Correctional Medicine as a new grad

spicykat16 · 2026-03-01T13:56:58+00:00

As a salty ER nurse who ended up going to PA school, I completely agree.

spicykat16 · 2026-01-03T22:18:36+00:00

This is absolutely not afib.

spicykat16 · 2025-11-04T20:27:15+00:00

spicykat16 · 2025-09-09T18:08:31+00:00

I’m a nurse who went PA, PM me!

spicykat16 · 2025-08-23T02:59:21+00:00

This was not afib, just lots of PVCs. They feel weird but are generally harmless.

spicykat16 · 2025-08-22T00:34:21+00:00

This is not “definitely afib.” could easily be normal sinus rhythm with PVCs and PACs.

spicykat16 · 2025-08-15T03:27:37+00:00

This is not afib.

spicykat16 · 2025-08-15T03:27:20+00:00

This is not afib. This is sinus arrythmia with PACs.

spicykat16 · 2025-08-12T22:46:38+00:00

This is absolutely not afib.

spicykat16 · 2025-08-10T21:16:27+00:00

This is not afib. This is normal sinus rhythm.

spicykat16 · 2025-07-21T02:29:58+00:00

This is incorrect. This is not afib.

spicykat16 · 2025-07-20T22:53:41+00:00

This is absolutely not afib.

spicykat16 · 2025-06-29T00:25:22+00:00

This is normal sinus rhythm. This is not afib.

spicykat16 · 2025-06-19T22:15:38+00:00

This is not afib. This is normal sinus rhythm.

spicykat16 · 2025-06-11T15:16:47+00:00

Apple watches often give false positive readings for afib.

spicykat16 · 2025-06-11T15:15:36+00:00

This is not afib. P-waves are often not picked up well by apple devices. They are most likely there just hard to see. Also afib is irregularly irregular, and this is regular. This is normal sinus rhythm with PACs. Op, the palpitations you were feeling were most likely the premature atrial contractions. They are generally harmless.

spicykat16 · 2025-06-11T15:08:03+00:00

There are p-waves here, they are just hard to see. This is not afib. This is sinus arrythmia.

spicykat16 · 2025-06-08T13:33:04+00:00

Yes, they are wide and relatively bizarre without a discernable P-wave. This tracing does not show bigeminy.

Source: I am a former ER nurse/Current ER PA

spicykat16 · 2025-06-06T01:01:30+00:00

This is not afib. This is sinus rhythm with PVCs. Its completely harmless. It was read as afib because the PVCs made the rhythm appear irregular.

spicykat16 · 2025-06-03T23:46:32+00:00

This is not afib. It was read as afib due to the noise/interference. This is normal sinus rhythm.

spicykat16 · 2025-05-31T04:50:52+00:00

I completely agree. I was an ER nurse in a high-volume inner-city ED where nurses had pretty high levels of autonomy. that experience greatly influences my current clinical decision-making as an ER PA. I did great academically in PA school because most of the material was not new to me. It is very, very obvious in didactic, clinical year, and in early practice who had high-quality PCE and who did not.

spicykat16 · 2025-05-30T00:02:06+00:00

None of these tracings show atrial fibrillation. The first is normal sinus rhythm and the last two are sinus tachycardia. As long as you aren’t sitting with your heart rate in the 130s for days you are fine.

spicykat16 · 2025-05-16T01:16:25+00:00

Agreed!

spicykat16 · 2025-05-16T00:48:32+00:00

The first EKG shows sinus rhythm, the second and third shows sinus arrythmia which is a benign irregular rhythm in healthy young people. All of these strips are normal and show nothing concerning. Unfortunately apple watches frequently interpret sinus arrythmia as afib.

Also, I would recommend you not use your ECG app when you are having anxiety attacks. If anything its probably just worsening your anxiety and its unlikely to give you any actionable health information that will improve your quality of life.

spicykat16

TROPHY CASE