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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. In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. N Engl J Med 2003; 348:1756-1763, 5/1/2013.

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. Give appropriate fluids, vasopressors, and antibiotics. Why empirical therapy?

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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).

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Chest pain followed by 6 days of increasing dyspnea -- what happened?

Dr. Smith's ECG Blog

Written by Magnus Nossen, edits by Smith The patient in today's case is an 85-year-old male with a history of COPD and dementia. The only other processes identified that caused this type of postinfarction T wave evolution were cardiopulmonary resuscitation, reinfarction, and very small infarcts. References: [1] Lador, A. Hammill, S.

EKG/ECG 89