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Rhythm during adenosine

AFlutterFlutterRhythm Strip Only ECG FOAM Steve Smith What happens when you give adenosine to a patient with this rhythm? Dr Smith's ECG Blog

Initial

AFlutter ECG FOAM Steve Smith What happens when you give adenosine to a patient with this rhythm? Dr Smith's ECG Blog

80nin later

Deeply Inverted T WaveIsorhythmic Dissociation3°AVB ECG FOAM Steve Smith Sudden weakness with bradycardia and bizarre T-waves Dr Smith's ECG Blog

Initial

BradyLPFB + RBBB2°AVB 2:1 ECG FOAM Steve Smith Sudden weakness with bradycardia and bizarre T-waves Dr Smith's ECG Blog
-AFECG FOAMWAP Dr Smith's ECG Blog

After more treatment

NSRResolved Type II MI ECG FOAM Steve Smith Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads Dr Smith's ECG Blog

Lewis lead

Lewis LeadRhythm Strip OnlySinus Tach ECG FOAM Steve Smith Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads Dr Smith's ECG Blog

Post fluids

Δ RhythmSinus TachSVTType II MI ECG FOAM Steve Smith Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads Dr Smith's ECG Blog

Initial

Ashman BeatAF + RVRType II MI ECG FOAM Steve Smith Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads Dr Smith's ECG Blog

Baseline

Baseline ECG ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog

Next AM

Anterior STEReperfusion T Wave ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog

t=68min

Anterior STEDynamicLAD occlusionSubtle Anterior MI ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog

t=35min

Anterior STESubtle Anterior MI ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog

t=19min

Anterior STESubtle Anterior MI ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog

t=5min

Anterior STESubtle Anterior MI ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog

Posterior leads

Isolated Posterior MIST Elevation in Posterior Leads V7-9 ECG FOAM Sam Ghali, Steve Smith Right precordial ST depression in a patient with chest pain Dr Smith's ECG Blog

Initial

Isolated Posterior MILCx Occlusion ECG FOAM Sam Ghali, Steve Smith Right precordial ST depression in a patient with chest pain Dr Smith's ECG Blog
Anterior STE-High Lateral MILateral STENormal AxisNormal Variant ST ElevationNotched J Point12-lead ECG FOAM Steve Smith ST Elevation in I and aVL: do prehospital cath lab activation on these cases? Dr Smith's ECG Blog
D1 OcclusionHigh Lateral MI ECG FOAM Steve Smith ST Elevation in I and aVL: do prehospital cath lab activation on these cases? Dr Smith's ECG Blog

Baseline

Anterior STEBaseline ECG ECG FOAM Steve Smith ST Elevation in I and aVL: do prehospital cath lab activation on these cases? Dr Smith's ECG Blog

On arrival

Anterior STELateral STENormalNormal AxisNormal Variant ST Elevation12-lead ECG FOAM Steve Smith ST Elevation in I and aVL: do prehospital cath lab activation on these cases? Dr Smith's ECG Blog

Prehospital

Anterior STENormal Variant ST ElevationRecip STD ECG FOAM Steve Smith ST Elevation in I and aVL: do prehospital cath lab activation on these cases? Dr Smith's ECG Blog

On arrival

Anterior STELVH2° Repol Δ12-lead ECG FOAM Steve Smith Chest Pain and ST Elevation on the Monitor Dr Smith's ECG Blog

Prehospital

LVH2° Repol Δ ECG FOAM Steve Smith Chest Pain and ST Elevation on the Monitor Dr Smith's ECG Blog

Monitor rhythm strip

Rhythm Strip OnlySTE ECG FOAM Steve Smith Chest Pain and ST Elevation on the Monitor Dr Smith's ECG Blog