Dr. Smith's ECG Blog
JUNE 12, 2025
A 60-something with h/o Coronary Bypass called 911 for acute chest pain. On arrival, an ED ECG was recorded: Still diagnostic When a patient has severe chronic coronary disease, findings which appear to be acute can sometimes be chronic, so in this patient with h/o CABG (coronary bypass), it is wise to find a previous ECG if possible.
Dr. Smith's ECG Blog
DECEMBER 3, 2024
Given the right coronary anatomy seen during angiography, it is particularly interesting that subtle T wave changes were seen on the previous EKGs in the high lateral leads that would otherwise only be expected with a more proximal RCA lesion.
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The Bottom Line
JUNE 27, 2025
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 (..)
Don't Forget the Bubbles
NOVEMBER 18, 2024
Use with caution in neonates with coronary artery disease or chronic nephropathy due to the risk of ischemia and reduced renal blood flow. It is particularly useful in septic shock and should be considered when vasoplegia (low systemic vascular resistance) does not respond adequately to catecholamines. Batton, B., Li, L., & Newman, N.
JEMS
JULY 7, 2025
The authors of this retrospective review investigate the efficacy of EFT over a 53-month period from May 1, 2018, to November 1, 2022, utilizing records and data from the Hungarian HEMS service. Rapid re-perfusion of the coronary arteries is essential to save at risk myocardium from infarction in patients with acute coronary artery occlusion.
Dr. Smith's ECG Blog
JANUARY 6, 2016
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The Bottom Line
JUNE 27, 2025
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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