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2475908 50-something male with PMH of hypertension and tobacco use who presented to triage with chest pain, which has been stuttering for a few days but constant since 6pm last night. It is worse and "sharp" with inspiration, but a constant dullness. He states for the past few weeks he has had cough and cold symptoms, productive of thick phlegm and some occasional chest pain with coughing.
A 79 year old male presents to ED after a syncope. The patient has had diarrhoea and vomiting over the past week. He has a background of hypertension, atrial fibrillation and CCF.
Is 15 lead ECG better than 12 lead for diagnosing posterior MI or right ventricular infarction? When do you need a 15 lead ECG? Jesse McLaren guides us through 8 cases to highlight the steps and pitfalls in diagnosing posterior MI and RVMI in light of recent ECG literature. The post ECG Cases 31 Is a 15 lead ECG better than 12? Diagnosing Posterior MI and RVMI appeared first on Emergency Medicine Cases.
Discussing ICU triage, risk stratification, and patient disposition with intensivist Eddy Joe Gutierrez (@eddyjoemd) of the Saving Lives Podcast. For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), listen to the show for a promo code for CCS listeners! Takeaway lessons When a patient has borderline indications for requiring the ICU, generally, … Continue reading "Episode 47: ICU triage with Eddy Gutierrez" Discussing ICU triage, risk stratification, and patient dispositio
Hey all. This week I am making a guest appearance on the excellent ABCS of Anaesthesia podcast with Dr Lahiru Amaratunge. Specifically we are discussing the way that we can approach Obstetric Anaesthesia in rural hospitals. We discuss how we can manage risk, a lot about our paranoia and pessimism when it comes to higher risk Obstetric scenarios. It is a great topic that illustrates the way that GPAs need to balance the medical, social and logistical considerations in discussion with our team and
In this first part of our 2-part series on Cardiac Arrest Controversies Rob Simard, Bourke Tillman, Sara Gray and Scott Weingart discuss with Anton how best to ensure high quality chest compressions, the pros and cons of mechanical CPR, the literature on dual sequential defibrillation and optimizing pad placement, epinephrine vs vasopressin, amiodarone vs lidocaine, when to consider IV calcium and sodium bicarbonate, esmolol, airway considerations, sedation in cardiac arrest, the pros and cons o
Image by Mohamed Hassan Knowing our audience of advisors well, we here at ASC-EM won’t bother hunting for citations to adorn this sentence: We are all suffering from burnout of historic proportions. Whatever one’s politics, beliefs, position and physical capacity, the last two and a half years have been hard in a way that might (if one were prone to such thoughts) seem almost specifically targeted to make life difficult for ER doctors and educators.
Image by Mohamed Hassan Knowing our audience of advisors well, we here at ASC-EM won’t bother hunting for citations to adorn this sentence: We are all suffering from burnout of historic proportions. Whatever one’s politics, beliefs, position and physical capacity, the last two and a half years have been hard in a way that might (if one were prone to such thoughts) seem almost specifically targeted to make life difficult for ER doctors and educators.
Applicants to our nationally renowned EMT training courses often ask us if they can take their new EMT credentials to the state where they live, and the answer is mostly yes. The National Center for Outdoor and Adventure Education’s (NCOAE) campus is located in North Carolina, where we offer 21-day “Intensive” EMT-Basic and 23-day “Intensive” Advanced EMT training courses among others.
Chris and Spencer make an attempt to unravel the mystery behind an altered level of consciousness and more importantly, they try to figure what to (and not to) do about it. Chris and Spencer make an attempt to unravel the mystery behind an altered level of consciousness and more importantly, they try to figure what to (and not to) do about it.
Written by Jessica DiPeri, MD This post first appeared on REBEL EM Background: COVID-19 infection increases the risk of thrombosis due to multiple factors. (Rico-Mesa, 2020). Over the last 2 years, researchers have published 12 RCTs investigating various anticoagulation strategies among patients diagnosed with COVID-19 in multiple clinical settings.
A 30-something male presented in the middle of the night with several hours of sharp, non-radiating, left sided chest pain. It was there earlier, went away, and then returned approximately 1 hour prior to arrival. He is a smoker and has some family history of early MI. Exam and vital signs were normal. Here was the triage ECG: There appears to be diffuse ST Elevation (II, III, aVF with reciprocal STD in aVL, V3-V6, and lead I, with T-waves that appear to be hyperacute (broad and fat, but on the
A 79 year old male presents to ED after a syncope. The patient has had diarrhoea and vomiting over the past week. He has a background of hypertension, atrial fibrillation and CCF.
Written by Jesse McLaren, with comments by Smith and Grauer Four patients presented with cardiorespiratory symptoms, with inferior ST elevation and reciprocal change on their ECG. Which patient had occlusion MI? Note: according to the STEMI paradigm these ECGs are easy, but in reality they are difficult. First lets start with each ECG without clinical context.
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