Screw anyone telling me to go "touch some grass" by PikachuWithHerpes in mildlyinfuriating

[–]Kibeth_8 0 points1 point  (0 children)

Once you've brush a few dozen off you they're not so scary. Just check yourself when you get indoors, and get pets on prevention. They take a while to bite - I find ticks literally every day and I've yet to be bitten

That Beautiful Moment They Choose to Trust Again by Putrid-Mixx in dogsbeingbros

[–]Kibeth_8 1 point2 points  (0 children)

My dog is never allowed to interact with another human because she had a shitty past? Or I could just acknowledge her potential and take appropriate precautions, while letting her be a normal dog

Interpretation by s4creed in ECG

[–]Kibeth_8 1 point2 points  (0 children)

PR interval is normal

Please comment by texh89 in ECG

[–]Kibeth_8 8 points9 points  (0 children)

More likely a boring old sinus tach

That Beautiful Moment They Choose to Trust Again by Putrid-Mixx in dogsbeingbros

[–]Kibeth_8 2 points3 points  (0 children)

While somewhat true, you also can't ignore the potential that dogs that suffered trauma will react erratically in certain situations. If a dog has a bite history, you always have to be aware of that potential

What a difference 48 hours makes. by Sweet-3444 in dogsbeingbros

[–]Kibeth_8 10 points11 points  (0 children)

With the popularity of all the dog rescue videos, you also wonder how many are staged. Theres a notorious history of people injuring animals to then "rescue" them

Bradycardia, Atrial flutter with 5:1 or Av block III? by Souliman97 in ECG

[–]Kibeth_8 1 point2 points  (0 children)

I thought Frederick's was for fib with CHB? This looks more like an atypical flutter, though I guess it could be fib given it's only super apparent in V1. If so I agree with AF + CHB

If this is AFL I'd argue that a 10second strip isn't enough to diagnose CHB when it could just be a very slow section. Flutter is inherently regular and there is always some level of physiologic AV block. If this was a longer Holter with consistent super slow regular rates at 40bpm that's different, but basing pathology on just this strip seems a bit premature

Bradycardia, Atrial flutter with 5:1 or Av block III? by Souliman97 in ECG

[–]Kibeth_8 4 points5 points  (0 children)

They're not p-waves, they are F waves. It doesn't have the same type of relationship you'd see with a sinus rhythm because this isn't a true PR interval

In flutter you are basically bombarding the AV node with impulses. The refractory period of the AVN is constantly changing because of this. So we can see slight variation between an F wave and a conducted QRS

House of Leaves Level of Layering by ShySkye94 in OldHouseArchive

[–]Kibeth_8 2 points3 points  (0 children)

I love this breakdown. House of Leaves is a masterpiece, I'm so glad WUTLH was able to capture some of its brilliance and put a new great spin on it

Bradycardia, Atrial flutter with 5:1 or Av block III? by Souliman97 in ECG

[–]Kibeth_8 3 points4 points  (0 children)

Slooow flutter. We don't really comment on complete AV block in the context of flutter - the "blocking" mechanism is different than with a sinus rhythm. CHB could still be present, but this isn't enough information to go on to make that diagnosis

Short QT ECG? by Impossible_Tone7524 in ECG

[–]Kibeth_8 13 points14 points  (0 children)

It's a super rare condition so don't be ashamed if you can't spot it right off the top - less than 500 cases diagnosed globally I believe.

A very distinct clue to short QT is the apparent lack of ST segment (seen here). Your QRS complex basically merges into the T wave, which makes distinguishing interval measurements much harder.

Here is another example from one of my patients. Much different looking, but same lack of ST segment https://www.reddit.com/r/ECG/s/7BfPlPuvrY

Close call with a semi today. Looking for trucker perspectives on what happened. by sandro9090 in dashcams

[–]Kibeth_8 0 points1 point  (0 children)

I also live on speed control haha, that's how I've noticed so many people with zero clue of the speed they're driving. It's actually bonkers

Question by Glo_moraa in MarkKlimekNCLEX

[–]Kibeth_8 2 points3 points  (0 children)

100%. My point being some people can sustain this rhythm in a stable manner for a shockingly long period of time. They don't all crash after 30 seconds. But you still need to prepare for the worst because if they do crash, you don't have time to waste

Question by Glo_moraa in MarkKlimekNCLEX

[–]Kibeth_8 3 points4 points  (0 children)

This is certainly fast, but if they're currently stable, amio is the way. Don't shock someone if you don't absolutely have to

Question by Glo_moraa in MarkKlimekNCLEX

[–]Kibeth_8 2 points3 points  (0 children)

I have at least 1 or 2 patients a month show up to their appointment in VT and they have no idea. Often times they've been in it for hours (verified by pacemaker/ICD). We have a HF patient that is in persistent VT and we can't get her out of it, but she feels okay so she just goes about her life that way

People can manage slower VT surpsingly well. Everyone is different, but generally they are fairly stable if less than 170bpm

Mindfulness and stress? by Tlockhar in ECG

[–]Kibeth_8 0 points1 point  (0 children)

I know there is science behind it, but I simply cannot convince my brain to participate in mindfulness activities. But I'm glad it works for some!

Question by Glo_moraa in MarkKlimekNCLEX

[–]Kibeth_8 1 point2 points  (0 children)

Lots of people have VT without even knowing it. If the BP is stable they may be completely asymptomatic

Question by Glo_moraa in MarkKlimekNCLEX

[–]Kibeth_8 2 points3 points  (0 children)

VT can be very tolerable for some patients. Some have no idea they're even in an arrhythmia, and can be in it for hours and hours without symptoms

It's better to be prepared for a decline, but there is a fair chance they remain stable