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Library > Wide QRS

Day 1

FlecainideSerial ECGWide QRS ECG FOAM Alex Bracey, Clare Gunn, Pendell Meyers, Steve Smith Wide and weird Dr Smith's ECG Blog
HyperK (7.1)Junctional BradyLAFBPeaked T12-leadWide QRS ECG FOAM Pendell Meyers A woman with near-syncope, bradycardia, and hypotension Dr Smith's ECG Blog

Post treatment

Post-Intervention ECG12-leadResolved Wide QRS ECG FOAM Pendell Meyers, Steve Smith What happens if you do not recognize this ECG instantly? Dr Smith's ECG Blog

Triage

HyperK (9.3)Long PRPeaked TR in aVR12-leadWide QRS ECG FOAM Pendell Meyers, Steve Smith What happens if you do not recognize this ECG instantly? Dr Smith's ECG Blog

Initial

Hydroxychloroquine toxicityHypoKLong QT12-leadTall UWide QRS ECG FOAM Gia Coleman, Pendell Meyers, Steve Smith A Complication of the COVID Era Dr Smith's ECG Blog

2

Resolved ArrestHypoK (2.7)-STEWide QRS ECG FOAM Steve Smith Cardiac Arrest. What does the ECG show? Also see the bizarre Bigeminy. Dr Smith's ECG Blog

Triage

1°AVBHyperK (7.8)Peaked TSinus BradyWide QRS ECG FOAM Pendell Meyers, Steve Smith A woman in her 50s with dyspnea and bradycardia Dr Smith's ECG Blog
Short PRWide QRSWPW ECG FOAM Pendell Meyers, Steve Smith What could this rhythm be? And what is going on after it breaks? Dr Smith's ECG Blog

Initial

Prox LAD MI - BifascShark FinWide QRS ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith Shark Fin morphology recognized only by EM physician Dr Smith's ECG Blog

Initial

Coved ST ElevationHyperK (7.3)Wide QRS ECG FOAM David Gordon, Pendell Meyers, Steve Smith Do you recognize this ECG yet? Dr Smith's ECG Blog

Post transvenous pacemaker

HyperKVentricular PacingWide QRS ECG FOAM Pendell Meyers, Steve Smith What will you do for this altered and bradycardic patient? Dr Smith's ECG Blog

Initial

BradyHyperK (8.1)Peaked T3°AVBWide QRS ECG FOAM Pendell Meyers, Steve Smith What will you do for this altered and bradycardic patient? Dr Smith's ECG Blog

1h later

BradyHyperKWide QRS ECG FOAM Pendell Meyers Could you have prevented this young man's cardiac arrest? Dr Smith's ECG Blog

Triage

HyperKPeaked TWide QRS ECG FOAM Pendell Meyers Could you have prevented this young man's cardiac arrest? Dr Smith's ECG Blog

8h later, pre-arrest

Long QTR in aVRNaBlockerWide QRS ECG FOAM Steve Smith Bupropion Overdose Followed by Cardiac Arrest and, Later, ST Elevation. Is it STEMI? Dr Smith's ECG Blog

Initial

HyperK (>9.4)Peaked TWide QRS ECG FOAM Steve Smith Potato Poisoning (Not due to Solanine in greens!). With Positive Modified Sgarbossa Criteria. Dr Smith's ECG Blog
ArrestHyperK (>8)VTWCTWide QRS ECG FOAM Pendell Meyers, Steve Smith, Nic Thompson A middle aged man with unwitnessed cardiac arrest Dr Smith's ECG Blog

Initial

HyperK (8.0)STDST Elevation in aVLWide QRS ECG FOAM Pendell Meyers ST elevation in aVL with reciprocal ST depression in the inferior leads Dr Smith's ECG Blog

1h later

ArrestHyperKWide QRS ECG FOAM Pendell Meyers, Steve Smith, Scott Weingart "Steve, what do you think of this ECG in this Cardiac Arrest Patient?" Dr Smith's ECG Blog

Initial

ArrestHyperK (7.6)-MIWide QRS ECG FOAM Pendell Meyers, Steve Smith, Scott Weingart "Steve, what do you think of this ECG in this Cardiac Arrest Patient?" Dr Smith's ECG Blog

Initial

HyperKWide QRS ECG FOAM Pendell Meyers Sinus rhythm with a new wide complex QRS Dr Smith's ECG Blog
Resolved ArrestLAD occlusionShark Fin-Wide QRS ECG FOAM Steve Smith What are these wide complexes? Dr Smith's ECG Blog

Initial

HyperK (7.8)Peaked TSlow Atrial FibrillationWide QRS ECG FOAM Steve Smith This ECG is pathognomonic and you must recognize it. Dr Smith's ECG Blog

Initial

Resolved ArrestHyperK (7.5)Peaked TWide QRS ECG FOAM Steve Smith Cardiac Arrest and ST Elevation: You Should Learn to Recognize This! Dr Smith's ECG Blog

Initial

Cocaine Toxicity-HyperKMetabolic AcidosisWide QRS ECG FOAM Steve Smith Cardiac arrest, severe acidosis, and a bizarre ECG Dr Smith's ECG Blog