A stable ICU patient had the following two EKGs obtained within minutes of each other. Can you guess what is going on? Answer: The EKG in sinus rhythm reveals a LAD occlusion status post reperfusion in the cath lab. There are some Q-waves and a wee bit of residual ST elevation. T-wave inversion reflects reperfusion. […]
Mystery Post-Arrest EKG
Clinical Challenge: A patient presents to Genius General Hospital status post cardiac arrest with the following EKG. What do you think is going on? What would your next management steps be? Answer: The cause of the ST elevation here […]
EKG answer – hyperkalemia and hypercalcemia
The patient has hyperkalemia (7.1 mM) and hypercalcemia (total calcium 13.1 mg/dL). Hyperkalemia is suggested by the somewhat peaked T-waves. A bit subtle, but I think it’s there (exactly when T-waves become peaked seems to be in the eye of the beholder). Hypercalcemia is suggested by the short ST segments (in some leads, the QRS […]
Hydroxychloroquine in COVID-19
general description Hydroxychloroquine is typically used for treatment of malaria, SLE, or rheumatoid arthritis. It has anti-viral activity in vitro, as well as anti-inflammatory activities. mechanism of action appears similar Multiple mechanisms of anti-viral activity, including: Interference with the cellular receptor ACE2 (potentially making it particularly effective against SARS and COVID-19). Impairment of acidification of […]
COVID Links
Hopkins COVID Map Stanford COVID Evidence Page Rural Environs CrisisEM
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