EMergucate

MAY 21, 2019

The ECG below is taken from an 83 year old man with a seizure history for the past 8 years. He presents after two 10 minute generalised tonic-conic seizures at home 10 days after self ceasing his C…

130

130

EMergucate

JUNE 18, 2019

An 86 year old diabetic man presents to ED with a 1 month history of diarrhoea and fatigue and intermittent upper abdominal pain over the last week. His ECG is as below.

ED 130

ED 130

EMergucate

JUNE 25, 2019

Following is an ECG of a 63 years of age man complaining of a 45 minute duration of a chest discomfort. You find him in mild discomfort and apart for being mildly hypertensive all his other observa…

EMS 130

EMS 130

EMergucate

JULY 2, 2019

You are asked to review an ECG of a 24 years of age man complaining of a two day history of a mild intermittent non cardiac sounding chest pain. En route you the noted on his CXR showed cardiomegal…

EMS 130

EMS 130

EMergucate

JULY 23, 2019

Following is an ECG of a 52 years of age man with a 3 day hx of intermittent chest discomfort. He is currently asymptomatic with a BP 150/95 mmHg. Describe the ECG abnormalities and what would you …

EMS 130

EMS 130

EMergucate

AUGUST 13, 2019

61 years of age lady presented with an acute shortness of breath whilst walking her dog. She denied any chest pain nor any pre-syncope. She looked well from the end of the bed and at clinical exami…

EMS 130

EMS 130

EMergucate

AUGUST 20, 2019

An 86 year old lady presents 2 days after a collapse at home. Her observations on presentation are BP 160/70 … Continue reading →

130

130

EMergucate

AUGUST 27, 2019

58 years of age lady presented with being generally unwell for 2 days. She has had a renal transplant and at clinical examination was noted to be tachycardic , normotensive and febrile at 38.3

EMS 130

EMS 130

EMergucate

SEPTEMBER 16, 2019

An 83 year old lady presents with palpitations preceeded by central chest pain. Her GCS is 15 but her BP … Continue reading →

130

130

EMergucate

SEPTEMBER 24, 2019

The following ECG is shown to you at 0130 hours of a monday morning on a 49 years of man struggling with severe crushing central chest heaviness for 6 hours. He is unwell and clammy with stable hem…

EMS 130

EMS 130

EMergucate

OCTOBER 8, 2019

You are seeing a 52 year old man who has had an MI 14 years ago secondary to a spontaneous RCA dissection. He presented late (with Q waves seen on ECG) and so was treated medically. 8 years later h…

EMS 130

EMS 130

EMergucate

OCTOBER 15, 2019

The following is an ECG of an 88 years of age man complaining of a lack of energy for the past 3 days. The nurse has mentioned that his initial observation are within normal limits with a blood pre…

130

130

EMergucate

OCTOBER 29, 2019

You are reviewing the ECG of an 82 year old man who has had an episode of syncope after a herald of spinning and dizzyness. He has had similar symptoms for the last 4 days, particularly when gettin…

EMS 130

EMS 130

EMergucate

NOVEMBER 5, 2019

Following ECG was obtained from a 24 years of age man complaining of a week history of intermittent chest pain. He is clinically well and his haemodynamics are all within normal limits. Describe t…

130

130

EMergucate

DECEMBER 3, 2019

You are shown and ECG on a 54 years of age male patient you have yet to review with decreased exercise tolerance with intermittent dizziness. Describe and discuss the abnormalities.

EMS 130

EMS 130

EMergucate

DECEMBER 17, 2019

The ECG below is taken from a 36 year old patient found unconscious at home. Interpret the ECG. What is … Continue reading →

130

130

EMergucate

MARCH 5, 2019

The following ECG is from a 55 year old male who presented to the ED after experiencing on-going left sided … Continue reading →

ED 130

ED STEMI EMS 130

EMergucate

APRIL 9, 2019

The following ECG is from a 39 year old woman who presented with intermittent palpitations and shortness of breath on … Continue reading →

130

130

EMergucate

APRIL 30, 2019

The ECG below is taken from a man who has been referred by his GP after presenting symptom-free for a health check following an electric shock at work in a domestic current.

130

130

EMergucate

MAY 15, 2019

A 39 year old woman with no significant medical history is brought to the emergency department in an acute confusional … Continue reading →

Emergency Department 130

Emergency Department 130

EMergucate

MAY 21, 2019

The ECG below is taken from an 83 year old man with a seizure history for the past 8 years. He presents after two 10 minute generalised tonic-conic seizures at home 10 days after self ceasing his C…

130

130

EMergucate

JUNE 18, 2019

An 86 year old diabetic man presents to ED with a 1 month history of diarrhoea and fatigue and intermittent upper abdominal pain over the last week. His ECG is as below.

ED 130

ED 130

EMergucate

JULY 9, 2019

You are reviewing a 43 yr old hypertensive patient who has been referred by their GP after presenting with central chest pain (currently pain free.) They have provided previous ECGs from today and …

130

130

EMergucate

JULY 16, 2019

The ECG below is taken from an 84 year old Nursing Home resident who complained of chest pain after a seated syncope. On examination his observations are within normal limits and he has mechanical …

130

130

EMergucate

SEPTEMBER 3, 2019

You see a 77 year old diabetic lady with a one month history of SOBOE on a background of Rheumatic fever as a child. On examination she has a pan systolic murmur.

130

130

EMergucate

OCTOBER 1, 2019

You see a 26 year old lady who has presented concerned that her lap band may have slipped. She had one vomit post eating last night and then woke with palpitations at 4am with associated shortness …

130

130

EMergucate

OCTOBER 8, 2019

You are seeing a 52 year old man who has had an MI 14 years ago secondary to a spontaneous RCA dissection. He presented late (with Q waves seen on ECG) and so was treated medically. 8 years later h…

EMS 130

EMS 130

EMergucate

NOVEMBER 19, 2019

A 32 year old man has presented after developing left sided chest pain whilst shoveling in the garden. He feels sweaty and dizzy. He is a FIFO worker with no medical history.

130

130

EMergucate

DECEMBER 10, 2019

You are reviewing a 73 year old patient who has presented after several days of chest pain. Their observations are within normal limits and their ECG is as follows:

EMS 130

EMS 130

EMergucate

APRIL 8, 2020

Following is an ECG of a 25 years old man with a four day history of left sided chest pain and its 0400 hours in the morning. He’s in a mild discomfort but looks well from the end of the bed and hi…

130

130

Dr. Smith's ECG Blog

JANUARY 2, 2025

Applying my method to the March 19, 2019 case that I show in Figure-1 the rhythm in this Figure-1 ECG is regular, with an R-R interval just under 4 large boxes. Figure-1: My "correction factor" for QTc estimation when the QRS is not wide ( from My Comment in the March 19, 2019 post in Dr. Smith's ECG Blog ). J Am Coll Cardiol.

Coronary 122

Coronary OR Defibrillator ALS 122

Pediatric EM Morsels

OCTOBER 27, 2023

2019 Jan;22(1):147-156. x exp[0.02 x length or height (cm)] There is a great review article that lists many other weight estimation formulae. Accuracy of the Broselow Tape in South Sudan, “The Hungriest Place on Earth” Acad Emerg Med. 2016;23(1):21-28. doi:10.1111/acem.12854 Public Health Nutr. doi: 10.1017/S1368980018002549.

E-9-1-1 274

E-9-1-1 Emergency Medical Services Life Support ALS 274

Pediatric EM Morsels

SEPTEMBER 22, 2023

McGraw Hill Education; 2019:104-109 Dave S, DAHLSTROM JJ. McGraw Hill Education; 2019:125-138 Ziu E, Mesfin FB. References Coleman-Satterfield, TT. Tenenbein M, Macias CG, Sharieff GQ, et al, eds. In: Strange and Schafermeyer’s: Pediatric Emergency Medicine. 5 th Edition. Neurogenic Shock. Updated 2022 Feb 10]. 5 th Edition.

E-9-1-1 307

E-9-1-1 Epinephrine ALS ED 307

ALiEM

OCTOBER 21, 2024

2019 Aug;276(8):2199-2203. Epub 2019 May 11. Klug TE, Holm N, Greve T, Ovesen T. Perichondritis of the auricle: bacterial findings and clinical evaluation of different antibiotic regimens. Eur Arch Otorhinolaryngol. doi: 10.1007/s00405-019-05463-z. PMID: 31079204.

ED 169

ED OR 169

Pediatric EM Morsels

JUNE 14, 2024

Tavasoli 2018, Wolf 2012) More common in adults; children comprise 20% of total cases (Pidcock 2007, Wang 2019) Bimodal age distribution (Absoud 2016) Children < 5 years Children > 10 years Symptoms evolve over 2-4 days and peak at 5-6 days (Absoud 2016) ATM may occur alone OR as part of another disorders (e.g.

Plasma 144

Plasma ALS OR EMS 144

The Skeptics' Guide to EM

JUNE 15, 2024

The SGEM bottom line in 2019 was that REBOA is currently an intervention of uncertain benefit. That was a review of a retrospective observational study of 593,818 trauma patients of which 140 received REBOA compared to 240 matched controls who did not receive this treatment. The overall mortality was worse with REBOA (35.7%

Life Support 296

Life Support Emergency Department ALS 296

The Skeptics' Guide to EM

JUNE 6, 2019

Date: May 15th, 2019 Guest Skeptic: Dr. Dara Kass is an Assistant Professor, Emergency Medicine, Columbia University Medical Center. This is an SGEM Xtra that was recorded at the Society of Academic Emergency Medicine 2019 (SAEM) annual meeting. All of the SAEM 2019 winners can be found at this LINK.

OR 130

OR 130