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Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated.

Dr. Smith's ECG Blog

This ECG was done in a middle aged woman who was in a motor vehicle collision in which her vehicle "T-boned" another, so there was trauma to the anterior chest. She had multiple rib fractures as well as serious hemorrhage and underwent massive transfusion. ng/mL, and an ECG was recorded: There are no P-waves visible.

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REBEL Core Cast 88.0 – Hypocalcemia

RebelEM

Treat moderate to severe symptoms and any EKG changes with IV calcium salts Always search for and treat the underlying cause of hypocalcemia REBEL Core Cast 88.0 – Hypocalcemia Click here for Direct Download of the Podcast Definition: A serum calcium level < 8.5

EKG/ECG 52
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What does the ECG show in this patient with chest pain, hypotension, dyspnea, and hypoxemia?

Dr. Smith's ECG Blog

Here is his triage ECG: What do you think? A prior ECG was available for comparison: There is sinus rhythm here; the QRS is the same We can see that the QRS is essentially the same as prior. For clarity in Figure-1 — I've reproduced and labeled the 2 ECGs in today's case. Figure-1: I've labeled the 2 ECGs in today's case.

EKG/ECG 52
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Is there Wenckebach? An Elderly Patient with a Fall

Dr. Smith's ECG Blog

The ECG that is shown in Figure-1 was obtained from an elderly patient, who was admitted to the hospital for a fall. In view of this history — HOW would you interpret the ECG in Figure-1 ? Figure-1: The initial ECG in this case — obtained from an elderly patient with severe anemia ( See text ). Is there AV block?

EKG/ECG 52
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Grand Rounds Recap 7.31.24

Taming the SRU

In select patient populations (such as those with poor outpatient follow-up), screening with a BMP to evaluate their serum creatinine may be beneficial Patients with asymptomatic hypertension should be referred to their PCP for outpatient follow-up.

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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

ECG: Evaluate for ischemia, right heart strain. Simple blood transfusion should be considered early in the hypoxemic patient with advancement to red cell exchange transfusion if there are clinical features of severe pathology or evidence of progression despite initial simple transfusion.

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Grand Rounds Recap 6.19.2024

Taming the SRU

Other medical interventions include PPIs, octreotide, erythromycin, and blood transfusion as needed. Blood transfusion may be useful in patients with penetrating trauma, although we must acknowledge when efforts are futile. Early endoscopy is key to both diagnosis and therapeutics.