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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

In 2014, we became an official stroke hospital, which meant we were now meeting rigid standards of care set by the American Heart Association. Back then, we actually told EMS not to bring stroke patients to our hospital because we didn’t do a good job of taking care of them in a timely manner. We just weren’t quick enough.

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repost this one as QRS distortion

Dr. Smith's ECG Blog

. ► 2015 (188) ► December (16) ► November (16) ► October (15) ► September (15) ► August (20) ► July (13) ► June (15) ► May (11) ► April (19) ► March (21) ► February (9) ► January (18) ► 2014 (151) ► December (15) ► November (15) ► October (11) ► (..)

STEMI 52
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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 70 something female with chest pain (KG- done)

Dr. Smith's ECG Blog

The T wave changes that have occurred are widespread, and not in a typical coronary distribution. Each time the patient underwent cardiac catheterization — and each time, she had patent coronary arteries! Discussion : ECG #2 shows sinus rhythm with quite dramatic change in T wave morphology when compared to ECG #1.

ACS 52
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Which patient needs a CT scan?

Dr. Smith's ECG Blog

Cardiology wanted a CT of the aorta to rule out dissection, presumably partly due to the very high blood pressure readings, but also because it is hard for people to believe that a 20-something woman could have acute thrombotic coronary artery. Coronary malperfusion due to type A aortic dissection: mechanism and surgical management.

STEMI 108
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A patient with chest pain. (post on Normal ECG)

Dr. Smith's ECG Blog

OMI Manifesto About Resources Teaching Images Lectures + Podcasts Rules + Equations OMI Literature Timeline OMI Facts and References The OMI Quizzes OMI Pocket Guide Cardiac CATH Guide QTc Calculator Lead Reversals-Artifact Neuroprotective CPR OMI AI: The Queen of Hearts Thursday, November 27, 2014 A patient with chest pain.

STEMI 52