Defibrillator OR Plasma 
Dr. Smith's ECG Blog
APRIL 8, 2016
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. Here is his ED ECG: There is obvious infero-posterior STEMI. What are you worried about in addition to his STEMI? There is also bradycardia.
Dr. Smith's ECG Blog
NOVEMBER 30, 2019
Internal potassium balance and the control of the plasma potassium concentration. This is pathognomonic of hyperkalemia (I suppose it could be due to a massive overdose of a sodium channel blocking drug, maybe). Is it ventricular tachycardia (VT) due to hyperK or is it a supraventricular rhythm with hyperK? How would you treat?
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Dr. Smith's ECG Blog
APRIL 6, 2018
EMS report was that the patient had unknown down time with unwitnessed arrest, found initially in VFib arrest, defibrillated x1 followed by PEA arrest alternating with asystolic arrest during transport. Upon closer inspection, the defibrillator's monitor had assigned a spike for every large T wave as well as every QRS complex.
FOAMfrat
NOVEMBER 25, 2024
Resuscitating patients with low titer O whole blood or with component therapy in a ratio of 1:1:1, with packed red blood cells, platelets, and plasma, is impactful as it will help promote the restoration of circulation and add platelets and hemoglobin to the depleted store. Regardless, she complains of sudden and severe shortness of breath.
Dr. Smith's ECG Blog
FEBRUARY 6, 2025
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. You have given IV MgSO4 a fast acting -blocker and IV amiodarone bolus and infusion.
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