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Seizure in a 30 something

Dr. Smith's ECG Blog

ECG #1 Interpretation: ECG #1 shows sinus rhythm at a heart rate of 77 bpm. This episode self terminated before defibrillation was possible. Following more detailed questioning — it turned out the patient had started taking 9 different herbal remedies to ease lethargy and unspecific neurological symptoms. and magnesium 0.88

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A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation

Dr. Smith's ECG Blog

He underwent further standard resuscitation EXCEPT that we applied the Inspiratory Threshold Device ( ResQPod ) AND applied Dual Sequential Defibrillation (this simply means we applied 2 sets of pads, had 2 defib machines, and defibrillated with both with only a fraction of one second separating each defibrillation.

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First10EM Journal Club: October 2022

Broome Docs

2022 Jan;48(1):78-91. Epub 2021 Dec 14. 2022 Sep;21(9):781-791. PMID: 30206143 Less is more when it comes to intravenous fluids de-Madaria E, Buxbaum JL, Maisonneuve P, et al. PMID: 35490863 Hands on defibrillation: Even if it’s safe, would it actually help? 2022 Jul 26:emermed-2021-211540.

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. 2021), and AHA guidelines also maintain this use (Panchal, et al., He is found to be in ventricular fibrillation (VF).

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First10EM Journal Club: January 2023

Broome Docs

Defibrillation Strategies for Refractory Ventricular Fibrillation. 2021 Aug;78(2):253-266. Epub 2021 Apr 29. PMID: 33933300 Khan A, Saleem MS, Willner KD, Sullivan L, Yu E, Mahmoud O, Alsaid A, Matsumura ME. 2022 Sep 1;5(9):e2235575. doi: 10.1007/s00381-022-05455-1. N Engl J Med. 2022 Nov 6. Ann Emerg Med.

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Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

mm of ST segment elevation, V2 and V3 have 1 mm of elevation, v4 has 2 mm of elevation and v5 around 1.5 She was defibrillated and resuscitated. Note 1: Levels were significantly lower in takotsubo that presented with T-wave inversion. Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al. V1 has 0.5