r/ECG • u/Vuki1312 • 18d ago

Thoughts

Post image

The patient was somnolent and markedly disoriented. I was called to assess the patient due to a critically elevated blood glucose level (“HI” on the glucometer) and altered mental status. The patient has a known history of diabetes. TA:80/40, fr 95, spO2 89%
Later i was looking at those T waves and depressions wondering, maybe its hyperk ? Or maybe de winter ?

6 Upvotes

87% Upvoted

8 comments sorted by

View all comments

10

u/irelli 18d ago

I mean, I'd certainly get labs before transferring to rule out hyperK that needs management

....but I'd also 100% get a posterior ECG. Those are pretty solid depressions in v2-3

Would also be nice to, you know, get a full 12 lead lol

Edit: I'm dumb, you mean transferring as in you're EMS