Home This ECG is pathognomonic of a life threatening condition, and you must be able to immediately recognize it

onJune 3, 2013

This ECG is pathognomonic of a life threatening condition, and you must be able to immediately recognize it

1 min read

What is wrong with this patient who complains of weakness?

PR is 224 ms, QRS 177 ms. Answer below

Answer: HyperK. You must be able to recognize this immediately if you take care of patients in EMS or the ED.

3 grams of Calcium gluconate, 100 mEq of bicarbonate, 10 units of regular insulin, and 50g of D50 were given immediately after reading the ECG.

Then this ECG was recorded:

QRS is now 117 ms

30 minutes later, the lab reported a K of 7.2 mEq/L.

onJune 3, 2013

STEMI Seen Best in PVC, Diagnosed by Medic, Ignored by Physician

This 52 year old African American male presented with chest pain that was not clearly typical. Here is his ED ECG: There is ST elevation…

2 Min Read

onJune 10, 2013

A male in his 30’s male complained of chest pain while having a dental procedure, then became syncopal. The patient is young…

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onJune 11, 2013

Ta Wave (Atrial Repolarization Wave) from HQMedEd on Vimeo. Here is an example of the atrial repolarization wave mimicking ST depression