Category ECG

generally unwell (part 2)…

For those joining the story for the first time, you can catch up here…. My interpretation of the ECG; Sinus rhythm with 1st degree HB, an ‘odd’ axis. Wide complex QRS (~140-160ms) with symmetrical tall T-waves. ? Hyperkalaemia. Needs urgent…

generally unwell…

The setting: Busy Saturday morning shift. Lots on the go as usual… You sit for a moment to catch up on your notes and review patient results… A nurse hands you this ECG to sign-off saying, “this lady is generally…

more than man-flu (part2)…

Here is the follow-up to the story of our 19 year old febrile patient….. The case continues… His CXR demonstrates the following …. Clear lung fields No pneumonia No CCF is that a ‘globular heart’  ?? This is his ECG……

supply & demand…

Case: 74 year old female is placed in the acute-area of our ED with a complaint of retrosternal chest tightness at approximately 9am. Her symptoms sound very typical for ACS. She looks clammy and pale. My colleague has placed her…

broad, fast & regular…

There are some things in medicine that I feel require a standardized approach for rapid diagnosis & management, especially in the face of an unstable patient & you have a little sweat on your brow. The following are two somewhat…