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ECG Blog #432 — "Should I Shock this Patient?"

Ken Grauer, MD

The September 27, 2019 post — for the Rowlands & Moore article with the above-noted formulas for recognizing the “culprit” extremity. The September 22, 2019 post — intermittent ST-T wave artifact. The August 26, 2019 post — baseline artifact. The October 17, 2020 post — for a 70-year old woman with " Artifactual VT ".

Shock 414
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Fires in 2019 and the Prolonged Consequences

Emergency Live

Global fire crisis, a problem since 2019 Before the Pandemic, there were other crises that unfortunately went to be rather forgotten. In this case we have to describe the issue of fires, which in 2019 presented itself as a virtually global threat.

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ECG Blog #415 — The Cath showed NO Occlusion!

Ken Grauer, MD

I i llustrate the ECG finding of T-QRS-D below in Figure-3 , which I've excerpted from My Comment i n the November 14, 2019 post in Dr. Smith's ECG Blog. The November 14, 2019 post in Dr. Smith’s ECG Blog ( Please scroll down to the BOTTOM of the page for My Comment and illustration of the phenomenon of T-QRS-D = T erminal QRS D istortion ).

EKG/ECG 411
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ECG Blog #406 — To Do Additional Leads?

Ken Grauer, MD

For my clarifying Figure illustrating T-QRS-D ( 2nd bullet ) — See My Comment at the bottom of the page in Dr. Smith’s November 14, 2019 post. = The February 16, 2019 post in Dr. Smith's ECG Blog — My Comment ( at the bottom of the page ) emphasizes utility of the M irror T est for diagnosis of acute Posterior MI.

EKG/ECG 413
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Congenital Pulmonary Airway Malformation (CPAM)

Pediatric EM Morsels

Fetal Congenital Cystic Adenomatoid Malformation (CCAM): Pathogenesis, Diagnosis, and Clinical Management: A Case Report. Clinical and Experimental Obstetrics & Gynecology. Dec 46 (6) 999–1002, [link]. Leblanc C, Baron M, Desselas, E, Phan, MH, Rybak A, Thouvenin G, Lauby C, Irtan S.

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Targeted Temperature Management in Paediatric Traumatic Brain Injury

Don't Forget the Bubbles

explored the evidence in a 2019 systematic review, which forms part of the Brain Trauma Foundation Guidelines, as did Utsumi et al. 2019 Apr;20(4):404]. The injury is not uniform across the brain. There tends to be a mixture of localised and widespread components. What is the evidence behind targeted temperature management?

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Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children

Pediatric EM Morsels

Okamoto, 2019) Superior Mesenteric Artery Syndrome: Presentation Presenting complaints are often vague but include epigastric abdominal pain, gastric distension, early satiety, and vomiting. Okamoto, 2019) In unable to tolerate PO intake next steps include nasojejunal tube feed or TPN if necessary. Ann Vasc Surg. 76: 514-535.