SAEM Emergency Medicine Exam
Study online at https://quizlet.com/_f9ikqv
1. What are the top 3 causes of morbidity/mortality ACS
in acute chest pain? pulmonary embolism
aortic dissection
2. What is the cardioversion and defibrillation joules? cardioversion = 50-100 J
defibrillation = 200 J
3. What is the most common EKG finding in a pul- most common = sinus tachycar-
monary embolus? What should you be on the dia
lookout for?
look for = "S1Q3T3" (large S wave
in lead I + Q wave in lead 3 + T
wave inversion in lead 3)
4. What should you worry about if a patient's EKG cardiac tamponade! looks like al-
shows electrical alternans? What does this look ternating big and small spikes
like?
5. Describe the basic evolution of the EKG of a pa- 1-normal
tient having a STEMI 2- T waves become wide and tall
3- ST elevation
4- Q waves and T wave inversion
, SAEM Emergency Medicine Exam
Study online at https://quizlet.com/_f9ikqv
5- Q waves persist but T wave
normalizes
6. chest pain, weakness, nausea, fatigue ACS!
classic presentation of ___________________
7. pleuritic chest pain, shortness of breath, anxiety pulmonary embolism
classic presentation of ___________________
8. a patient with SOB is found on physical exam to pulmonary embolism
have tachycardia, clear lung sounds, and a swollen
leg
classic presentation of ___________________
9. sudden on set severe chest pain that rips through aortic dissection
to the back; unequal blood pressures on PE
classic presentation of ___________________
10. How does cardioversion work? used to stop tachyarrhythmias -->
the impulse is delivered at the
peak of an R wave (prevents go-
ing into v fib)
11. What are 5 indications for cardioversion?
Study online at https://quizlet.com/_f9ikqv
1. What are the top 3 causes of morbidity/mortality ACS
in acute chest pain? pulmonary embolism
aortic dissection
2. What is the cardioversion and defibrillation joules? cardioversion = 50-100 J
defibrillation = 200 J
3. What is the most common EKG finding in a pul- most common = sinus tachycar-
monary embolus? What should you be on the dia
lookout for?
look for = "S1Q3T3" (large S wave
in lead I + Q wave in lead 3 + T
wave inversion in lead 3)
4. What should you worry about if a patient's EKG cardiac tamponade! looks like al-
shows electrical alternans? What does this look ternating big and small spikes
like?
5. Describe the basic evolution of the EKG of a pa- 1-normal
tient having a STEMI 2- T waves become wide and tall
3- ST elevation
4- Q waves and T wave inversion
, SAEM Emergency Medicine Exam
Study online at https://quizlet.com/_f9ikqv
5- Q waves persist but T wave
normalizes
6. chest pain, weakness, nausea, fatigue ACS!
classic presentation of ___________________
7. pleuritic chest pain, shortness of breath, anxiety pulmonary embolism
classic presentation of ___________________
8. a patient with SOB is found on physical exam to pulmonary embolism
have tachycardia, clear lung sounds, and a swollen
leg
classic presentation of ___________________
9. sudden on set severe chest pain that rips through aortic dissection
to the back; unequal blood pressures on PE
classic presentation of ___________________
10. How does cardioversion work? used to stop tachyarrhythmias -->
the impulse is delivered at the
peak of an R wave (prevents go-
ing into v fib)
11. What are 5 indications for cardioversion?
