ECG of the Week - 23rd February 2015 - Interpretation

The following ECG is from a 50 yr old male. Nil relevant past medical history. The patient had an out-of-hospital witnesses cardiac arrest with immediate bystander CPR. On paramedic arrival he was found to be in VF and ROSC was achieved following DC cardioversion.

On arrival to the Emergency Department the patient was agitated and combative with episodic abnormal posturing. 

Vital signs: GCS ~5-7 (M=2-4 E=1 V=2), BP 136/78, RR 12, Temp 36.5 (97.7F), BSL 8.4 mmol/L, Sat 100% on 15L/min

The patient received iv sedation to facilitate initial assessment, his ECG is below.

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ECG of the Week - 23rd February 2015

The following ECG is from a 50 yr old male. Nil relevant past medical history. The patient had an out-of-hospital witnesses cardiac arrest with immediate bystander CPR. On paramedic arrival he was found to be in VF and ROSC was achieved following DC cardioversion.

On arrival to the Emergency Department the patient was agitated and combative with episodic abnormal posturing. 

Vital signs: GCS ~5-7 (M=2-4 E=1 V=2), BP 136/78, RR 12, Temp 36.5 (97.7F), BSL 8.4 mmol/L, Sat 100% on 15L/min

The patient received iv sedation to facilitate initial assessment, his ECG is below.

ECG of the Week - 16th February 2015 - Interpretation

This week's ECG case comes with three ECG's. They are from an 85 yr old female who presented with a 12 hour history of feeling generally unwell. Her past medical history includes congestive cardiac failure (EF 35%), chronic renal impairment and paroxysmal atrial fibrillation. Medications included a calcium-channel blocker and a beta-blocker.
On arrival her blood pressure was 125/65 and she had a GCS of 15.
These ECG were each performed at ~30 minutes intervals.
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ECG of the Week - 16th February 2015

This week's ECG case comes with three ECG's. They are from an 85 yr old female who presented with a 12 hour history of feeling generally unwell. Her past medical history includes congestive cardiac failure (EF 35%), chronic renal impairment and paroxysmal atrial fibrillation. Medications included a calcium-channel blocker and a beta-blocker.
On arrival her blood pressure was 125/65 and she had a GCS of 15.
These ECG were each performed at ~30 minutes intervals.

ECG of the Week - 9th February 2015 - Interpretation

This ECG is from a 1 yr old who was brought to the Emergency Department following a suspected nicotine ingestion. The child was clinically well and vital signs were within age appropriate ranges.
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ECG of the Week - 9th February 2015

This ECG is from a 1 yr old who was brought to the Emergency Department following a suspected nicotine ingestion. The child was clinically well and vital signs were within age appropriate ranges.

ECG of the Week - 2nd February 2015 - Interpretation

This ECG is from a 74 yr old female who presented with central chest pain for the last 90 minutes.
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ECG of the Week - 2nd February 2015

This ECG is from a 74 yr old female who presented with central chest pain for the last 90 minutes.

ECG of the Week - 26th January 2015 - Interpretation

These ECG's are from a 70 yr old male who presented to the Emergency Department following an overdose of unknown agent / agents.
The first ECG was performed on arrival the second ECG following intervention. 
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