ECG interpretation skills of South African Emergency Medicine residents | SpringerLinkRecognition of any of these killer ECG patterns should prompt expedited medical assessment and treatment. This patient presented to ED with pulmonary oedema after missing several dialysis sessions. The differential diagnosis for this patient with severe bradycardia and 1st degree AV block would include beta-blocker and calcium-channel blocker toxicity. Consideration should be given to empirical treatment with intravenous calcium whilst awaiting blood results e. Handy Tip — Always consider the diagnosis of hyperkalaemia in patients presenting with bradycardia or complete heart block , particularly if they have a history of dialysis , renal failure or treatment with potassium-elevating agents ACE inhibitors, ARBs, K-sparing diuretics or K supplements. Unfortunately, the ECG is not sensitive enough to rule out significant hyperkalaemia — patients with relatively normal ECGs may still experience sudden hyperkalaemic arrest! Sodium channel blocking agents include:.
ECGWEEKLY: Be the best at electrocardiography!
The objective was to calculate agreement between syncope as a reason for visiting RFV an emergency department ED and as a discharge diagnosis International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9] , to determine whether syncope case definition biases reported electrocardiogram ECG usage, a national quality measure. There was no meaningful variation in adjusted ECG use by patient, visit, or hospital characteristics between case definitions. Despite only moderate agreement, syncope case definition should not bias reported ECG rate by patient, visit, or hospital characteristics. Among ED patients with syncope, ECG is performed less frequently in women, a potentially important disparity. Syncope is a common reason for visiting RFV U. ED patients presenting with syncope from — received an ECG.
In order to match this, online resources have expanded, allowing learners of all stages to digest and understand the ever-increasing literature. Blogs and podcasts are responsible for the majority of FOAMed. Many residency programs and learning institutions are developing curriculum centering on FOAMed in conjunction with reading primary literature and textbooks. Here at emDocs. This is the beginning of a series evaluating FOAMed resources for learners, depending on subject matter. Future posts will evaluate ultrasound, radiology, orthopedic, pediatric, critical care, education, and toxicology resources.
Download Product Flyer
International Journal of Emergency Medicine. The use and interpretation of electrocardiograms ECGs are widely accepted as an essential core skill in Emergency Medicine. It is imperative that emergency physicians are expert in ECG interpretation when they exit their training programme.
You are currently using the site but have requested a page in the site. Would you like to change to the site? Amal Mattu , William J. Brady Editor. A minimum amount of information is given beneath each trace, as if in the real situation. Accompanied by learning points, and with the cases presented randomly, this book provides a rich source of information on the interpretation of ECGs — a core skill for all emergency department staff. Request permission to reuse content from this site.
pdf free download