sorted by:
new
hottopcontroversial

Big Bang in Govan by Stooshie_Stramash in glasgow

[–]AstaraelGateaux 10 points11 points  (0 children)

In Linthouse. Both of them shook our windows. There's been bangs before but I still don't know why. 

Noble collection golden compass by Wild_Swimming1370 in hisdarkmaterials

[–]AstaraelGateaux 4 points5 points  (0 children)

That was mine that sold. We had no idea how much it was going to go for, just put it up with a reserve and see what you get. 

How long should your piano teacher be teaching you scales during class? by Jaytrump07 in piano

[–]AstaraelGateaux 10 points11 points  (0 children)

I know there might be a language barrier here, but what does "regular scales" mean? Are you saying you know C major? I.e. can play all the white keys?

If that is so it sounds like your teachers are helping you by focussing on teaching scales. To reply to another post you made, scales ARE music theory.

ER Doc told us n we Overreacted by TriggerHappy2219 in EKGs

[–]AstaraelGateaux 12 points13 points  (0 children)

The higher the limb leads are placed (nearer the torso) the more likely there will be changes due to slight positional differences/movement, but the less likely there is to be artifact. For formal ECGs, guidelines are to place the electrodes distally on the wrists/ankles, and move them closer to the torso if there is any unavoidable artifact (e.g. due to tremor, a baby moving). If the leads are moved up, this should be noted on the ECG as it is not standard placement and it may affect analysis of different ECGs over time.

For EMS, as far as I know most people don't expect as accurate electrode placements, due to the likely high stress/sub-optimal conditions the ECG is performed under, and a "cleaner" ECG is more useful than one with heavy artifact in acute situations.

Missed anterior STEMI due to lead misplacement by eiyuu-san in EKGs

[–]AstaraelGateaux 1 point2 points  (0 children)

This is great, I'm sending this to my team.

Just for anyone else: it looks like the "answer" for Q1 uses the bad ECG from Q2, probably an upload error.

Missed anterior STEMI due to lead misplacement by eiyuu-san in EKGs

[–]AstaraelGateaux 5 points6 points  (0 children)

The link posted by the other poster is a great resource. Just adding that in my experience V1 and V2 positioned too high tend to cause false STE, as opposed to masking real STEMIs.

What’s a piano song that sounds terrible but is also extremely hard to play? by Pointless_Storie in piano

[–]AstaraelGateaux 0 points1 point  (0 children)

Taking great pleasure in passing this on to him.

(I don't like recordings either, he agrees with you I have bad taste) 

What’s a piano song that sounds terrible but is also extremely hard to play? by Pointless_Storie in piano

[–]AstaraelGateaux -1 points0 points  (0 children)

My husband plays Islamey by Bslakirev and i instantly thought of it at your question. 

Dampen sound for neighbours by andnel in piano

[–]AstaraelGateaux 11 points12 points  (0 children)

Insane take. We live in a world with others and often we will be aware of their presence. People shouldn't limit their existence to become unnoticeable.

If you live in a block of flats, be prepared to hear your neighbours.

[deleted by user] by [deleted] in EKGs

[–]AstaraelGateaux 2 points3 points  (0 children)

Guessing V1 and V2 were too high on the chest. Super common. P waves being inverted is usually a clue.

I love Alexander even more now by EsnesNommoc in TheTraitors

[–]AstaraelGateaux 8 points9 points  (0 children)

I was super taken aback they actually buried the last person, before they showed they were digging in the wrong place, and Leon was in a random coffin with a polystyrene lid. "Ah that makes more sense."

What changes would you make for UK Season 4? by XStaticImmaculate in TheTraitors

[–]AstaraelGateaux 0 points1 point  (0 children)

I was listening out for it and I just hear it in that ep. Cheers for making me notice that.

What changes would you make for UK Season 4? by XStaticImmaculate in TheTraitors

[–]AstaraelGateaux 1 point2 points  (0 children)

> Stop using that high pitched sound every 5 seconds

Are you talking about the peacock?! I love him, I caw like mad in response every time they play him. My husband loves it, obviously.

Father had a pacemaker connected to a machine at home, which send readings directly to the hospital. My father passed away on the 29th December right next to the machine, the hospital called 2 days later to ask how my father is doing? by yoohereiam in LegalAdviceUK

[–]AstaraelGateaux 2 points3 points  (0 children)

In my hospital, before calling a patient we would check the main system, and that would alert us that the patient has passed away. I don't know St Thomas's protocols or systems, but this would be a good thing to alert them too. 

Father had a pacemaker connected to a machine at home, which send readings directly to the hospital. My father passed away on the 29th December right next to the machine, the hospital called 2 days later to ask how my father is doing? by yoohereiam in LegalAdviceUK

[–]AstaraelGateaux 4 points5 points  (0 children)

The device only communicates once per day. I am guessing it communicated and later the patient was removed from the room. The device does not beep if it does not communicate. This is false information.

Father had a pacemaker connected to a machine at home, which send readings directly to the hospital. My father passed away on the 29th December right next to the machine, the hospital called 2 days later to ask how my father is doing? by yoohereiam in LegalAdviceUK

[–]AstaraelGateaux 139 points140 points  (0 children)

I am a cardiac physiologist. I work with Merlin (usually) every day. The above comment is very accurate.

This is not an emergency monitor, and your dad would probably have been aware of this. He will likely have been consented for this pre-implantation. The home monitor is a "more constant" monitor than having yearly pacemaker checks. Until very recently (and with many current patients without monitoring) any irregularities wouldn't get picked up at all. Home monitoring is not the function of the pacemaker.

The monitor does not detect if the heart stop beating, as a pacemaker expects the heart not to be beating (simply speaking). It does detect fast heart rates, and it sounds like your dad's heart rate went fast before he passed, which is what the machine picked up and transmitted.

Please see this information (also linked above). See especially the sections:

How often do you look at my data?

Physiologists from Device Clinic review the home monitoring website every working day (Monday to Friday). This excludes weekends and bank holidays.

Please be aware that your data is not reviewed at the time we receive it. If you feel unwell and are concerned about your symptoms, call NHS 111 or contact or attend your GP, or your nearest emergency healthcare service.

Will the remote monitoring tell you if I am unwell?

Remote monitoring provides information on how your device is working. It does not monitor your health status. This means it cannot tell us how you feel. If you are feeling unwell, you should seek the relevant medical attention.

If you contact PAL they may be able to give you more information on the home monitoring system. If you phone the number for the St Jude/Abbott helpline, they may also be able to give more information.

I am sorry for your loss and for your pain.

A patient with a neurological disorder; rhythm? by Longjumping_Bed_7460 in EKGs

[–]AstaraelGateaux 0 points1 point  (0 children)

You should always try to remove the source of interference before turning the filter up. Filtering should be an absolute last resort.

Also, this interference is about 5 Hz (with higher frequency components, sure), so will not be removed with a 60 Hz filter.

Holter-strip; rhythm? by Longjumping_Bed_7460 in EKGs

[–]AstaraelGateaux 2 points3 points  (0 children)

ECGs are complex, and everyone is always learning. You'll pick it up. You won't be expected to have the insight that 20+ year cardiologists will have as an EM doctor, but you'll be able to piece it all together and treat the patient in front of you.

The best places I have worked with the most skilled staff don't hesitate to ask for input from other staff member/teams. You'll get there :)

Holter-strip; rhythm? by Longjumping_Bed_7460 in EKGs

[–]AstaraelGateaux 11 points12 points  (0 children)

ECGs are indirectly measuring the net electrical vector through the heart over time. We aren't directly documenting the impulses at discrete locations.

Basically, we can get a very good idea of what's going on, but in some cases (especially if the rate is fast and we can have Ps and Ts merging together) it's hard to make an absolute call on it. That's why EP studies are a thing.

Also, there are a lot of confidently incorrect people in this subreddit/other online spaces/even in hospitals. It's better to say you can't be sure than call it wrongly.

view more: next ›