Dawn's picture

Book Review: ACLS 2013, The ACLS/Arrhythmia Pocket Brain Book, by Dr. Ken Grauer, M.D.

Submitted by Dawn on Thu, 11/15/2012 - 22:37

Occasionally on the ECG Guru webpage, we like to do a review of books or other materials that we think would be of service to ECG instructors.  Dr. Ken Grauer's ACLS 2013 Pocket Brain is one of those books.  Followers of the ECG Guru webpage and FaceBook page have gotten to know Dr. Grauer as an exceptional resource for information on recognition AND treatment of arrhythmias.  He serves as a valued Expert on our Ask the Expert page.

Dawn's picture

HAPPY ANNIVERSARY, ECG GURU!

Submitted by Dawn on Tue, 11/06/2012 - 10:47

Today, the ECG Guru is one year old.  We are so happy that the Guru and the concept of helping ECG Instructors has been successful.  Through this website, we have met so many ECG Gurus all around the world, and have made some wonderful like-minded friends.  The website has had 23,995 visitors, many of them returning frequently for total visits well over 30,000.  There have been 86,543 page views from 146 countries.  The Guru has been viewed in 96 languages.

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Nov. 4th - 18th.

Submitted by jer5150 on Sat, 11/03/2012 - 18:46

This is a "Routine" resting 12-lead ECG I performed on a patient several months ago in the Outpatient ECG Lab.

PATIENT CLINICAL DATA:
72-year-old white man; asymptomatic; resting comfortably in recumbent position.

This is an exercise in "anomalous" beats.

QUESTION:
(1.)  Specifically, what are 3rd, 4th, and 10th beats?

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Oct. 28th - Nov. 4th.

Submitted by jer5150 on Sat, 10/27/2012 - 12:41

This is one of five consecutive serial ECGs that I performed several years ago on a patient in our Outpatient ECG Lab.  The patient was asymptomatic and the ECG was ordered as "Routine" by the patient's Primary Care Provider (PCP).  I deliberately "froze" the tracing on the screen and captured this image because I wanted to show a transition on the ECG.

No clinical patient data available.

What does this tracing show?  Choose the correct answer from the list below.

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Oct. 21-28, 2012

Submitted by jer5150 on Sun, 10/21/2012 - 14:34

No clinical patient data available for this 12-lead ECG.

What does this tracing show?  Choose the correct answer from the list below.

(1.)  Sinus bradycardia with atrial bigeminy; conducted APBs; prominent U-waves; RBBB
(2.)  Sinus rhythm with 3:2 and 2:1 Type II AV block; RBBB
(3.)  Sinus rhythm with atrial bigeminy; both conducted and nonconducted APBs; RBBB

Acronyms:
APBs = atrial premature beats
RBBB = right bundle-branch block

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Oct. 7-14.

Submitted by jer5150 on Sat, 10/06/2012 - 16:19

Patient's clinical data:  87-year-old black man

Questions:
(1.)  What is this 12-lead ECG suggestive of? 
(2.)  What are some other differential diagnoses?

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Sept. 30th - Oct. 7th.

Submitted by jer5150 on Sat, 09/29/2012 - 10:17

This is another one of those instances where I fortuituously viewed this ECG the day it was performed in our triage department several years ago. I immediately knew what was happening here but apparently nobody in the emergency department saw the obvious clues.

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Sept. 23-30, 2012.

Submitted by jer5150 on Sat, 09/22/2012 - 12:11


Patient's clinical data:
75-year-old white man who presented to the emergency department.  The patient was ventricularly paced on an emergent basis and the indication was probable complete AV block with an ineffective junctional escape rhythm.  I don't believe this patient survived the admission of this hospital visit.    

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Sept. 16-23. What probable clinical disorder is this tracing suggestive of?

Submitted by jer5150 on Sun, 09/16/2012 - 10:34

Unfortunately this 12-lead ECG is over 20-years-old, so I have very limited information to go on but this is what I do know about it.

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