Rob Buttner

Author of the LITFL ECG Library | Adult/Paediatric Emergency Medicine Advanced Trainee | Adj Lecturer @monash_para | #ECG #FOAMed @LITFLblog

[Rob Buttner @rob_buttner]

‘VT’ versus ‘SVT with aberrancy’.

The long list of VT "suggestive" ECG features is difficult to recall and apply in real time.

How can we simplify things?

Here is my ABCDE approach – five simple Qs to ask:
🧵👇

[Rob Buttner @rob_buttner]

It’s been a while ⏰

Stay tuned. The team and I @LITFLblog are working on the biggest addition to the LITFL ECG Library to date.

#ActivateOrWait 🚨

[Rob Buttner @rob_buttner]

@ABCsofA

[Rob Buttner @rob_buttner]

‘VT’ versus ‘SVT with aberrancy’.

The long list of VT "suggestive" ECG features is difficult to recall and apply in real time.

How can we simplify things?

Here is my ABCDE approach – five simple Qs to ask:
🧵👇

[Rob Buttner @rob_buttner]

The ABCDE approach to VT v SVT

Came up with this last year when preparing an ECG talk for ICEM

Still my favourite piece of work giving a simplified, practical approach to a complex topic

[LITFL @LITFLblog]

VT or not VT…that is the question.
Read the full article here 👉 https://t.co/X3OwStB4hY

[Rob Buttner @rob_buttner]

@Abu_Khalaf7 @Abu_Khalaf7 thank you!! ☺️☺️

[Rob Buttner @rob_buttner]

@The_Nanashi_O @Abu_Khalaf7 @sandnsurf @LITFLblog @The_Nanashi_O 🙏 🙏

[Khaled Abukhalaf @Abu_Khalaf7]

https://t.co/5dBp3qPiWn

This is by far the best website for anything ECG. Whenever I read something that is new to me I just look it up on their website and read their straight-to-the-point articles. Check it our for anybody interested (they even have 150 ECG questions!)

[Rob Buttner @rob_buttner]

@EM_RESUS @The_Nanashi_O @smithECGBlog @BrooksWalsh @AslangerE @PendellM @ekgpress @DidlakeDW @ecgrhythms @marioalrb84_a @brun_dav @MaruanCarlos @UlhasDr @Vadeboncoeur_Al @RobertHermanMD @cummingb1 @EMS12Lead I agree it’s not, but I immediately recognise the changes in I and aVL from knowing this pattern and am prompted to examine closer for other changes

[Rob Buttner @rob_buttner]

@HansvanSchuppen @cliffreid Actually, in most small rural hospitals in Australia there is only one (or zero) anaesthetists on at any point in time.

[Emergency Medicine Ultrasound Groups @EMUGs_]

Some great #pocus workshops still available - practical procedures with phantoms and live models, paediatrics and advanced US where you can learn high end US tips/advanced clinical integration from the experts. @broomedocs @rob_buttner @lukemphillips

[Rob Buttner @rob_buttner]

10.8 million users...
From nearly 44,000 cities 🌆
In 245 countries 🌏
... in the last year alone.

The power of #FOAMed through @LITFLblog

[Rob Buttner @rob_buttner]

1) Any patient who is a representation or failed discharge from the emergency department

2) When I am asked to “quickly send someone home" from the waiting room or triage

3) When an experienced clinician asks for advice on a patient

[Rob Buttner @rob_buttner]

Knowing how to switch between system 1 and 2 thinking is one of the most important skills of an Emergency Clinician.

When do you choose to employ a System 2 approach?

Here are three situations for me. Comment with your own so we can improve our approach 👇🧵

[Rob Buttner @rob_buttner]

@abuabdo2 I actually just wrote a walk and added

#6: F is for fragmentation of S wave in V1-2 (Josephson sign)

This is highly specific for VT and thought to be due to fibrosis from previous MI

[Rob Buttner @rob_buttner]

By popular demand, the ABCDE approach is now an established part of the @LITFLblog ECG Library.

I've also added an optional F -- check out the post to learn more.

https://t.co/AowKI1SWfU

[Rob Buttner @rob_buttner]

@resuscitology Here is the original thread 🧵

[Rob Buttner @rob_buttner]

‘VT’ versus ‘SVT with aberrancy’.

The long list of VT "suggestive" ECG features is difficult to recall and apply in real time.

How can we simplify things?

Here is my ABCDE approach – five simple Qs to ask:
🧵👇

[Rob Buttner @rob_buttner]

@NadeevW @ralphoffenhouse Yes same concept in reverse, however no specific criteria to assess this

[Rob Buttner @rob_buttner]

@cliffreid @threadreaderapp Going to make it into a @LITFLblog post tonight!

[Rob Buttner @rob_buttner]

@greedylobster They did it using the centralised monitor with just the rhythm strip

[Rob Buttner @rob_buttner]

Differentiating regular narrow and wide complex tachycardias can be a challenge.

Can't see any P waves?

Here are three handy tricks to make things easier
🧵👇

[Rob Buttner @rob_buttner]

@greedylobster I couldn’t figure it out either, but the lovely nurses managed to for me!