Remove ALS Remove Defibrillator Remove Plasma
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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

At cath, he immediately had incessant Torsades de Pointes requiring defibrillation 7 times and requiring placement of a transvenous pacer for overdrive pacing at a rate of 80. the associated loss is double, at 200-400 mEq.* [ Sterns RH, et al. Internal potassium balance and the control of the plasma potassium concentration.

STEMI 52
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Severe shock, obtunded, and a diagnostic prehospital ECG. Also: How did this happen?

Dr. Smith's ECG Blog

the associated loss is double, at 200-400 mEq.* [ Sterns RH, et al. Internal potassium balance and the control of the plasma potassium concentration. How would you treat? The estimated deficit associated with a serum decrease from 4.0 mEq/L is 100-200 mEq of total body K, and from 3.0 Medicine (Baltimore) 1981;60:339-54].

Plasma 40
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Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

Most patients can be managed without and implantable cardioverter defibrillator (ICD) In patients with PVCs/VT and a presentation not typical for an idiopathic origin cardiac magnetic resonance (CMR) should be considered, even if the Echo is normal. The minimum effective plasma concentration of flecainide is about 200 ng/mL.

Plasma 72