Leaderboard

So for this resurrected 3 year old thread, here is a link to the Brugada study from Circulation. http://circ.ahajournals.org/cgi/reprint/83/5/1649 On page 1651 is a nice decision tree that I think can help us decide what this is. 1. Absence of an RS complex in all precordial leads? I would have to say no. I would say that both V2 and V3 has RS complexes (though the R wave in V3 is very small but it is still there). This means we have to move on to the next decision point. 2. R to S interval >100ms in one precordial lead? We have to look at 2 leads, V2 and V3 since they are the only precordials with RS complexes. We look for the largest interval starting at the beginning of the R wave to the deepest part of the S wave. We have R to S intervals of 160ms and 40ms in V2 and V3, respectively. Based on this we can call it VTach and don't need to assess the remaining two criteria. For those who are interested in the statistics, the Brugada criteria give us a sensitivity of 98.7% and specificity of 96.5% for VT and a sensitivity of 96.5% and specificity of 98.7% for SVT with aberrancy.

OK why do all of the mug shots look like the women are trailer trash and really how could the husband think a wriggling paint brush under a pillow is a baby kicking http://www.msnbc.msn.com/id/37899934/ns/us_news/

Really? Because it looks to me that lead I is an up, not down. So, no it does not meet the requirements, as previously stated.

Why Parents Have Gray Hair A father passing by his son's bedroom was astonished to see the bed nicely made up and everything neat and tidy. Then he saw an envelope propped up prominently on the pillow. It was addressed, "Dad". With the worst premonition, he opened the envelope and read the letter with trembling hands: Dear Dad, It is with great regret and sorrow that I'm writing you. I had to elope with my new girlfriend because I wanted to avoid a scene with you and Mom. I've been finding real passion with Joan and she is so nice. I knew you would not approve of her because of all her piercings, tattoos, her tight motorcycle clothes and because she is so much older than I am but it's not only the passion, Dad, she's pregnant. Joan says that we are going to be very happy. She owns a trailer in the woods and has a stack of firewood, enough for the whole winter. We share a dream of having many more children. Joan has opened my eyes to the fact that marijuana doesn't really hurt anyone. We'll be growing it and trading it with the other people in the commune for all the cocaine and ecstasy we want. In the meantime, we'll pray that science will find a cure for AIDS so Joan can get better; she sure deserves it! Don't worry Dad, I'm 15 years old now and I know how to take care of myself. Someday, I'm sure we'll be back to visit so you can get to know your grandchildren. Your son, Chad P.S. Dad, none of the above is true. I'm over at Tommy's house. I just wanted to remind you that there are worse things in life than the report card that's in my desk drawer. I love you! Call when it is safe for me to come home!

Another case in point...an off duty EMT/paramedic student comes upon an accident close to her home. Rescue arrives and begins extrication. They ask her to get out of the way, but the ambulance crew (not associated with rescue and not the service she works for) tells her to stay there. A chain snaps while removing the roof of the car and injures her hand. She is now suing fire/rescue but not the ambulance service. The best part is she is claiming disability yet continues to play softball and racketball. This is the kind of crap that pisses me off.

This is clearly V - TACH, on your twelve lead it meets all the requirements to be so. for instance. all three limb leads point down and V1 points up. this is 99% diagnosed as V -Tach. if in dought look at V6 it points down showing you the direction of impulse is going away from lead so impulse has to be ventricular in nature. Oh by the way everything on 12 lead is wide so no dought this is V-Tach.