Jump to content

Strip Tease 8


Recommended Posts

Okay, this one isn't on my blog yet. Thought I'd get another one up quick because the last one was answered so quickly.

StripTease8.jpg

Instructions for larger viewing from FireEMT:

If you enlarge the image when you click on the part where it says to click to enlarge and it opens a new window click and hold the control key on your keyboard and then hit the + key. It will enlarge the image even larger as many times as your click it. If you do the same, but use the - key, it will make it smaller. This also works for normal web page viewing. It works in firefox, and internet explorer.

Edited by FL_Medic
Link to comment
Share on other sites

  • Replies 28
  • Created
  • Last Reply

Top Posters In This Topic

Top Posters In This Topic

To my not quite trained eyes it looks like a 2nd degree type 1. Hard to tell because it's so slow and there are only 2 p waves and 2 qrs complexes. But I did noticed the second pri was much longer than the first. However, I could see it also being a 3rd. Those that are more experienced will probably be able to tell, but this is when I'd be hitting the print button on my monitor and getting a lead II print out. As far as treatment, would you pace? I'm guessing atropine wouldn't work if it's a block. We were taught it only works for brady originating above the av node.

Link to comment
Share on other sites

Adam,

Its a complete heart block with artifact. It actually threw me off thinking it might be A-fib with the complete heart block, but if you look closely there are numerous P waves found in the pericordial leads. They don't map out, giving way to complete AV dissocation, meaning complete heart block. Atropine is not the treatment of choice here. If it's asymptomatic, you watch and monitor close. If he's symptomatic: postion of comfort, NC @ 2-4 lpm O2, IV access, have someone ready the pacer and apply it, begin pacing and start a dopamine drip 5-20 mcg/kg/min for perfusion. Repeat 12 leads while enroute with ETCO2, SPO2, BGL, and Temp monitoring.

Link to comment
Share on other sites

ST7.jpg

3rd degree(Complete) AV heart block.

Note P-P intervals stay consistent.

R-R intervals generally stay consistent with these AV blocks as well.

There is complete AV disassociation. This is why the QRS complexes widen with complete heart block.

Link to comment
Share on other sites


×
×
  • Create New...