Sat.May 21, 2022 - Fri.May 27, 2022

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

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.

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ECG of the Week 25th May 2022 Answer

EMergucate

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.

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ECG Cases 31 Is a 15 lead ECG better than 12? Diagnosing Posterior MI and RVMI

Emergency Medicine Cases

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.

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Episode 47: ICU triage with Eddy Gutierrez

Critical Care Scenarios

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

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Outback Obstetric Anaesthesia

Broome Docs

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

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Imaging Case of the Week 505 Answer

EMergucate

The facial x-ray shows ‘black eyebrow’ sign. This finding suggests presence of orbital air.

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Ep 169 Cardiac Arrest Controversies – Chest Compressions, Dual Defibrillation, Medications and Airway

Emergency Medicine Cases

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

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NCOAE’s EMT Training Opens the Doors to Jobs Across the U.S.

NCOAE

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.

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Imaging Case of the Week 506 Answer

EMergucate

The x-ray does not show any acute fractures.

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Ejection fraction 1.8%

Dr. Smith's ECG Blog

1798350 Just presented as severe heart failure, but not in resp failure or cardiogenic shock.

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Altered LOC Quest

EMS 20/20

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.

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The INSPIRATION Trial: Intermediate Dose Anticoagulation in Critically Ill Patients with COVID-19

Silk City Blog

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.

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Imaging Case of the Week 507

EMergucate

The lateral neck x-ray is from a young adult with neck pain and shortness of breath. What can be visualised?

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A 30-something with Chest pain, elevated troponin, with Subtle ST Elevation and hyperacute T-waves.

Dr. Smith's ECG Blog

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

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Lab case 363 interpretation

EMergucate

Question 1: PH = 7.52, that is moderate alkalaemia pCO2 = 34, so we have respiratory alkalosis.

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Lab case 364

EMergucate

8 years old asthmatic boy, presented with croupy cough and wheezy chest.

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ECG of the Week 25th May 2022

EMergucate

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.

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Inferior ST elevation with reciprocal change: which of these 4 patients has Occlusion MI?

Dr. Smith's ECG Blog

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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