thebluntdissection

pulling apart cases from the ED...

  • Home
  • About
  • EMUGs
  • Fellowship Flashcards
  • Contact

broad, fast & regular…

September 15, 2012 By Christopher Partyka Leave a Comment

There are some things in medicine that I feel require a standardized approach for rapid diagnosis & management, especially in the face of an unstable patient & you have a little sweat on your brow. The following are two somewhat straight forward cases that got me thinking …

Case 1

66 year old self presents to ED following 4 hours of palpitations. She has had no chest pain, dyspnoea or pre-syncope. She has had this before.

HR 170. BP 128 systolic. Speaking full sentences with a clear chest. Sats 98%.

This is her ECG…

Image

Case 2: 

84 year old transferred to ED from the dialysis suite with 30mins of palpitations that commenced towards the end of his haemodialysis. He has no chest pain, dyspnoea or pre-syncope. He has had this before.

HR 160. BP 118 systolic. Speaking in phrases but clear chest. He looks grey & slightly clammy.

This is his ECG…

Image

… both are broad, fast & regular leading me to investigate “Ventricular Tachycardia vs SVT with Aberrancy”

[Read more…]

Filed Under: #FOAM, Cardiology, ECG Tagged With: broad complex tachycardia, ECG, SVT with aberrancy, ventricular tachycardia, VT

Recent Posts

  • an abominable airway…
  • shrouded shock…
  • another bubble of trouble…
  • bubble of trouble…
  • collective crises…

RSS Life in the Fast Lane • LITFL

  • Suture: Laceration Repair App
  • Comms Lab: Ace your Interview
  • Robert Sweet
  • VT versus SVT: It’s as easy as ABCDE
  • Golden S sign

Follow me on Twitter

My Tweets

© 2012–2023 · Hosted by LITFL