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Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

Dr. Smith's ECG Blog

He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. He had this ECG recorded. He was rushed by residents into our critical care room with a diagnosis of STEMI, and they handed me this ECG: There is sinus tachycardia with ST elevation in II, III, and aVF, as well as V4-V6.

EKG/ECG 52
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Back to basics: what is this rhythm? What are your options for treating this patient?

Dr. Smith's ECG Blog

Written by Bobby Nicholson MD, with edits by Meyers, Smith, Grauer A woman in her early 40s presented to the emergency department for evaluation of palpitations. Her initial EKG is below. The following EKG was obtained after administration of adenosine. Same as initial ECG. Now the patient is in sinus tachycardia.

EKG/ECG 52
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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. At 6 to 8 mL/kg.

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Syncope and Atrial fibrillation in a Healthy 70-something Male

Dr. Smith's ECG Blog

Here is his ECG: Atrial Fib with a Ventricular Response of about 66. On reading the note the next day, the inpatient admitting team gave an assessment of "dehydration" and was about to discharge the patient. His only med is rivaroxaban (Xarelto), and he is taking all doses. In particular, whether he really is usually in sinus.

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Sweet! A Metabolic Disorders focused podcast episode

PEMBlog

This episode will help you better prepare for and manage children with inborn errors of metabolism in the Emergency Department. Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to PEM Currents, the Pediatric Emergency Medicine Podcast. But now I’m going to pass the mic.

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Grand Rounds Recap 4.5.23

Taming the SRU

stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e. EtOH, amphetamines, or cocaine) Prescription drugs (i.e.

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How to Diagnose Eating Disorders in the Emergency Department

ACEP Now

A 16-year-old male presents to the emergency department (ED) with his mother with the chief complaint of intermittent abdominal pain and constipation for several weeks. The prevalence and correlates of eating disorders in adult emergency department patients. 16 An elevated amylase suggests repetitive vomiting as well.