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    The 'spiked helmet sign' (SHS) is an electrocardiographic finding associated with critical illness and a high risk of death; It is likened to ST-elevation, leading to harmful coronary imaging despite lack of apparent myocardial infarction. We describe the case of SHS secondary to high ventilation pressures in the setting of Acute Respiratory Distress Syndrome (ARDS) in a critically ill patient who subsequently developed barotrauma. Published by Elsevier Inc.

    Citation

    Favour Markson, Manar Shalak, Onoriode Kesiena, Garba Rimaskep Shamaki, Emmanuel Ekanem, Kenneth Ong. The Spiked Helmet sign": A harbinger of impending barotrauma. Heart & lung : the journal of critical care. 2023 Jan-Feb;57:203-206

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    PMID: 36244090

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