Remove 2003 Remove EKG/ECG Remove Resuscitation
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SGEM#430: De Do Do Do, De Dash, Dash DAShED – Diagnosing Acute Aortic Syndrome in the ED.

The Skeptics' Guide to EM

She is received in the resuscitation room. The ECG shows sinus tachycardia with non-specific ST-T changes. This study found that between 2003 and 2018, there were 1,299 cases of AAS in Ontario, the largest province in the country. She complains of retrosternal chest pain radiating to her jaw. The chest x-ray is unremarkable.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

An immediate 12-lead EKG was obtained: There is ST elevation in leads aVR and V1, with marked ST depression in I, II, III, aVF, V3-V6. In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. What should be done? Should the cath lab be activated?

EKG/ECG 40
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Prehospital Traumatic Cardiac Arrest: A Systematic Review and Meta-analysis

RebelEM

The only statistically significant factor intra-arrest was the first ECG rhythm, which only had an odds ratio of 1.12, which is relatively low. However, we might expect on-scene advanced trauma resuscitation to prolong prehospital time sizably. Cardiopulmonary resuscitation traumatic cardiac arrest—there are survivors.

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Annals of B Pod - Opioid-Associated Hearing Loss

Taming the SRU

UDS : positive for amphetamines, benzodiazepines, fentanyl, THC EKG : Normal sinus rhythm, incomplete right bundle branch block, normal axis, normal intervals. without signs of ischemia on EKG, an elevated CK of 1900, and a mild acute kidney injury with a creatinine of 1.56. 2003 May 27;168(11):1421-3. Diagnostics WBC : 8.6

EKG/ECG 52
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MI in Children

Pediatric Emergency Playbook

Electrocardiography (ECG) should be performed on any patient with significant blunt chest injury. A negative ECG is highly consistent with no significant blunt myocardial injury. Any patient with a new abnormality on ECG (dysrhythmia, heart block, or signs of ischemia) should be admitted for continuous ECG monitoring.

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ToxCard: Organic Mercury Poisoning

EMDocs

8 As always, remember to correct electrolyte abnormalities and provide fluid resuscitation as indicated. 2003 Oct 30;349(18):1731-7. Mercury, in all forms, reacts with sulfhydryl groups in intracellular sites ultimately interfering with multiple enzymatic processes. Ten Things Physicians and Patients Should Question. N Engl J Med.