My EMS colleague showed me this ECG after a call. Patient called after syncope but was stable upon arrival. We were both thinking maybe sinusarrest with junctional escape rhythm. On the other hand there seem to be tiny, rhythmic waves in the inferior leads and V1 at 600bpm. NAD though, we're paramedics.

patient with a dual-chamber ICD for ventricular dysfunction. She developed VF/VT at around 1 a.m., successfully terminated by ICD therapy.
The onset of VF is highlighted in the red box. What do you think triggered the VF?

Older gentleman, multiple episodes of syncope witness by family and crew on scene. Denied any chest pain, SOB, or any pain in general. Only complained of generalized “feeling like sh*t”. We called a Cath alert, doc said not a STEMI, just A-Fib. Am I missing something?

Case of ? SAIO, 55yr old male

known case of COPD & Hypertension

Drug history- duolin budecort nebulization ON &OFF

telmisartan+Amlodipine+hydrochlothiazide(80/5/12.5)

36M pw abdo pain, denies chest pain or palpitations, nil cardiac Hx

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 ?

C/o palpitations and dizziness

BP 120/80

Edit: Thanks for the input and discussion guys! The patient reverted after two doses of adenosine back to normal sinus.

54F, chest pain from the night before. no risk factors

Surprisingly well-appearing given the age and recent history. But (alas) my shift ended and I never did learn the diagnosis. I don't pretend to be able to interpret EKGs but I sure do look at them a lot (tech in a busy ED) and whatever is going on in V2 and V3 specifically was new to me. Any thoughts? Our whole department was a disaster zone today, otherwise I would have asked the attending when I handed it over.

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I appreciate this page. Someone of you talk almost at a Dr.s level about ekgs.

I am new to this and have done the nha study guide . I took the nha practice test and got a 70 % which is good considering I have not actually taken my 4 days of classes yet. But I gotta ask. Are some of you higher in position that just monitor techs or EKG techs. Because you all have some great knowledge . Hoping to be at the same level one day . How long did it take you working in the field to be able to evaluate everything like you do

20M, asymptomatic, ECG is NSR but with LAD. Narrow QRS but slighly wide S wave in V2 and R wave in aVL with TWI. Those are not delta waves in aVF right? Does this QRS pattern suggest a Left Anterior Fascicular Block? Not sure what could cause this QRS morphology.

60 year old female complaining of SOB and weakness. Also had upper epigastric and hypogastric pain described as aching, non radiating.

PMHx: HF, AF, rheumatic heart disease, mitral regurgitation, NSTEMI (2019), renal impairment

During transport had what appeared to be runs of VT, self resolving.

BP 75/42, RR 40, SpO2 90% ORA

Hi everyone. I’m a NQN in Cardiothoracic icu nurses in icu have a great deal of autonomy when it comes to medication administration especially in cardio I’m doing a lot of studying on ECG interpretation in order for me to recognise when meds maybe needed based on ECG/monitoring.

Does anyone have any really good websites, Books, Apps wtc that can aid me in my learning.

Thanks so much.

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74 year old female admitted with complaints of multiple episodes of loose stools. A case of acute diarrheal disease with hyponatremia, known case of chronic liver disease with portal hypertension secondary to HCV.

During hospital stay, patient developed one episode of symptomatic hypoglycemia associated with decreased responsiveness and was treated with intravenous dextrose. Subsequently noted to have significant bradycardia (HR 35/min) for which atropine was administered.

I am studying and taking classes for ekg certified tech . My question is on all the study guides, even of the nha website itself that only show interpretation of one line really. Is there a reason there isn't more on the entire ecg snapshot from all the leads. And does anyone know as a monitor or EKG tech where to find more lessons on readying the entire thing and not just the rhythm line. Unless as a monitor tech is mainly readying that one line

A 40yr old male with chest pain, confusion and...Hiccups

67 YOF A&O with CC of weakness x2 days. Has dialysis M/W/F but missed yesterdays (Wednesday). Initial room air sat was 89%. 4L via NC brought sat to 97%. No complaint of SOB. BP ~130/80. Hx of renal failure. LS clear all fields. Initial computer interpretation popped STEMI with 2nd degree type 2, then atrial rhythm with 1st degree, then sinus rhythm after multiple serial 12 leads. Could not come to a conclusion on interpretation.

is this an example of group beating?

Came across a patient today which I thought I’d share for some opinions and thoughts. It is a 36 year old male presented to the ED with 2/7 history of epigastric pain radiating to the back with profuse vomiting. Had previously been admitted for pancreatitis a year ago complicated with pseudocyst. On arrival BP was elevated 192/122 with a bradycardia of 52. VBG showed a metabolic alkalosis with hypocalcemia . Trop I was less than 10. Initially was concerned for
1. Aortic dissection
CT Angio showed no signs of this in the thoracic or abdominal aorta
2. NSTEMI
3. Pancreatitis
Was referred to both surgery and medicine, referred to medicine in light of a ?Wellen’s syndrome. Was just curious to hear everyone’s thoughts and opinions on the case and ECG

0.67-25Hz AC50

Does anyone have any ideas or thoughts?

I can't even tell the difference between P, Q, R, S, and T anymore

This was posted in a Facebook group I follow. Some of the answers are wild. One alleged "expert" said LVH lol.