Monday, January 31, 2011

Dr. Smith's ECG Blog: Hyperacute T-waves, missed by computer, short DBT,...

Dr. Smith's ECG Blog: Hyperacute T-waves, missed by computer, short DBT,...: "This 57 yo male with no past medical history had sudden onset of chest pain while sleeping. He called 911 at midnight and his prehosp..."

Sunday, January 30, 2011

57 Year old Male Syncope

57 yo male at church singing when he began to feel lightheaded and fainted. He was taken to the nurses office when he had another syncope episode. He stated he has not past medical Hx and no RX and no allergies. He stated that he has had some chest discomfort starting last night. He sates it only hurts when he presses in on his chest. He points to the area of discomfort and is able to pin point it. He states no Shortness of breath and no N/V. No chest pain at all unless he touches it.








V/S taken laying
BP 108/70
Pulse 72
RR 18

Sitting up
BP 92/60
Pulse 88
RR 18

12 lead EKG obtained


Strip diagnostic reads:
HR 72
PRI 144
QRS 78
Sinus Rhythm
Multiple Atrial Premature Complexes   
ST Elevations Suggests Pericarditis


En-route v/s remained normal with no additional episodes of dizziness or fainting.

what are you Questions? Interpretation? Treatment? Transport decision?

Thursday, January 27, 2011

New IPhone EKG

Is there anything an iPhone can’t do? I mean, seriously. The CyanogenMod based on the Android operating system blows my mind; however, it all comes down to the user experience, which in most cases, unless you are a technology geek, means apps, right? Maybe someday soon (I hope) having an Android phone will be as sleek and sexy as owning an iPhone, but for now, there is still no contest.
Although recent studies show that the iPhone is losing a little of its popularity, it still seems like every day we read about new iPhone apps that do seemingly unbelievable things. It’s incredible and exciting for users everywhere who love to download apps and try them on for fun.
We’ve written about a lot of them on Bit Rebels. The app that gets rid of acne, the app that pops popcorn and especially the app that instantly translates signs in foreign languages (in video format) are my three favorites by far. I have another amazing iPhone function to share with you that will, once again, leave you scratching your head in amazement. This time, it’s not actually an app.
Now you can transform you iPhone into an EKG or electrocardiograph. Through a wireless device, electrodes communicate with your iPhone. You simply press your phone against your heart and you will see the readings. It stores your heart rate history in the software so you and your doctor can monitor any changes. The device, called an iPhonECG, is not for sale at the moment in the States. Once it is approved to be sold as a medical device here, it will be available for under $100. This incredible little piece of technology was developed by Alivecor and Oregon Scientific. Wow.


Www.health-e-solutions.org