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ECG of the Week: 26th August 2013

EMergucate

lady with a past h(x) of COPD and AF presents with worsening SOB, atypical CP and this ECG

EKG/ECG 40
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Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

RebelEM

It can be used to distinguish between various conditions, including chronic obstructive pulmonary disease (COPD) exacerbation, acute heart failure (AHF), pleural effusion, pulmonary edema, pericardial effusion, pneumothorax, and pneumonia [2,3]. R I Med J (2013). to −0.66) and −1.66 (95% CI −2.09 to −0.78) and -1.97 (95% CI −2.70

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Doing statistics can be difficult but understanding them can be fairly simple

Sensible Medicine

B) Another example comes from an article I co-authored in 2013 entitled “How confidence intervals become confusion intervals" One example we gave was showing the point estimates and confidence intervals from 5 different meta-analyses that evaluated the impact of statins on mortality in primary care.

Outcomes 118
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. N Engl J Med 2003; 348:1756-1763, 5/1/2013. This was contributed by some folks at Wake Forest: Jason Stopyra, Shannon Mumma, Sean O'Rourke, and Brian Hiestand.

EKG/ECG 40
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A woman in her 20s with syncope

Dr. Smith's ECG Blog

2013 Sep;26(9):965-1012.e15. seen on AP4 or SX view) = high sens, low spec Collapse/inversion of RA greater than 1/3 of cardiac cycle (increases specificity) Early diastolic inversion of RV free wall (can use M-mode in PSLA or PSSA to see this) = most specific. J Am Soc Echocardiogr. doi: 10.1016/j.echo.2013.06.023. 2013.06.023. Cardiol Clin.

EKG/ECG 40
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Pathogens ( Gudiol 2013 ) : The pathogens responsible for neutropenic fever have changed over time. Clin Microbiol Infect 2013; 19:474 Klastersky J. Antibiotics are effectively the only thing standing between these patients and overwhelming sepsis. Gudiol C, Bodro M, Simonetti A, et al. Why empirical therapy? J Antimicrob Chemother.

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ABG Versus VBG in the Emergency Department

EMDocs

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min). 2013 May;14(3):212-7. doi: 10.1136/emermed-2013-202879.