Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.

19Dec/11Off

EKG Masterclass

Sean Fox, MD

  • Wide regular tachycardia is VT until proven otherwise
    • Shock if unstable vital signs
  • Wellen's Sign
    • Biphasic T-wave in V2-3
    • Highly specific for LAD occlusion
  • Be cautious of right ventricular MI in the setting of an inferior STEMI
    • Will be pre-load dependent
    • Stay away from nitrates
    • EKG Changes:
      • ST Depression in V2 and ST Elevation in V1
      • ST Depression in V2 with isoelectric V1 and V3
      • ST Elevations of Lead III > II
      • Can also try right sided leads (STEMI in rV4)
  • Hypertrophic Cardiomyopathy
    • LVH is the most common and sensitive sign
    • Look for large narrow Q waves in the lateral leads
Comments (4) Trackbacks (0)
  1. My dream retirement would involve a good log cabin in the mountains. Who needs a beach?

    • Well if you just starting off and have no guns, I would reenmmcod getting a couple of spring pistols or rifles, and play with your friends. If you really like it, I would reenmmcod saving up around $100 so you could get a pretty decent aeg such as the JG G36C or Echo 1 Mp5k. You could always get a gas gun before an aeg to get the feel of a true semi automatic gun but if you plan on keeping it for a long time the gas could cost a lot and even go over the price of an aeg.

  2. Pretty part of content. I simply stumbled upon your weblog and in accession capital
    to claim that I acquire in fact enjoyed account your weblog posts.

    Anyway I will be subscribing to your augment or even I achievement you get right of entry to constantly quickly.


Trackbacks are disabled.