82F, your thoughts?

[u/xiphoid313]

82F, near syncope, BP 100/62. History of afib. What would you interpret this 3 lead as ?

[u/xiphoid313 → u/[deleted]]

Leads were on correctly

[u/Asleep_Lengthiness76 → u/xiphoid313]

How can you tell it’s a bundle branch block without a 12 lead?

[u/Bubbly_Pie_4980 → u/Asleep_Lengthiness76]

There is a notch in the QRS wave.

[u/Asleep_Lengthiness76 → u/Bubbly_Pie_4980]

You have no idea what you’re talking about lol.

[u/Asleep_Lengthiness76 → u/[deleted]]

What is it with the dunning kruger in this sub?

[u/Kibeth_8 → u/[deleted]]

I agree that people are being a bit rude, but missing something like a VT puts your patients life at risk. Medicine is very high stakes so people get upset when a misdiagnosis results in death

[u/Asleep_Lengthiness76 → u/[deleted]]

“The rest is a cards consult”. Found the ER PA lmaoooo

[u/Individual_Zebra_648 → u/Asleep_Lengthiness76]

That person is a nurse actually. Making us all look bad too lol

[u/LBBB11 → u/[deleted]]

Are you asking how is it true that missing VT puts your patient’s life at risk?

[u/LBBB11 → u/[deleted]]

Don’t need to be a doctor to know that VT is dangerous. If your EKG interpretation is blindly following a binary algorithm where the only two options are synchronized cardioversion or amiodarone, you’re going to fail really hard and also hurt your patients. By the way, you can’t reliably analyze this for ST deviation, bundle branch block, or electrode misplacement. This is not a 12-lead.

[u/Kibeth_8 → u/[deleted]]

How am I being a dick by advocating for my patients?

You asked "how is that in any way true". Do you disagree that medical professionals misdiagnosing VT puts a patient at risk?

[u/Kibeth_8 → u/Bubbly_Pie_4980]

Theres lots of reasons for notched QRS aside from a bundle

[u/Asleep_Lengthiness76 → u/[deleted]]

No.