A 69 year old man is brought in by EMS with complaints of chest pain. ALS noted pt to be in sinus bradycardia in the 30s en route. As you approach the room you wrack your brain: what are the common causes of bradycardia? More importantly - will I get to actually perform a transvenous pacemaker i.e. the most highly sought after procedure as an emergency medicine resident?
Your two minute review on right and left bundle branch blocks - brought to you by Dr. Kate Billings.
An 87 yo male is brought in by EMS after a syncopal event while on the toilet, resulting in a fall and head injury. EMS reports a heart rate in the 30s en route. As your approach the resuscitation bay you begin to think about the causes of bradycardia and what your approach will be to stabilize this potentially very sick patient....
A 69-year-old male with PMH of HTN, DM presents to the ED for chief complaint of vomiting. On evaluation, he states he “does not feel so good.” VS are BP 173/99, HR 74, Temp 97.1, RR 22, SpO2 99% on RA. You connect him to the monitor and see a wide rhythm. STAT EKG shows the rhythm below. What do you do next?
A patient with PMH of HTN and DM presents to the ED with chest pain. What is the interpretation of the ECG?
Notes from Dr. Filippone's ECG lecture ... Acute myocardial injury in COVID19
Blunt chest injury can rarely result in a direct contusion to the myocardium. This "bruise of the heart" can precipiate lethal cardiac arrhythmia, often in a delayed fashion. As you evaluate a trauma patient with complaints of chest pain after blunt injury, you wonder what the correct workup and management of this potentially fatal condition should consist of....
Blunt chest injury can rarely result in a direct contusion to the myocardium. This "bruise of the heart" can precipiate lethal cardiac arrhythmia, often in a delayed fashion. As you evaluate a trauma patient with complaints of chest pain after blunt injury, yo you wonder what the correct workup and management of this potentially fatal condition should consist of....
54 y.o. Male hx MI s/p PCI (years ago) presenting w/ chest pain
Reviewing the basics of RBBB
