Dr. Smith's ECG Blog
OCTOBER 7, 2022
Written by Magnus Nossen — with edits by Grauer. I was at my computer going through admission ECGs from the previous day when I saw this ECG from a female in her 70s. The chief complaint was chest pain. What do you think? ECG #1 My initial reaction — "Oh! Could this be a missed posterior OMI?" My interpretation: The ECG in today’s case shows sinus rhythm with a normal QRS duration.
EMCrit Project
SEPTEMBER 24, 2022
Where are we on Fluids on 2022? EMCrit Project by Scott Weingart, MD FCCM.
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Medgadget
AUGUST 22, 2022
Researchers at the University of Pennsylvania have developed a microrobot system that can help with biofilm disruption, drug delivery, and sample retrieval, all within the restrictive space of the root canal. It can be difficult for dentists to know if they have removed all the infectious material when performing a root canal, and failure to do so will typically result in an infection reoccurring.
The Skeptics' Guide to EM
JUNE 12, 2022
Date: June 12th, 2022 Reference: Finfer et al. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. NEJM 2022. Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of Critical Care Medicine at Mayo Clinic Arizona. He is board certified […] The post SGEM#368: Just A Normal Saline Day in the ICU – The PLUS Study first appeared on The Skeptics Guide to Emergency Medicine.
Chicago EMT Training
DECEMBER 27, 2022
Learning how to stop the bleed and procuring the materials to do so is an inexpensive insurance policy. Especially if you're in an area that is prone to gun violence. You don't need a license or permit to carry these things. You never know when you'll need it or someone around you may need it. [link] First up is the Tourniquet. There are a few varieties that have been heavily tested.
EMergucate
DECEMBER 27, 2022
ECG of the Week 21st December 2022 – Interpretation Looking at the rhythm strip, there is sinus rhythm, interspersed with … Continue reading →
Emergency Medicine Cases
DECEMBER 20, 2022
In this month's Waiting to Be Seen blog Dr. Howard Ovens outlines challenges, innovations and coping strategies in the EM Crisis. The post WTBS 28 I’m OK, How Are You? How can we innovate our way out of this crisis in EM and cope until we do? appeared first on Emergency Medicine Cases.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
EMS 12-Lead
SEPTEMBER 6, 2022
Coronary thrombosis is a dynamic process of platelet aggregation and subsequent coagulation. During spontaneous reperfusion -- whether via thrombolysis, or recruitment of collateral circulation -- there exists characteristic ST/T changes on the ECG.
High Performance EMS
JANUARY 20, 2022
I have often heard comparisons on the automation of System Status Management to the 2002 Spielberg movie starring Tom Cruise called “ Minority Report ” loosely based on the 1956 short story by Philip K. Dick. This science fiction action thriller is set in the year 2054 when police utilize a psychic technology to arrest and convict murderers before they commit their crime.
Dr. Smith's ECG Blog
MAY 25, 2022
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.
Dr. Smith's ECG Blog
MARCH 16, 2022
2540890 This patient presented with Chest pain and an ECG was recorded at triage: Computer Interpretation: SINUS RHYTHM MARKED LEFT AXIS DEVIATION [QRS AXIS < -30] LOW QRS VOLTAGE [QRS DEFLECTION < 0.5/1.
Dr. Smith's ECG Blog
JANUARY 20, 2022
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, January 20, 2022 Written by Pendell Meyers Posted by Pendell at 4:28 PM Email This BlogThis!
Dr. Smith's ECG Blog
AUGUST 1, 2022
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 Monday, August 1, 2022 Is this paroxysmal dysrhythmia the cause of your patients symptoms?
Dr. Smith's ECG Blog
OCTOBER 1, 2022
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 Saturday, October 1, 2022 Simultaneous beats show how STE can be hidden in RBBB In PM EKGs Posted by Steve Smith at 11:24 AM Email This BlogThis!
EMCrit Project
OCTOBER 21, 2022
Every Resus doc should be able to crash a patient on to APRV for lung rescue. EMCrit Project by Scott Weingart, MD FCCM.
EMCrit Project
DECEMBER 3, 2022
Rounding up the questions from the past few months. EMCrit Project by Scott Weingart, MD FCCM.
EMCrit Project
DECEMBER 22, 2022
All the resus/acute critical care literature goodness for December 2022. EMCrit Project by Scott Weingart, MD FCCM.
Medgadget
AUGUST 18, 2022
Enovis , a medtech company based in Delaware formerly known as DJO, recently announced the launch of ARVIS (Augmented Reality Visualization and Information System), an augmented reality technology that is designed to assist surgeons during implant placement in the hip and knee. The hands-free technology consists of an eyepiece that is mounted on a surgical helmet that provides the surgeon with real-time information about the position of an implant with respect to patient anatomy.
Medgadget
NOVEMBER 11, 2022
Researchers at the University of Texas at Arlington, in collaboration with Shani Biotechnologies, a local firm, have created a point-of-care device that can accurately measure hemoglobin levels and perform pulse oximetry in individuals with dark skin. At present, methods to determine hemoglobin levels at the point of care, such as pulse oximetry, are inaccurate in individuals with higher levels of melanin in their skin, and there is a clear need to develop alternatives that work for everyone.
EMergucate
DECEMBER 27, 2022
This is one of the serial ECGs on a 66 year old man who presented to ED following post-coital exertion.
EMergucate
DECEMBER 27, 2022
The hand x-ray is from a 30-year-old with wrist pain following fall on outstretched hand. What can be seen?
EMergucate
DECEMBER 26, 2022
The pelvic x-ray shows: Right iliac wing fracture Right acetabular fracture Right inferior pubic ramus fracture Diastasis of the pubic … Continue reading →
EMergucate
DECEMBER 20, 2022
ECG of the week 14th December 2022 – Interpretation This ECG was included as a reminder of the Sgarbossa criteria … Continue reading →
EMergucate
DECEMBER 20, 2022
This ECG was obtained from a 22 year old man who had taken a polypharmacy overdose 24 hours ago. He had suffered a bradycardic / asystolic arrest and is currently in the intensive care unit.
Emergency Medicine Cases
DECEMBER 20, 2022
Dr. Jesse McLaren discusses some key aspects of cocaine chest pain ECG interpretation in this month's blog including: Patients with cocaine-associated chest pain require benzodiazepines +/- nitroglycerine for symptom relief, aspirin and ECG to look for signs of occlusion and reperfusion. In patients with chest pain + ST elevation, consider false positive STEMI including early repolarization, LVH and Brugada-pattern.
Emergency Medicine Cases
DECEMBER 20, 2022
In this main episode podcast Anton discusses with world expert and bronchiolitis researcher Dr. Suzanne Schuh, the challenges of the diagnosis and management of bronchiolitis during a time of crisis in pediatric emergency medicine and offers some evidence-based solutions to improving outcomes while minimizing valuable resources, as part of our 'Best of University of Toronto EM' series.
EMergucate
DECEMBER 18, 2022
The main finding on the elbow x-ray is that there is a radial head dislocation.
EMergucate
DECEMBER 18, 2022
The pelvic x-ray is from an adult taken post MVA.List 5 findings. How will you manage?
EMergucate
DECEMBER 13, 2022
The following forearm x-rays are from a 9-year-old with pain around their elbow after fall on to outstretched hand.
EMergucate
DECEMBER 13, 2022
The foot x-ray shows avulsion fracture of the base of the 2nd metatarsal (fleck sign) with mild widening of the … Continue reading →
EMergucate
DECEMBER 13, 2022
ECG of the week 7th December 2022 – Interpretation: There is a regular narrow complex tachycardia (QRS < 120ms, rate … Continue reading →
EMergucate
DECEMBER 13, 2022
The following ECG was obtained in a 38 year old Indigenous man with a history of ischaemic cardiomyopathy at a regional hospital. He did not have a history of left bundle branch block previously.
EMergucate
DECEMBER 11, 2022
The chest x-ray shows sail shaped density behind the heart with a parallel left heart border silhouetting the medial left … Continue reading →
The Skeptics' Guide to EM
DECEMBER 10, 2022
Date: November 30th, 2022 Reference: Johnson et al. One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. Bone Joint J 2022 Guest Skeptic: Dr.Matt Schmitz is an Orthopaedic Surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. […] The post SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management
EMergucate
DECEMBER 6, 2022
The following foot x-rays are from a 50 year old with plantar flexion injury to their foot and inability to … Continue reading →
Emergency Medicine Cases
DECEMBER 6, 2022
In this Journal Jam podcast Anton and Justin welcome special guest Dr. Haley Cochrane. We dive deep into the evidence for timing of closure and infection rate, fluid choice, volume and pressure of irrigation of lacerations, glove type and infection rate, how eversion of wound edges effects cosmetic outcomes and much more. You might be surprised to discover that the evidence for many things we do for lacerations that are considered "standard of care", is either weak or non-existent.
Emergency Medicine Cases
DECEMBER 6, 2022
In this first EMC Journal Club (where we take the "boring" out of journal clubs and deliver clear, concise, practical practice changing critical appraisal knowledge based on an Emergency Medicine journal article that may have passed your radar - not too detailed and not too brief), Dr. Rohit Mohindra, an Emergency Physician at North York General in Toronto and SREMI researcher works his critical appraisal magic on the article "Fever therapy in febrile adults: systematic review with meta-analyses
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