This is an update. The complete first EKG, also the EKG afte | Figure 1
Savelascom
Internal Medicine
This is an update. The complete first EKG, also the EKG after initial management and I uploaded the initial xray. Ill be putting some other data along the case.
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Case Details
66 year old male found unresponsive
- Defibrillated once in field and twice at another facility before transfer. Multiple electrolyte imbalances on arrival. This was one of his initial EKGs on admission to CCU.
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- Defibrillated once in field and twice at another facility before transfer. Multiple electrolyte imbalances on arrival. This was one of his initial EKGs on admission to CCU.
Pt arrived via EMS
- Very little history. Pt does have hx renal failure. CC is AMS with n/v. Initial EKG is shown. What do you see? What work-up would you initiate? EKG 2 is after appropriate management.
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- Very little history. Pt does have hx renal failure. CC is AMS with n/v. Initial EKG is shown. What do you see? What work-up would you initiate? EKG 2 is after appropriate management.
58 y/o WM s/p CABGx3
- Brought to CVICU and swann catheter was kinked in right ventricle. Adjustment caused him to flip into V-tach. ACLS initiated and this was captured on EKG.
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- Brought to CVICU and swann catheter was kinked in right ventricle. Adjustment caused him to flip into V-tach. ACLS initiated and this was captured on EKG.
The patient presented with GCS 15, AOx4
- Patent airway with oxygen saturation greater than 96% on 2LNC. EKG shows wide complex tachycardia with rates 160-170. Manual SBP 80s/40s. Fast ultrasound was negative for free fluid in the pericardial space. CXR performed. No sign of pneumothorax, with small apical hemothorax. Blood administration initiated due to hypotension, tachycardia, and potential for internal blood loss with mechanism of injury prior to CT scan.
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- Patent airway with oxygen saturation greater than 96% on 2LNC. EKG shows wide complex tachycardia with rates 160-170. Manual SBP 80s/40s. Fast ultrasound was negative for free fluid in the pericardial space. CXR performed. No sign of pneumothorax, with small apical hemothorax. Blood administration initiated due to hypotension, tachycardia, and potential for internal blood loss with mechanism of injury prior to CT scan.
Additional Cases
A 52-year-old man
- Presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
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- Presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
A 28-year-old woman
- Presented with a 3-day history of intense pruritus over the lower back.
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- Presented with a 3-day history of intense pruritus over the lower back.
A 4-month-old male infant
- Presented with skin lesions localized to the chin for the past 3 days.
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- Presented with skin lesions localized to the chin for the past 3 days.
Patient in late teens
- Presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?
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- Presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?