jer5150's picture

Jason's Blog: ECG Challenge of the Week for Feb. 17th - 24th.

Submitted by jer5150 on Sat, 02/16/2013 - 14:29

Patient's clinical data:  81-year-old black man

The computer interpreted this ECG as: 
Sinus bradycardia 1st degree AV block
ST abnormality, possible digitalis effect
Abnormal ECG
When compared with ECG of (expunged)
PR interval has increased

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Jan. 27th - Feb. 3rd.

Submitted by jer5150 on Sat, 01/26/2013 - 15:48

Patient's clinical data:  67-year-old white man with a history of COPD and CAD.

Unfortunately, due to the advanced age of this ECG (29-years ago), many details of the device will have to be left to speculation.  I'm unable to retrieve any information about the patient other than the two diagnoses above.

How many different things can you spot in this 12-lead ECG?

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Jason's Blog: ECG Challenge of the Week for Jan. 20 - 27, 2013.

Submitted by jer5150 on Sat, 01/19/2013 - 18:39

Patient's clinical data:  This 12-lead ECG is from an adult patient of unknown age and gender (at the time of posting).  Active medications included Atenolol.  Patient's only complaints and symptoms were cramps and palpitations in the form of "an occasional extra beat".  This ECG was the patient's initial "baseline".  Based on what the patient's primary care provider (PCP) misinterpreted in this ECG, the patient ended up having an erroneous diagnosis listed among their "active problems".  Their computerized

Dawn's picture

Book Review: ACLS 2013 Practice Code Scenarios by Dr. Ken Grauer

Submitted by Dawn on Sat, 01/19/2013 - 17:36

Are you concerned that ACLS is becoming "cook book", and some people are just getting their cards, without really understanding the reasons behind the ACLS recommended therapies?  The ACLS 2013 Practice Code Scenarios book will remedy that.

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Jan. 13th - 20th.

Submitted by jer5150 on Sun, 01/13/2013 - 10:12

Patient's clinical data:  46-year-old black man

The computer's interpretation was "undetermined rhythm". 

What is the source and mechanism of this rhythm?

 

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Jan. 6th - 13th.

Submitted by jer5150 on Sun, 01/06/2013 - 19:03

This ECG was taken from an 87-year-old black man and was diagnosed by the reviewing cardiologist as "complete AV block".

Is that really the interpretation or is it something else?

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Dec. 23rd - 30th.

Submitted by jer5150 on Sat, 12/22/2012 - 14:08

I performed this ECG earlier this year in an outpatient clinic.

Patient's clinical data:  85-year-old white man; asymptomatic. 

Questions?
(1.)  What rhythm is this tracing showing?
(2.)  What clue/sign is used to differentiate between the two anomalous beats (i.e., 4th and 6th beats).  HINT:  It's named after a part of a certain animal's anatomy.

jer5150's picture

Featured Case Study by Guru member Vince DiGiulio, EMT-CC.

Submitted by jer5150 on Sat, 12/22/2012 - 11:25

This week, in addition to my own blog, I'm going to feature a guest case study by Guru member Vince DiGiulio, EMT-CC.  This past Monday, Vince messaged me (along with Dr. Ken Grauer) on Facebook and requested my input and opinion on these serial ECGs.  With Vince's blessing, he gave me permission to use any of his original 12-lead ECGs here on the Guru.  Of his 6 ECGs, I've decided to post 4 of them here. 

Steven's picture

Content on the ECG GURU / Twitter

Submitted by Steven on Fri, 12/21/2012 - 11:50

Content on the ECG Guru will now post to twitter. Follow ECG GURU on twitter!

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