A V-Tach of Another Color

Here’s an EKG you may never have seen before.  Only slightly frightening, right?  The rate is tachycardic and the width of the QRS tells you that it is coming from below the AV node.  The defining feature here is that the QRS complex…

Know Your A-Lines (Part 2)

Once you understand the basic functions of the components of your arterial line set-up and know how to position it properly the next level of mastery involves spotting other errors and optimizing them. If you notice that your pulse pressure…

Know your A-lines!

Arterial lines can provide accurate, real-time information on your patient’s blood pressure.  They can be vital in cases where you want to trend precise blood pressure goals or where BP cuffs are producing incongruous measurements in…

Stones in bad places!

A Trichobezoar A 45 year-old female with hx of anemia presents to your ER complaining of 2 days of abdominal pain with nausea and several episodes of dark emesis but otherwise conversant and non-toxic in appearance.  She has not passed stoo…

June 2022
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