Archive | August, 2010


24 Aug



I am suffering with a third degree type-write block. There is complete dissociation between the thought and the type keys.

To the jealousy of Paramedics everywhere, I have a crush on the Paramedic blog six letter variable.

Cutie MD

22 Aug

Check for orthostatic blood pressure, laying, sitting, and standing once each shift. These are the best hand written cardiology orders we will ever see.

Fast Atrial Fibrillation

3 Aug

It is Atrial Fibrillation with a rapid ventricular response. The atrial rate can be more than 300 beats per minute followed by the ventricular rate of up to 170 beats. That is fast. I like to say in my mind Fast AFib. It just sounds cooler.

The intravenous cardizem is infusing giving a better control, or not.What about the or nots? I bet EPS Dr Wes, could give us the facts.

Why does it always have to be intravenous  cardizem?  I have seen Multaq post cardioversion sustain a nice sinus bradycardia. I have a love/hate relationship with Amiodarone.

I am a fan of the digoxin added to a beta-blocker.  I am starting to dig digoxin more and more because it does not drop the blood pressure.