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Emergency Evidence Updates – May 2025

The Bottom Line

The Journal of Emergency Medicine Neurologic etiologies of cardiac arrest are associated with early withdrawal of life-sustaining therapy Resuscitation Point of Care Echocardiography and Regional Wall-Motion Abnormalities in Acute Coronary Syndromes The Journal of Emergency Medicine Proximal venous ultrasound with risk stratification safely excludes (..)

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Time is Brain

Peter Canning

Instead of floating a wire into the heart to remove a clock in a blocked coronary artery to restore blood flow, we were floating wires into people’s brains to remove the clot obstructing blood flow –a life-saving procedure. Only after I had read the article the second time did I notice it had been published in 2013.

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Chest Pain and Cardiogenic Shock with Profound ST Depression & STE in aVR. Activate the Cath Lab?

Dr. Smith's ECG Blog

A middle-aged woman with known severe coronary disease had onset of substernal chest pain while at dialysis. Is this Acute Coronary Syndrome? 2) Very high risk percutaneous coronary intervention 3) Fibinolytic therapy! 911 was called. A prehospital ECG was similar to the first ED ECG, which is shown below.

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repost this one as QRS distortion

Dr. Smith's ECG Blog

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Critical Care Evidence Updates – May 2025

The Bottom Line

A pilot randomized controlled study Journal of Critical Care Effect of Ketamine Analgosedation on Neurological Outcome in patients with Severe Traumatic Brain Injury: A Randomized Controlled Pilot Study Neurocritical Care Effects of a general practitioner-led brief narrative exposure intervention on symptoms of post-traumatic stress disorder after (..)

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A patient with chest pain. (post on Normal ECG)

Dr. Smith's ECG Blog

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

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