Do you even EKG bro?

[captaindepth]

I as looking through my phone and found all the pictures of interesting (or what I though was interesting at the time) EKGs and thought a thread for "strictly strips" would be cool. If people have pics of interesting strips they want to share/discuss I thought this could be a good thread for that. Of course clinical presentation is critical to any EKG interpretation but I thought this could focus more specifically on the EKGs themselves.

Here are a few of the ones I found laying around on my phone.

 

[Medic27]

I agree that would be an awesome forum. I would absolutely support it and post regularly, as someone who is an EMT I understand I don't have any knowledge compared to some of the medics out there but I always like to learn new things and would absolutely help posting threads. Best of luck with your idea, perhaps contact an admin or staff and see what they say about the idea.

Although I think the forum name should be: "Do you even EKG?" Lol

 

[NPO]

I as looking through my phone and found all the pictures of interesting (or what I though was interesting at the time) EKGs and thought a thread for "strictly strips" would be cool. If people have pics of interesting strips they want to share/discuss I thought this could be a good thread for that. Of course clinical presentation is critical to any EKG interpretation but I thought this could focus more specifically on the EKGs themselves.

Here are a few of the ones I found laying around on my phone.

I'd be curious to see a 15 lead on that last one.

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[NPO]

1. SVT convert with 6mg Adenosine
2. Developing inferior MI
3. Hyperkalemia (k+ 8.9)

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[captaindepth]

That's a great hyperkalemia strip!!!! I'm curious if you saw it start to narrow out during treatment. I have only given adenosine a handful of times and every time there is some major pucker factor going on, that strip really shows how chaotic it gets when it hits.

 

[NPO]

That's a great hyperkalemia strip!!!! I'm curious if you saw it start to narrow out during treatment. I have only given adenosine a handful of times and every time there is some major pucker factor going on, that strip really shows how chaotic it gets when it hits.

The patient was agressively treated with Calcium Gluconate, Sodium Bicarb, Albuterol, insulin and dextrose. There was a near instant narrowing to a normal QRS. Probably within a minute.

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[GMCmedic]

Speaking of narrowing hyperkalemia. Took these yesterday. 5 minutes between #1 and #2. Patient was receiving albuterol for a respiratory complaint.

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[Aprz]

I'd be curious to see a 15 lead on that last one.

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The last one actually looks like subendocardial ischemia or left main coronary insufficient (people frequently call it left main coronary artery occlusion (LMCO), which you can Google to see examples, but some people like Dr. Smith would get triggered by that). These tend to present itself with ST elevation in lead aVR with widespread ST depression in the precordial leads.

 

[marian]

Healthy young dude, exercising in the heat. No cardiac history, no family cardiac history.
Per the RN I talked to the next night he was given fluids and told to see a cardiologist.

 

[NPO]

No 12 lead available, the monitor was acting up and reproducing what looked like 60hz interference on the printout.

Anyway. 12 year old female with a complaint of a rapid heart rate. She has had multiple episodes of paroxysmal tachycardia over the past 2 weeks. Her heart rate would frequently spike to 120-130 and be accompanied by chest pressure and shortness of breath, and visible discomfort.

Even though it's not an EKG, you can still see something uncommon and neat on this rhythm strip.

 

[Aprz]

The last one actually looks like subendocardial ischemia or left main coronary insufficient (people frequently call it left main coronary artery occlusion (LMCO), which you can Google to see examples, but some people like Dr. Smith would get triggered by that). These tend to present itself with ST elevation in lead aVR with widespread ST depression in the precordial leads.

I was looking at this thread all over again on my phone. Was going to post this again, saw someome beat me to it, and then I couldn't click like. Who is this guy? Oh, it was me.... Well, +1 to what I said forever ago.

 

[NPO]

First call of 2018.