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  • A curious tachycardia

    A curious tachycardia

    This is a case from Galle, Sri Lanka which shows a very unusual case of a 32 yo lady 3 days post partum who presents with palpitations. What’s unusual is that she can transmit AF and flutter at 1:1 to her ventricles…implying an abnormal connection to her ventricle, not her AV node. Usually a WPW Accessory pathway will lead to at least a few broad complexes as the pre-excitation leads to early ventricular depolarisation and a delta wave /broad complex. […]

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    The ECG in toxicology. Cardiac electrophysiology is used to explain how to use the ECG to decide which poison your OD patient has taken, and how to guide treatment.

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    This tutorial is a mix of various wide complex tachycardias in case based format. It explains some of the major wide fast and scary rhythms and how to differentiate and manage them.

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    A 81 yo old lady presents feeling decidedly crook. She feels wobbly on her pins and has fallen over a few times in the least 3 days – thankfully on carpet and she’s uninjured. Her ECG is done and appears below   1. What is the diagnosis? 2. What is your stepwise management assuming the BP is 80/40

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  • ECG week 6 syncope ANSWER

    ECG week 6 syncope ANSWER

              So this ECG is sinus rhythm and has broad complexes with RSR’ in V1 V2 consistent with RBBB. the PR interval is over 200ms (1 big square) so there is a first degree AV block as well. There is also a left axis deviation (V1 up aVF down). In the setting of RBBB and Left axis you should think about left anterior or posterior hemi/fascicular block  (LAFB, LPFB). There are rS complexes in II, III, […]

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  • ECG 6: Syncope

    ECG 6: Syncope

    A 74 year old lady comes in after falling over at the pokies. She’d been scoffing a few shandies and got up for a wee, and was seen to collapse onto the carpet. She was awake a minute or so later and gradually improved by the time she came into the ED. She now looks well Have a squiz at this ECG. Does it help you to build a risk profile or even a cause for her fall??

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  • Video vs Direct laryngoscopy

    Video vs Direct laryngoscopy

    A short video explaining the geometry, anatomy and technique differences between the hyperangulated video laryngoscope and the standard direct approach with macintosh blade for intubation. Simple explanations and pictures and lots of specific practice tips to avoid common pitfalls and improve safety and success

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  • ECG number 5: chest pain…again!

    ECG number 5: chest pain…again!

    And now a subtle variation from ECG number 4 A 45 year old male smoker comes with with 1 hour of moderate central chest pain. What are the key features of this ECG? What would you do next? click on ECG to enlarge

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  • ECG number 4: Chest pain

    ECG number 4: Chest pain

    A 48 yearold smoker presents with central chest discomfort for 2 hours. 1. Describe and interpret the ECG 2. Outline your management click on ECG to enlarge

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  • ECG number 3: fitting

    ECG number 3: fitting

    A 28 year old female is BIBA with GCS 6 after being found fitting at her home. 1. What does this ECG tell you about the likely cause? 2. What should your immediate management include?  

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