Ask The Expert

Blog and Discussion for Current ECG Interpretation Research

Ep. 34 All PEA is not the same! Pseudo PEA vs True PEA

In this episode, Dave is joined by Tarlan Hedayati, MD, FACEP, to discuss how to differentiate between Pseudo PEA and True PEA. Dr.Hedayati is a practicing Emergency Physican in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine...

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Ep. 33 The Ultimate Compressor !!

Each month, Dave releases a brand new episode of Current ECG! Starting Feb 2021, announcements of those episodes will be posted here. To watch, join our #StayCurrent community by registering now! In this episode, Dave shares the importance of practicing quality CPR with the goal of being the...

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Ep.31 Hyperkalemia with a cellular twist you can’t miss!!! Klein’s version!

Each month, Dave releases a brand new episode of Current ECG! Starting Feb 2021, announcements of those episodes will be posted here. To watch, join our #StayCurrent community by registering now! Ep.31 Hyperkalemia with a cellular twist you can’t miss!!! Klein’s version! In this episode, Dave...

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The Use and Impact of 12-Lead Electrocardiograms in Acute Stroke Patients

This systematic review investigated the impact of prehospital ECG on stroke patients. Eighteen studies were included. Although the prevalence of ECG abnormalities in the hospital environment appears to be common, there is a paucity of research investigating the use and impact of recording...

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Utility of Pre-hospital Electrocardiogram Characteristics

It has been theorized that presenting prehospital ECG could guide resuscitative efforts. 332 out of hospital cardiac arrests in PEA were prospectively enrolled. The rhythm was studied for HR, QRS interval and presence of P waves, and determined their impact on return of spontaneous circulation...

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Diagnostic value of prehospital ECG in acute stroke patients

Prehospital ECG in suspected CVA detected STEMI in 5.0% of 259 patients studied. Furthermore, in 18 cases new onset A-fib with direct clinical consequences was discovered on prehospital ECG. Cardiogram acquisition should be considered part of routine prehospital care for suspected...

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Association Between Use Of Pre-Hospital ECG and 30-day Mortality

Could the mere acquisition of a prehospital ECG in your chest pain patients decrease their mortality!? Turns out it can! This study used a one-to-one propensity matched cohort of a large group of prehospital chest pain patients. The odds of death in those who received and ECG compared to those...

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ST Elevation: Differentiation Between ST Elevation Myocardial Infarction And Nonischemic ST Elevation

Henry D. Huang, MD,a Yochai Birnbaum, MD from sciencedirect.com. Please note the downloadable pdf of the full article below. Abstract: It is well accepted that early reperfusion is beneficial in patients with acute myocardial infarction presenting with ST elevation (STE). Earlier studies...

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Effectiveness Of A Prehospital Wireless 12-Lead Electrocardiogram And Cardiac Catheterization Laboratory Activation For ST-Elevation Myocardial Infarction

Alain Tanguay, MD, Eric Brassard, MD, Johann Lebon, PhD, François Bégin, MD, Denise Hébert, BcSc-Infa, and Jean-Michel Paradis, MD The aim of the study was to determine the prevalence of false-positive and inappropriate cardiac catheterization laboratory (CCL) activation in patients suspected...

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ST-Elevation And Non-ST-Elevation Acute Coronary Syndromes: Should The Guidelines Be Changed?

An article by Anton P.M. Gorgels, MD, PhD, FESC, from sciencedirect.com. Please note the downloadable pdf of the full article below. Abstract: The 12 lead surface electrocardiogram (ECG) is an indispensable tool to identify acute coronary syndromes and the patient at high risk. Acute coronary...

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