Heartfelt Reflections: Stories of Love, Loss, and Growth

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Steve Smith

onMarch 24, 2017

The effect of targeted temperature management on QT and corrected QT intervals in patients with cardiac arrest

Just published online: Zachary Rosol a, David F. Miranda b, Yader Sandoval b, Bradley A. Bart b, StephenW. Smith c, Steven R. Goldsmith The…

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4 Min Read

Steve Smith

onMarch 21, 2017

2 different wide complex rhythms (rate about 60) in a patient with chest pain

A male in his 40s presented to the ED by ambulance with acute chest pain, possibly waxing and waning. He had been working out and felt…

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2 Min Read

Steve Smith

onMarch 19, 2017

Tachycardia, Dehydration, and New ST Elevation in a 20-something, then a Surprise.

A male in his early 20s presented intoxicated, with no CP or SOB. An ECG was obtained for tachycardia. First ECG: Sinus tachycardia at…

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3 Min Read

Steve Smith

onMarch 17, 2017

A 20-something with DKA and a regular wide complex tachycardia

Medics were called to see a 20-something type 1 diabetic with h/o DKA who had altered mental status. He was found to have…

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3 Min Read

Steve Smith

onMarch 14, 2017

Why did this patient have ventricular fibrillation?

A previously healthy 50-something collapsed while exercising. He underwent CPR and defibrillation and was brought to the ED. Here is his…

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3 Min Read

Steve Smith

onMarch 10, 2017

How unreliable are computer algorithms in the Diagnosis of STEMI?

A 61 year-old with chest pain arrived to the ED by ambulance with resolving chest pain. Here is his ED ECG: The computer interpretation…

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4 Min Read

Steve Smith

onMarch 9, 2017

Subtle Dynamic T-waves, Followed by LAD Occlusion and Arrest

This case was written by Sam Ghali: (@EM_RESUS). Thanks, Sam! Case A 42-year-old lady presented to the ED with complaints of…

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3 Min Read

Steve Smith

onMarch 3, 2017

Another 40-something with intermittent chest pain

I was sent this ECG by a resident from elsewhere, with the following information: “Young previously healthy man with several 10-20…

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3 Min Read

Steve Smith

onMarch 1, 2017

A 40-something with chest pain in the middle of the night

This was sent by one of our former residents. Case “A 40-something year old man awoke with chest pain in the middle of the night.…

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9 Min Read

Steve Smith

onFebruary 23, 2017

An unstable wide complex tachycardia resistant to electrical cardioversion

Thanks to our electrophysiologist, Rehan Karim, for his help with this post. Case A very elderly inpatient suddenly had a rapid pulse by…

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Dr. Smith's ECG Blog

Heartfelt Reflections: Stories of Love, Loss, and Growth

The effect of targeted temperature management on QT and corrected QT intervals in patients with cardiac arrest

2 different wide complex rhythms (rate about 60) in a patient with chest pain

Tachycardia, Dehydration, and New ST Elevation in a 20-something, then a Surprise.

A 20-something with DKA and a regular wide complex tachycardia

Why did this patient have ventricular fibrillation?

How unreliable are computer algorithms in the Diagnosis of STEMI?

Subtle Dynamic T-waves, Followed by LAD Occlusion and Arrest

Another 40-something with intermittent chest pain

A 40-something with chest pain in the middle of the night

An unstable wide complex tachycardia resistant to electrical cardioversion