Sat.Feb 01, 2025

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ECG Blog #467 — The Cath Lab was Deactivated

Ken Grauer, MD

I was sent the ECG in Figure-1 obtained from a previously healthy man his 60s, who contacted EMS ( E mergency M edical S ervices ) for new-onset severe burning CP ( C hest P ain ) that radiated to the jaw and throat. On seeing the ECG in Figure-1 the EMS crew activated the cath lab. QUESTION: Do you agree with this decision by the EMS crew to activate the cath lab?

EKG/ECG 317
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SGEM #467: Send me on my way…without Cervical Spine Imaging

The Skeptics' Guide to EM

Reference: Leonard JC et al. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Lancet Child Adolesc Health. June 2024. Date: Oct 15, 2024 Dr. Tabitha Cheng Guest Skeptic: Dr. Tabitha Cheng is a Southern California native and board-certified emergency medicine physician and completed an EMS fellowship as well.

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How Much O2 In Trauma | Ped vs. Adult Trauma Centers

JournalFeed

The JournalFeed podcast for the week of Jan 27-31, 2025. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Tuesday Spoon Feed: There was no difference in patient centered outcomes between trauma patients who received either restrictive or liberal oxygen therapy in this RCT.

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Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. Its time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Can We Use PERC-35 to Rule Out PE in Younger Patients? Spoon Feed In a meta-analysis of patients with septic shock, starting norepinephrine earlier had no mortality benefit, though heterogeneity and bias limit clinic

Stroke 43
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The Surprising Link Between REM Sleep Onset and Dementia Risk

CasesBlog

Sleep is one of the most vital pillars of our overall health, yet its often overlooked in our fast-paced world. While we know that deep sleep is crucial for physical recovery and REM (Rapid Eye Movement) sleep supports mental well-being, recent research has uncovered an intriguing connection between how quickly you enter REM sleep and your risk of developing dementiaspecifically Alzheimer's disease.