brought into the ED with palpitations and chest discomfort. She is noted to be tachycardic on arrival. Treatment is started with IV fluids for sinus tachycardia….

Weekly Workout January 30, 2022
STAT ECG Diagnoses: ventricular conduction in atrial flutter

 A 92-year-old man is brought into the ED with near syncope and lightheadedness. He mentions he has been non-compliant with his medications, but history is otherwise limited. He is found…

Weekly Workout October 11, 2021
Differential Diagnoses: what to consider in patients with regular wide complex tachycardias (RWCT)

A 45-year-old male presents to the ED with palpitations and is found to be markedly tachycardic. The following ECG is obtained:

Weekly Workout September 20, 2021
STAT ECG Diagnoses: intermittent runs of nonsustained ventricular tachycardia vs. aberrant conduction

A 36-year-old male with PMHx of RV failure, pulmonary hypertension, and HFrEF presents to the ED with shortness of breath, palpitations, and cough.  The following ECG is obtained:

Weekly Workout July 19, 2021
5 challenging EMS cases to help you test your emergency ECG interpretation skills

A 78-year-old man is brought into the ED by EMS with chest aches, dyspnea, and palpitations. The following prehospital ECG was obtained:

Weekly Workout April 19, 2021
Narrow Complex Tachycardia: the maximum achievable sinus heart rate

A 67-year-old woman is brought to the ED by EMS for palpitations. She is found to have a heart rate ~168. Vital signs are otherwise within normal limits aside from…

Weekly Workout March 15, 2021
Wide Complex Tachycardias: What is the Lewis lead and how you can use modified ECG leads to help make the diagnosis

A 60-year-old male presents to the ED with acute chest pain and lower extremity edema. He is noted to be tachycardic on arrival. The following ECG is obtained:

Weekly Workout December 21, 2020
Bifascicular blocks, BRASH syndrome, and so much more!

This week we will continue discussing 6 more interesting prehospital EMS ECGs. Let’s start with this 78-year-old woman with PMHx of HTN who called an ambulance for generalized weakness associated…

Weekly Workout December 14, 2020
How to distingusish between left anterior vs. posterior fascicular blocks (LAFB vs. LPFB), hyperkalemia emergencies, and much more!

This week we will quickly review 6 interesting prehospital EMS ECGs. Let’s start with this 46-year-old man who called an ambulance for chest pain and was noted to be diaphoretic….

Weekly Workout July 13, 2020
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:

Weekly Workout March 22, 2020
Literature Review: COVID and the Heart

A 45-year-old man with a history of severe cardiomyopathy presents with palpitations. The following ECG is obtained:

Weekly Workout March 15, 2020
Differential Diagnoses: narrow complex regular tachycardias

A 64-year-old man presents with palpitations. The following ECG is obtained:

Weekly Workout December 3, 2018
EMS ECGs: S1Q3T3, is it pathognomonic for acute pulmonary embolism

A 63-year-old woman presents to the emergency department with palpitations. The following ECG was obtained by EMS prior to arrival:

Weekly Workout July 30, 2018
EMS ECGs: accelerated idioventricular rhythm (AIVR) in patients with ACS and other critical cases to help you save lives!

 A 69-year-old man is brought in by EMS to the ED with chest pain and shortness of breath. No prehospital treatment was rendered. The following prehospital ECG was obtained:

Weekly Workout July 23, 2018
EMS ECGs: respect lead aVL and looks for subtle early signs of cardiac ischemia

A 30-year-old woman is brought in by EMS to the ED with chest pain. The following prehospital ECG is obtained:

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