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An elderly male with acute altered mental status and huge ST Elevation

Dr. Smith's ECG Blog

A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. CTA head and neck were obtained and showed no evidence of intracranial hemorrhage, large vessel occlusion stroke (what a helpful and apt name for an acute arterial occlusion paradigm, by the way.),

EKG/ECG 105
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A Comprehensive Guide to Surgical Clerking

Mind The Bleep

Unless you’re documenting something hilarious, please keep it brief and to the point. History of Presenting Complaint In this section use SOCRATES to document the pain. Drugs/Allergies When documenting drugs – try to get the dose and frequency (this can be found on Summary Care Records from the GP if you have access).

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Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine

There was fatigue, weight loss, nausea, declining kidney function, and a few strokes. He had COPD and depended on home oxygen. ” I documented those words in my progress note that day. SV was a patient who kept me up at night for the better part of 18 months. She was in her late 70’s and she was dying.

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Atrial fibrillation? Multifocal Atrial Tachycardia? Don't look at computer read until AFTER you interpret!

Dr. Smith's ECG Blog

This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. See below how this has been documented. Here is the ECG: What do you think? Computer interpretation is below. Poon et al. sensitivity and 98.9% Many arrhythmias will prove uninterpretable — IF only 1 or a few leads are used. GET a 12-lead!

EKG/ECG 52