Dr. Smith's ECG Blog

MAY 3, 2024

A 60-something woman complained of sudden severe abd pain. She was found by medics agitated, hypotensive, diaphoretic, and in shock. There were 2 prehospital ECGs: What do you think? Smith : Uncertain supraventricular rhythm with PVCs. (See Ken Grauer's analysis below). There is "shark fin" in I and aVL, which is due to a combination of a large R-wave due to left anterior fascicular block plus downsloping ST elevation due to OMI.

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Shock EKG/ECG Hospitals EMS 122

The Trauma Pro

MAY 3, 2024

In the previous post in this series, I described an early review article summarizing several older studies comparing these two hemorrhage control techniques for pelvic fractures. Today, I’ll review another paper fresh off the press, published just this month. This paper comes from the orthopedics and neurosurgical groups at the University of Texas-San Antonio.

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Fractures Documentation/Coding Radiology Radiology 113

Science Based Medicine

MAY 3, 2024

Genuine concern is consistent concern. The post Woke Washing the Pandemic: If You Really Were Progressive, You’d Want Them Infected first appeared on Science-Based Medicine.

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Emergency Live

MAY 3, 2024

Baden-Württemberg State Firefighters School Acquires Atego with Allison Fully Automatic Transmission for Training Fleet The Landesfeuerwehrschule Baden-Württemberg, the state firefighter training center, has procured six new rescue firefighting vehicles on a Mercedes Atego chassis for fire department manager driver training. All six vehicles, equipped with Allison 3000 Series™ fully automatic transmissions, entered service in October […] The post Allison for Firefighter Training in Germany

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Thinking Critical Care

MAY 3, 2024

Had the honour of being invited to give grand rounds by Dr. Paul Mayo and share some thoughts on fluid tolerance and venous congestion. Starts around the 17min mark – sorry I have no editing capabilities!

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AED Leader

MAY 3, 2024

In today’s fast-paced world, travel has become integral to our lives. Whether for business or leisure, more people are constantly on the move, exploring new destinations and experiencing different cultures. However, amidst the excitement and adventure, it’s crucial to prioritize safety, especially in medical emergencies. That’s where Travel AEDs (Automated External Defibrillators) come into play.

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Shock Pediatrics Resuscitation Wellness 52

PulmCCM

MAY 3, 2024

Bougies (flexible tracheal tube introducers) are commonly used to facilitate endotracheal intubation, especially when the vocal cords and glottis are poorly seen. Their effectiveness and benefits may seem obvious to airway experts, but there has been limited evidence to support their use or best define the situations in which bougies are most helpful. von Hellmann et al conducted a meta-analysis of 18 studies, including 12 randomized trials testing the use of bougies in emergent (9 studies, 8,07

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PulmCCM

MAY 3, 2024

While outcomes from acute ischemic stroke due to large vessel occlusion in the anterior circulation have improved substantially in the era of thrombolytics and mechanical thrombectomy, overall outcomes remain poor. Studies in animal models have suggested corticosteroids might reduce infarct size or extension of subsequent cerebral edema. When tested previously, steroids failed to show any improvement in outcomes after ischemic stroke, resulting in papers with confident titles like “Steroid

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Stroke Outcomes Hospitals 52

Ziqitza HealthCare Ltd

MAY 3, 2024

Starting a family can be a daunting process. The long pregnancy journey can be life changing and exciting at the same time. However, before you conceive, you must remember to keep your health in check. The health of the mother is crucial for the conception and growth of the fetus. Through proper pre pregnancy planning, you can make sure that your health and the health of your future baby are in a good place.

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Ambulance Services 52