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Early repol or anterior OMI?

Dr. Smith's ECG Blog

Chest Pain – Benign Early Repol or OMI? Written by Destiny Folk, MD, Adam Engberg, MD, and Vitaliy Belyshev MD A man in his early 60s with a past medical history of hypertension, type 2 diabetes, obesity, and hyperlipidemia presented to the emergency department for evaluation of chest pain. But — Which ST-T wave is the "correct" one? (

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ACMT Toxicology Visual Pearl – Apricot Kernels: Eat or pass?


The amount of hydrogen cyanide in each kernel varies and ranges from 540 to 2,000 mg/kg [2]. The lethal dose range reported for cyanide in humans is 0.56-1.5 Grinding or chewing the kernel increases toxicity [4]. The ingestion of approximately 20-30 apricot kernels in adults, and fewer in children, may lead to severe toxicity [2, 3, 5].

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Resolutions or Habits? St Emlyn’s

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Just before midnight at the NYE dinner party I was hosting the guests started to ask around the table “what are your New Year’s resolutions?”. Many people disclosed that they … Resolutions or Habits? St Emlyn’s Read More » The post Resolutions or Habits?

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Wide Complex Tachycardia -- VT, SVT, or A Fib with RVR? If SVT, is it AVNRT or AVRT?

Dr. Smith's ECG Blog

Per EMS report, patient believes he has been in atrial fibrillation for 5 days, since coming down with flu-like illness with rhinorrhea, productive cough, SOB. Patient is on rivaroxaben, carvedilol, and dofetilide (to suppress atrial fib -- rhythm control). He states that he maybe missed a dose or two during recent illness. SVT with aberrancy?

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GCS 8 obviously doesn’t mean intubate (in tox or otherwise)

First 10 EM

Clearly trajectory matters. If a patient’s GCS hit 8 and they are on a clinical course where you expect […] The post GCS 8 obviously doesn’t mean intubate (in tox or otherwise) appeared first on First10EM.

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AI & Medicine: Saviour or Snake Oil?

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Air France Flight 447 takes off at 1930hrs on the final day of May in 2009, from Rio de Janeiro en route to Paris, carrying 228 passengers. In charge is … AI & Medicine: Saviour or Snake Oil? Read More » The post AI & Medicine: Saviour or Snake Oil? appeared first on St.Emlyn's.

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Bougie: First Pass or Rescue Device?


A study in the February issue of Annals conducted a meta-analysis of 18 studies and concluded that bougie use was associated with increased first-attempt intubation success. The authors conclude, “despite the certainty of evidence being low, these data suggest that a bougie should probably be used first and not as a rescue device.” 2021;40(2).

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