MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'ecg'. Sat, 03 Sep 2011 02:14:23 +0100 http://www.medworm.com/index.php?rid=5182000&cid=t_194732_113_f&fid=39278&url=http%3A%2F%2Fblogsite.mdbuyline.com%2F%3Fp%3D342 The Zio™ Patch is an emerging FDA-approved device the size of a small calculator that can be worn under the patient’s clothes that records and stores ECG data for up to 30 days. After the ECG recordings are obtained, the device is then mailed to a national reading center to evaluate the data. There have been multiple studies that confirm the effectiveness of outpatient ECG monitoring. One study indicated that the sensitivity for diagnosing heart patients increased from 11.5% to 46.2% when they were monitored for over seven days. Another study suggested that using Holter technology to identify atrial fibrillation early could save healthcare $13,000 per year, per patient, making this technology all the more important. Dr. Carolyn M. Clancy, MD, director of the Agency for Healthcare R... MD Buyline blogs http://www.medworm.com/rss/comments.php?id=5182000 Thu, 01 Sep 2011 13:36:19 +0100 5182000 http://www.medworm.com/index.php?rid=5169547&cid=t_194732_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-importance-of-physicals-for-young-athletes%2F2011.08.27 Increasing numbers of young people participate in outdoor activities, including strenuous competitive athletics. In so doing, they subject their bodies to stresses that are more intense and prolonged than those presented by a largely sedentary life. Every story of a sudden death in a young person is a tragedy, and usually accompanied by commentary pondering the role and utility of pre-activity screening. Could the death have been prevented? What was the physiological condition of the deceased? Could the collapse, often attributed to a heart problem, have been predicted? Was there an examination or evaluation that might have indicated that the deceased was at greater risk, or should have been held out of the activity? These are all important questions, with no simple answers. Sudden collaps... Better Health blogs http://www.medworm.com/rss/comments.php?id=5169547 Sat, 27 Aug 2011 16:00:00 +0100 5169547 http://www.medworm.com/index.php?rid=5158997&cid=t_194732_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-athletic-heart-how-it-functions%2F2011.08.24 It may seem a little formal to say this, but I would like to start by stating my goals for today’s post: Introduce the concept of the athletic heart; Touch upon the notion of sudden death of the athlete; Explain what an ECG really is, and how it may help diagnose heart disease; Review a recent study about the common ECG variant seen in athletes…Early repolarization. Intro: The adaptations of the human heart never cease to amaze me. Physical training transforms our hearts into high performance engines. Repeated sessions of interval training, combined with longer aerobic efforts, and sprinkled with adequate rest maximize our ability to keep pressure on the pedals, or run the sixth mile of the 10k at the same pace as the first, or for you swimmers, to keep getting back to the wall on th... Better Health blogs http://www.medworm.com/rss/comments.php?id=5158997 Wed, 24 Aug 2011 18:00:14 +0100 5158997 http://www.medworm.com/index.php?rid=5159008&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FA_Uef_POJIA%2F "VT or not VT? That is the question..." you muse. Then your patient Bill says "A shock, a shock, my kingdom for a shock"... (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=5159008 Wed, 24 Aug 2011 00:00:08 +0100 5159008 http://www.medworm.com/index.php?rid=5107525&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FyGCavJGs3jw%2F The LITFL team call upon the wider academic cardiological community to fund research into the under-diagnosed conditions of 'calligraphitis' or literary heart syndrome and the positive electropenogram (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=5107525 Mon, 08 Aug 2011 07:42:56 +0100 5107525 http://www.medworm.com/index.php?rid=5096215&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FAGN1vEnQmY4%2F ECG pimping - the ECG rule of fours... (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=5096215 Fri, 05 Aug 2011 13:02:25 +0100 5096215 http://www.medworm.com/index.php?rid=5069594&cid=t_194732_113_f&fid=39278&url=http%3A%2F%2Fblogsite.mdbuyline.com%2F%3Fp%3D310 Magnetocardiography’s (MCG) SQUID (Superconducting Quantum Interference Device) technology is designed to produce a map of the heart’s electrical activity, which allows for a quick noninvasive test for difficult to diagnose CAD (Coronary Artery Disease), a disease that more than half a million Americans die from each year. But, the most promising application of MCG technology is for a more accurate early diagnosis of adult and fetal arrhythmias.  Magnetic field imaging has been available for years to measure brain activity by measuring the body’s fluctuating magnetic field.  Advancements in extremely sensitive magnetic sensors (SQUIDs) have allowed for the measurement of small magnetic disturbances as a result of a patient’s heartbeat.  Because of this, MCG technology can produc... MD Buyline blogs http://www.medworm.com/rss/comments.php?id=5069594 Tue, 26 Jul 2011 14:34:46 +0100 5069594 http://www.medworm.com/index.php?rid=4997532&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FeGWyjEbJ2TY%2F We have just started the long process of cataloguing the LITFL image collection - currently standing at 120,000 prospectively consented images from the last 15 years. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4997532 Sun, 03 Jul 2011 07:28:58 +0100 4997532 http://www.medworm.com/index.php?rid=4997536&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2Fi5up-SjFC0Q%2F This one's for our medical student friends... and anyone else fighting the axis of evil! Understanding axis is one of the keys to understanding ECGs. Super Axis Man (SAM) is here to help! (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4997536 Thu, 23 Jun 2011 09:29:03 +0100 4997536 http://www.medworm.com/index.php?rid=4615110&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FgbEuKJm-LT8%2F Brilliant images illustrating the art of myocardial infarct localisation by ECG interpretation. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4615110 Mon, 21 Mar 2011 11:52:44 +0100 4615110 http://www.medworm.com/index.php?rid=4575055&cid=t_194732_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Funiversal-cardiac-screening-for-all-young-athletes%2F2011.03.11 It’s heart wrenching when young athletes die of sudden cardiac death (SCD). Last week the death of Wes Leonard, a Michigan high school star athlete, was especially poignant since he collapsed right after making the game-winning shot. This sort of tragedy occurs about one hundred times each year in America. That’s a lot of sadness. The obvious question is: Could these deaths be prevented? Let’s start with what actually happens. Most cases of sudden death in young people occur as a result of either hypertrophic cardiomyopathy (HCM), an abnormal thickening of heart muscle, or long QT syndrome (LQTS), a mostly inherited disease of the heart’s electrical system. Both HCM and LQTS predispose the heart to ventricular fibrillation — electrical chaos of the pumping chamber of the he... Better Health blogs http://www.medworm.com/rss/comments.php?id=4575055 Fri, 11 Mar 2011 22:00:35 +0100 4575055 http://www.medworm.com/index.php?rid=4570551&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FgnrI48aoH-o%2F Two quick ECG problems for you this week. See if you can spot the common thread. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4570551 Thu, 10 Mar 2011 10:30:06 +0100 4570551 http://www.medworm.com/index.php?rid=4522113&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffreeemergencytalks.net%2Fwp-content%2Fuploads%2F2010%2F04%2FWho-Was-Ringer...-Joe-Lex-DelVal-AAEM-2008.mp3 FFFF has been in a state of aestivation of a a few weeks now. Before the din created by the "snap! crackle! pop!" of your apoptosing neurons gets too loud, we thought we'd better bring it back to help keep your brain in healthy state. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4522113 Fri, 25 Feb 2011 07:11:38 +0100 4522113 http://www.medworm.com/index.php?rid=4472953&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2Fq3V8lIj6izQ%2F Night shift in the surgical ICU and one of your post-op cardiac patients is showing some worrying rhythms on their ECG monitor. Can you diagnose the problem and keep them alive until the morning? (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4472953 Sun, 13 Feb 2011 14:03:59 +0100 4472953 http://www.medworm.com/index.php?rid=4382767&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2Fl9KNwZkmmIA%2F Among Scott Weingart’s ED Critical Care Dirty Dozen for 2010 was Dr Smith’s ECG blog. The LITFL team thought it was about team we gave this great blog a shout out too. Dr. Stephen Smith is a faculty emergency physician at Hennepin County Medical Center and an Associate Professor of Emergency Medicine at the University [...] (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4382767 Sat, 22 Jan 2011 00:00:30 +0100 4382767 http://www.medworm.com/index.php?rid=4360988&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FriBDX0JD8EA%2F Another crazy night in the ED... One of the nurses hands you this ECG. "Will you take a look at this guy? He doesn't look so well..." Can you recognize and treat this life-threatening tachyarrhythmia? (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4360988 Tue, 18 Jan 2011 15:16:42 +0100 4360988 http://www.medworm.com/index.php?rid=4294639&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2F7uC772wbUbI%2F A teenager in atrial fibrillation... A worrying family history... A very unusual looking ECG... Can you put together the pieces of the puzzle? (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4294639 Tue, 28 Dec 2010 09:17:37 +0100 4294639 http://www.medworm.com/index.php?rid=4245310&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FiEWyIYEbmWY%2F The most important distinction is whether the rhythm is ventricular (VT) or supraventricular (SVT with aberrancy), as this will significantly influence how you manage the patient. SVTs usually respond well to AV-nodal blocking drugs, whereas patients with VT may suffer precipitous haemodynamic deterioration if erroneously administered an AV-nodal blocking agent. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4245310 Thu, 09 Dec 2010 04:09:30 +0100 4245310 http://www.medworm.com/index.php?rid=4237902&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FS0UKl-csoWc%2F A 26-year old man presents to ED by ambulance after an episode of syncope while playing soccer. He begins to deteriorate in the resuscitation room. Can you make the ECG diagnosis that will save his life... and possibly the lives of his children? (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4237902 Tue, 07 Dec 2010 22:45:41 +0100 4237902 http://www.medworm.com/index.php?rid=4203162&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FCxNiNYsv3PM%2F This week we gain inspiration from one of Australia's finest emergency medicine educators - Dr Trevor Jackson FACEM HTFU. Ameritus Professor Jackson has provided LITFL with an eclectic array of challenging questions....so good luck! (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4203162 Fri, 26 Nov 2010 02:00:37 +0100 4203162 http://www.medworm.com/index.php?rid=4172063&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FGAAAvssZU0o%2F Can you spot the subtle ECG abnormality that will help you nail the diagnosis in this patient with chest pain? (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4172063 Tue, 16 Nov 2010 12:19:12 +0100 4172063 http://www.medworm.com/index.php?rid=4133718&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2Ft1MpNMhgMOg%2F A 61 year old male walks up to the triage desk complaining of a funny feeling in his chest. He has had similar milder episodes in the past and has been investigated by his GP with no firm diagnosis being reached. He’s moved to Resus as he’s a bit pale and sweaty. His ECG is [...] (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4133718 Thu, 04 Nov 2010 08:26:27 +0100 4133718 http://www.medworm.com/index.php?rid=4097946&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2Fkuk491gQtHs%2F A 26 year old presents to your ED with central chest tightness.  He has no risk factors and looks pretty well. The Nurse hands you his ECG.  You pattern recognise it as ‘Benign Early Repolarisation’ and smugly sign the ECG. After the nurse has gone your resident asks you what it is. Thankfully the Bat [...] (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4097946 Fri, 22 Oct 2010 02:52:51 +0100 4097946 http://www.medworm.com/index.php?rid=4060597&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2F6dkv_dxNxu0%2F An 18-year old male is brought to ED by ambulance following a generalised seizure at home. He has a further witnessed seizure en route in the ambulance. By the time of arrival to ED he is comatose with a GCS of 3 and poor respiratory effort. Pupils are symmetrically dilated. Blood sugar is normal. BP is 70/40. Can you interpret his ECG and save his life? (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4060597 Tue, 12 Oct 2010 04:41:41 +0100 4060597 http://www.medworm.com/index.php?rid=4003260&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FjKy0g36IhNs%2F Can you correctly interpret the ECG findings in a marathon runner with gastroenteritis? What is their significance? What management is required? (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4003260 Tue, 28 Sep 2010 00:00:31 +0100 4003260 http://www.medworm.com/index.php?rid=3972919&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FkSpobmoG0G8%2F A previously healthy 15-year old boy presents to ED with sudden onset of palpitations while playing sport. On arrival to ED he is alert and pain free with a good blood pressure. Can you interpret his ECG and prevent him from coming to grief? (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=3972919 Thu, 16 Sep 2010 00:00:47 +0100 3972919 http://www.medworm.com/index.php?rid=3957916&cid=t_194732_87_f&fid=39187&url=http%3A%2F%2Fcovertrationingblog.com%2Fpodpress_trac%2Ffeed%2F906%2F0%2Fsuddendeathathletes.mp3 It’s the dog days of what seems to have been an unusually hot summer (though DrRich does not know whether it has been sufficiently warm to affect the global cooling trend we’ve been in for the past decade), and as is all too common at this time of year, we are seeing extraordinarily heartbreaking stories (like this one) about healthy, robust young athletes dying suddenly on the practice fields. Most of these tragic sudden deaths are due to a heart condition called hypertrophic cardiomyopathy. Hypertrophic cardiomyopathy often does not produce any symptoms prior to causing sudden death. But it can be easily diagnosed, before exercise-induced sudden death occurs, by screening young athletes with electocardiograms (ECGs) and echocardiography. A couple of summers ago, the New York Times wr... Better Health blogs http://www.medworm.com/rss/comments.php?id=3957916 Fri, 10 Sep 2010 14:00:38 +0100 3957916 http://www.medworm.com/index.php?rid=3965429&cid=t_194732_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FDkEfOHdQF4I%2F This week's ECG Exigency serves up 5 different risky rhythm strips. Each tells a story. Can you work out what is happening before its too late? What would you do to save the day? (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=3965429 Wed, 08 Sep 2010 00:00:32 +0100 3965429 http://www.medworm.com/index.php?rid=3610329&cid=t_194732_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ficalipers%2F2010.05.28 Who needs calipers when you have an iPhone? -WesMusings of a cardiologist and cardiac electrophysiologist. *This blog post was originally published at Dr. Wes* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3610329 Sat, 29 May 2010 00:00:00 +0100 3610329 http://www.medworm.com/index.php?rid=3511622&cid=t_194732_113_f&fid=36671&url=http%3A%2F%2Fopen.medicdrive.org%2Fblog%2F2010%2F04%2F28%2Fipad-and-medicine%2F This is the third part in the series of Technology enablers in Health Multi-touch screen  devices which you can carry any where, surf  the web perform basic word processing applications and also read a journal, listen to audio casts. This is what health care professionals are looking at. Many manufactures, ventured on this territory-noticeably,Cruchpad or JooJoo was [...] (Source: Constructive Medicine 2.0) Constructive Medicine 2.0 blogs http://www.medworm.com/rss/comments.php?id=3511622 Wed, 28 Apr 2010 05:03:38 +0100 3511622 http://www.medworm.com/index.php?rid=3490718&cid=t_194732_113_f&fid=36671&url=http%3A%2F%2Fopen.medicdrive.org%2Fblog%2F2010%2F04%2F21%2Fipad-and-its-impact-on-medicine%2F This is the second part of the series on Technology enablers in Health. The current stats show that Ipad is a runaway hit among consumers. There are many reasons for this phenomenon, primarily it is the big brother of the popular Iphone.Secondly the applications which work on Iphone and Itouch are enabled for Ipad. One of the [...] (Source: Constructive Medicine 2.0) Constructive Medicine 2.0 blogs http://www.medworm.com/rss/comments.php?id=3490718 Wed, 21 Apr 2010 01:02:48 +0100 3490718 http://www.medworm.com/index.php?rid=3487185&cid=t_194732_113_f&fid=36671&url=http%3A%2F%2Fopen.medicdrive.org%2Fblog%2F2010%2F03%2F19%2Ftechnology-enablers-in-health-care%2F This is a new series of article on how technologies can help us in optimizing health care. Today, smart phones have revolutionized our communications behaviors, in health care industry-personal digital assistants were once a standard tool for many physicians along with Stethoscopes and today Smart phones are gradually replacing them as necessary tools. But, using these [...] (Source: Constructive Medicine 2.0) Constructive Medicine 2.0 blogs http://www.medworm.com/rss/comments.php?id=3487185 Fri, 19 Mar 2010 22:21:13 +0100 3487185 http://www.medworm.com/index.php?rid=3126633&cid=t_194732_105_f&fid=36987&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FIvorKovicMd%2F%7E3%2FMcez8peU6jI%2F I discovered Informed Pocket Guides almost two years ago and have been a huge fan ever since. The first product I got was the Emergency & Critical Care Pocket Guide. I believe the fact that I take extra care this little/big guide is always in my bag when I go to work, says it all. It is small, light and compact, yet it has all the necessary reference information you might need in medical emergencies. It is especially useful if you work in the field. Emergency & Critical Care Pocket Guide has almost 200 pages and covers the following topics: Current ACLS Algorithms, Lab Values, Metrics, Notes Emergency, ACLS Drugs & Top Prescription Drugs IV Drips, Drug Infusions, Dosages Poisons & Overdose / ‘Rave’ Drug 12-Lead ECG Section & Acute MI Medical Emergenci... Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=3126633 Tue, 29 Dec 2009 02:01:37 +0100 3126633 http://www.medworm.com/index.php?rid=2855687&cid=t_194732_113_f&fid=38130&url=http%3A%2F%2Fwww.tempdev.net%2Fblog%2F%3Fp%3D1000 I saw that Midmark announced their new promotion IQology that is a great deal if you’re thinking about buying devices this year. Basically you get points when buy a device and can use those points to buy supplies or another device. So here’s the deal: Eligible Products ECG – 4 Points Cart – 1 Points Spiro – 2 Points Holter – 6 Points Holter EX/EP – 8 Points Holter Recorder – 2 Points Stress – 8 Points Incentive Products $100 Supplies – 1 Point $300 Supplies – 2 Points Laptop – 6 Points Desktop – 8 Points Cart – 4 Points Holter Recorder – 6 Points Spiro – 6 Points ECG – 12 Points So when you buy 3 ECGs, you get the 4th one free. If you only want to buy an ECG, you get a cart for free. You buy a Spiro, you get a bunch of supplies for ... Implementing EMRs blogs http://www.medworm.com/rss/comments.php?id=2855687 Fri, 02 Oct 2009 02:52:39 +0100 2855687 http://www.medworm.com/index.php?rid=2851795&cid=t_194732_101_f&fid=38975&url=http%3A%2F%2Fmedicblog999.wordpress.com%2F2009%2F10%2F01%2Fwhat-happened-to-jack-ecg-geek-6-conclusion%2F For part one of this post, please click here. Right where were we? Oh yes….That ECG! Click to open in new window (See Mart, I said I would figure out how to make them bigger!) Now then, here is my interpretation of this ECG, which many of you got spot on. I can see no discernable p waves and the rhythm is irregularly irregular, therefore it has to be Atrial Fibriliation. It appears to show a grossly normal cardiac axis, and normal R wave progression with an appropriate transition in V3. There is approximately 2mm of ST segment elevation in I and aVL, with reciprocal changes seen in III and aVF. Lead I and aVL correspond to the lateral edge of the heart and therefore I see a Lateral STEMI, with inferior reciprocal changes. Which I really didnt expect, and it had me a bit stump... Medic999 blogs http://www.medworm.com/rss/comments.php?id=2851795 Thu, 01 Oct 2009 16:21:01 +0100 2851795 http://www.medworm.com/index.php?rid=2836188&cid=t_194732_101_f&fid=38975&url=http%3A%2F%2Fmedicblog999.wordpress.com%2F2009%2F09%2F26%2Fshould-all-patients-have-a-12-lead-ecg-ecg-geek-6%2F Im starting to come to the conclusion that virtually all of my patients are going to get a 12 lead ECG unless there complaint is so minor that its just plain ridiculous! I have had so many cases now where the patient has presented with a complaint which makes me think that maybe I should do an ECG, sometimes without any real reasoning behind it other than ‘I just had a feeling’, only to find a significant cardiac abnormality or evidence of an acute coronary syndrome. A job I had last week was another that confirmed my new assessment rule. Called to a 92 year old very fit and healthy man, Jack. Jack lives on his own in an upper floor flat. He has no carers and is not on any medication. He has no significant medical history and enjoys a daily walk to the shops around the corner ... Medic999 blogs http://www.medworm.com/rss/comments.php?id=2836188 Sat, 26 Sep 2009 19:28:33 +0100 2836188 http://www.medworm.com/index.php?rid=2834275&cid=t_194732_101_f&fid=38975&url=http%3A%2F%2Fmedicblog999.wordpress.com%2F2009%2F09%2F25%2Fanother-way-to-help-learn-ecg%2F Firstly the disclaimer. I have received no financial incentive to write this post. This is not an endorsement in any way from the North East Ambulance Service NHS Trust, but is solely the opinion of one blogger, namely little ol me! I decided to write this as I believe that as professional pre-hospital clinicians, we owe it to our patients to know as much as possible about their cardiac abnormalities and how they can present on our ECG monitors. Anything that can help raise the standard of care offered to our patients is worth spending some time on in my book. I was contacted by a company recently called Pace Symposia. They are the developers of a newly launched ECG simulator, and they asked if I would look at their software and post a review on it. They have also asked some other blogger... Medic999 blogs http://www.medworm.com/rss/comments.php?id=2834275 Fri, 25 Sep 2009 21:34:27 +0100 2834275 http://www.medworm.com/index.php?rid=2790282&cid=t_194732_101_f&fid=38975&url=http%3A%2F%2Fmedicblog999.wordpress.com%2F2009%2F09%2F13%2Fwant-to-learn-ecg-interpretation%2F As you will have already realised, I love looking at ECGs. I used to think I was quite a clever clogs on them. My work colleagues certainly seem to think so. To be honest, and without being big-headed, I think I do know a little more than the average street wise paramedic. Some may say I know things that arent necessary for a paramedic to know about, but that is a whole different discussion. My point in this post however, is that I have realised that I still have sooooo much more to learn. I have started reading some of the blogs out there that are dedicated to ECG interpretation, and these guys REALLY know their stuff! So if you want to really learn how to comprehensively interpret 12 lead ECGs you really need to bookmark these blogs. Prehospital 12 Lead ECG Toms blog is as comprehensive ... Medic999 blogs http://www.medworm.com/rss/comments.php?id=2790282 Sun, 13 Sep 2009 17:11:40 +0100 2790282 http://www.medworm.com/index.php?rid=2790283&cid=t_194732_101_f&fid=38975&url=http%3A%2F%2Fmedicblog999.wordpress.com%2F2009%2F09%2F13%2Fecg-geek-5-is-this-too-easy%2F Ive been looking through my rather extensive collection of ECG traces that I have collected over the last couple of years (some may find that a bit sad but hey, what can I say)and I am picking some out to share with you over the coming months. However, I am trying to find the right difficulty to work on. I know that we are all at different levels of knowledge on interpretation but I want to post ones which most of you will find interesting rather than just think, ‘well thats obvious, its…….’ So here is a quick one for you. Have a go at the interpretation and let me have your thoughts, but more importantly, if you find it easy please tell me in the comments. The history for this one is a 47 year old man who is short of breath on exertion. No previous cardiac problems... Medic999 blogs http://www.medworm.com/rss/comments.php?id=2790283 Sun, 13 Sep 2009 16:43:51 +0100 2790283 http://www.medworm.com/index.php?rid=2469535&cid=t_194732_105_f&fid=36987&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FIvorKovicMd%2F%7E3%2FTkMry_7qqcA%2F The Apple Worldwide Developers Conference (WWDC) is taking place in San Francisco right now. On the first day Apple introduced the new iPhone 3G S. They also continued their tradition of presenting some interesting upcoming applications. AirStrip Technologies has presented its new medical app called Critical Care. I really don’t have any comments at this moment other than WATCH THE VIDEO IT WILL BLOW YOUR MIND! AirStrip CRITICAL CARE features include: Virtual Views – Remote, virtual real-time monitoring of live cardiac rhythm strips and other waveform data such as pulse oximetry, end tidal CO2 and peak ventilator pressures. Strip Zooming – The zoom feature maintains relative size of waveforms and the background grid allows for easy assessment and measurements. Automated Calipe... Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=2469535 Wed, 10 Jun 2009 10:26:51 +0100 2469535 http://www.medworm.com/index.php?rid=2063357&cid=t_194732_88_f&fid=38203&url=http%3A%2F%2Fprecordialthump.medbrains.net%2F2008%2F12%2F23%2Fanyone-seen-this-before%2F A 93 year-old woman was brought in by ambulance from a nursing home after 2 days of “not being her usual self”. She also had suffered from diarrhoea for 2 days and had not passed urine at all during the day of presentation. She looked dry and her blood pressure was 95/55 mmHg. But she remained incredibly chirpy and seemed to be enjoying the trip to hospital! A venous gas showed K 7.6 mM and Creatinine 436 mM. This was her ECG: Absent P waves and peaked T waves consistent with hyperkalemia, right?.. Look closely there are retrograde P waves that follow the QRS! After treatment with 10 mmol calcium gluconate IV, 10 units rapid-acting insulin  IV, 50 mL of 50% glucose IV, 5 mg nebulised salbutamol, and 500 mL normal saline her ECG was repeated: Back to sinus rhythm... the T waves... AEQUANIMITAS blogs http://www.medworm.com/rss/comments.php?id=2063357 Tue, 23 Dec 2008 11:36:52 +0100 2063357 http://www.medworm.com/index.php?rid=2012001&cid=t_194732_105_f&fid=36987&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FIvorKovicMd%2F%7E3%2F473397722%2F I am proud to present to you the openECGproject. Something I helped to start up and the thing that kept me away from my blog for almost two weeks. The openECGproject is essentially an online community conceived around a simple, but challenging and worthy goal - to develop an open source hardware and software solution for electrocardiography. More precisely, to develop an open source, low cost, and clinically functional 12-lead PC-based ECG with interpretive software. The idea was conceived to help those hospitals and doctors, mainly from the Third World, who cannot afford similar currently available and expensive commercial products. Development of a free alternative could, I believe, have a profound impact on health care not just in poor countries, but in others too. The whole project i... Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=2012001 Wed, 03 Dec 2008 08:50:07 +0100 2012001 http://www.medworm.com/index.php?rid=1961876&cid=t_194732_105_f&fid=36987&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FIvorKovicMd%2F%7E3%2F451753932%2F Kraftwerk is an electronic music band from Germany. They are definitely one of the most influential and revolutionary bands of all time and they inspired artists from nearly all genre of modern music. In the early to late 1970s and the early 1980s the were really hot with their sound that combines driving, repetitive electronically-generated rhythms with catchy synthesizer-generated melodies in a minimalistic arrangement. Listen to them as they perform live their song Elektro Kardiogramm. (Source: Ivor Kovic, M.D.) Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=1961876 Thu, 13 Nov 2008 12:25:05 +0100 1961876 http://www.medworm.com/index.php?rid=1952958&cid=t_194732_105_f&fid=36987&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FIvorKovicMd%2F%7E3%2F448846059%2F If you happen to find yourself in London, be sure to visit the Science Museum. It is great for anybody who loves science in general, but also for those interested in medicine. There are a lot of things to see regarding medicine scattered around the vast spaces of this museum. On the ground floor you will find the exhibition entitled “Making the Modern World” which features many inventions that shaped our world as we know it. Among these exhibits there are a lot of medical devices like the first CT and MRI scanners or ECG machine. Further along, on the third floor there is the “Health Matters” exhibition, “Glimpses of Medical History” is on the fourth floor, and finally “The Science and Art of Medicine” exhibition is on the fifth floor. Museum... Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=1952958 Mon, 10 Nov 2008 21:39:18 +0100 1952958 http://www.medworm.com/index.php?rid=1895708&cid=t_194732_117_f&fid=36026&url=http%3A%2F%2Fblog.healthtalk.com%2Fzimney%2Flife-line-screening-a-scambuster-report%2F Recently, I noticed a flyer in my local newspaper advertising an upcoming stroke prevention screening and since the flyer was so misleading and from a national company that screens all over the U.S., I thought I’d give you some facts to consider in case one of these screenings comes to your town and you wonder whether it’s worthwhile. The company involved is called Life Line Screening and their flyer claims “We Can Help You Avoid a Stroke.” They offer a package of four tests for $139 in which they look at your carotid arteries and your abdominal aorta using ultrasound technology, your heart rhythm using ECG technology, and the blood flow in the arteries of your legs using blood pressure technology (but actually, only the carotid exam and the heart rhythm have anythi... Dr. Z's Medical Report blogs http://www.medworm.com/rss/comments.php?id=1895708 Tue, 21 Oct 2008 18:10:20 +0100 1895708 http://www.medworm.com/index.php?rid=1887041&cid=t_194732_105_f&fid=36987&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FIvorKovicMd%2F%7E3%2F423738362%2F Here is a treat for all you medical gadget lovers. An exclusive interview with Dr. R.A. Brest van Kempen who just happens to be the CEO of RS TechMedic. His company has produced some amazing high tech medical devices over the years. One of their most revolutionary product on the market today is a telemedicine device called Dyna-Vision. Only for you, Dr. R.A. Brest van Kempen talks about his company’s products and shares news about the development of software which will enable you to monitor your patient in real time using your iPhone. Could you tell me more about yourself, about your background? I studied at the Catholic University of Leuven in Belgium and have been a “clinical perfusionist” in cardiovascular surgery for 10 years in 3 leading hospitals in Belgium and the Nethe... Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=1887041 Fri, 17 Oct 2008 14:33:28 +0100 1887041 http://www.medworm.com/index.php?rid=1834897&cid=t_194732_105_f&fid=36987&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FIvorKovicMd%2F%7E3%2F404690469%2F I purchased my iPhone about six months ago and it has in many ways changed my life for the better. This is especially true regarding my work as a medical doctor. I believe that iPhone is a perfect gadget and that it can improve any physician’s performance. That is way I decided to present some of many useful ways you can utilize iPhone in your practice. Access your Electronic Medical Record Life Record is a company which produces Life Record Electronic Medical Record (EMR) software. What is interesting about it is that you can access your records form an iPhone. You can also make updates and even write prescriptions. View medical images To view your radiology images remotely you can use the Mobile MIM iPhone Application. This application provides multi-planar reconstruction of da... Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=1834897 Sat, 27 Sep 2008 14:00:03 +0100 1834897 http://www.medworm.com/index.php?rid=1658145&cid=t_194732_87_f&fid=34935&url=http%3A%2F%2Fmedicine.com.my%2Fwp%2F%3Fp%3D3721 a ECG Course (I) - Video (Source: Malaysian Medical Resources) Malaysian Medical Resources blogs http://www.medworm.com/rss/comments.php?id=1658145 Sun, 27 Jul 2008 04:00:00 +0100 1658145 http://www.medworm.com/index.php?rid=1658144&cid=t_194732_87_f&fid=34935&url=http%3A%2F%2Fmedicine.com.my%2Fwp%2F%3Fp%3D3723 a ECG Course (II) - Video (Source: Malaysian Medical Resources) Malaysian Medical Resources blogs http://www.medworm.com/rss/comments.php?id=1658144 Sun, 27 Jul 2008 04:00:00 +0100 1658144