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Chest Pain in Children: ReBaked Morsel

Pediatric EM Morsels

EKG Reasonable screen for cardiac etiology [ Kane, 2010 ]: Chest Pain with Exertion? 2013 Oct;132(4):e1010-7. doi:10.1186/s13089-021-00205-x The post Chest Pain in Children: ReBaked Morsel appeared first on Pediatric EM Morsels. High-risk family history (ex, unexplained sudden death, drowning )? Pediatrics. Ultrasound J.

EKG/ECG 271
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Concerning EKG with a Non-obstructive angiogram. What happened?

Dr. Smith's ECG Blog

EMS obtained the following vital signs: pulse 50, respiratory rate 16, blood pressure 96/49. It appears EMS obtained two EKGs, but unfortunately these were not saved in the medical record. The EMS crew was only BLS certified, so EKG interpretation is not within their scope of practice.

EKG/ECG 127
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ECG Blog #387 — 2 Minutes Later.

Ken Grauer, MD

The ECG in Figure-1 was obtained from an elderly man with a history of coronary disease — who contacted EMS for "burning" chest discomfort that woke him at 3am. QUESTIONS: How would YOU interpret the initial ECG in today's case? In view of the above history — Does ECG #1 suggest an acute event?

EKG/ECG 195
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EM@3AM: Brugada Syndrome

EMDocs

We’ll keep it short, while you keep that EM brain sharp. Her presenting EKG is shown below. Clinical features Patients often present after an episode of sudden syncope, although Brugada syndrome can also be found on a routine EKG. ECG to evaluate for arrhythmia. Neurological exam is also unremarkable.

EMS 105
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emDOCs Revamp: Alcohol Withdrawal

EMDocs

Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14. 2013; 88(9): 589-595. A 36-year-old male presents to the emergency department after being found down at home by his spouse. Per the mans wife, the patient is a heavy drinker often consuming two to three pints of vodka daily. Cleve Clin J Med.

Seizures 105
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EM@3AM: Brainstem Strokes

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. Semin Ultrasound CT MR. 2013 Apr;34(2):131-41.

Stroke 110
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STREAM-2: Half-Dose Tenecteplase vs Primary PCI in Older Patients with STEMI?

RebelEM

ECG Results: Repeat ECG 90min after tenecteplase indicated 70.3% ECG Results: Repeat ECG 90min after tenecteplase indicated 70.3% ECG Results: Repeat ECG 90min after tenecteplase indicated 70.3% The upper range of this time was 120 minutes from diagnostic ECG in the majority of patients.

EKG/ECG 138