Dr. Smith's ECG Blog

OCTOBER 15, 2023

Submitted by anonymous, written by Pendell Meyers I was at triage when this ECG was presented to me. What do you think? Here's what the Queen of Hearts thinks: Note that the Queen has "HIGH" confidence that this is OMI. As noticed by the AI, if the patient presented with chest pain , then even this subtle ECG is diagnostic of OMI. Specifically , this ECG is diagnostic of acute LAD OMI, with hyperacute T waves likely in V3 and V4, very small but abnormal STE in V2-V4 (because of its there is a lo

EKG/ECG 110

EKG/ECG 110

First 10 EM

OCTOBER 15, 2023

In the massive hemorrhage deep dive, I mentioned that there were a number of large trials in the works that would further define practice. One of those trials – CRYOSTAT-2 – was just published, and adds important information about the role of empiric fibrinogen administration (in the form of cryoprecipitate) in trauma patients. The paper […] The post CRYOSTAT-2: Empiric cryoprecipitate in traumatic massive hemorrhage appeared first on First10EM.

Administration 103

Administration EMS 103

ACEP Now

OCTOBER 15, 2023

The treatment of diabetic ketoacidosis (DKA) is, in many ways, unchanged: intravenous fluids, electrolyte repletion, insulin, and treatment of any precipitating factors. However, as with many treatments, there has been substantial de-escalation in intensity of therapy over time. Historically, patients were given a bolus of intravenous insulin followed by an insulin infusion.

Hospitals 80

Hospitals Operations Emergency Department Research 80

Maria Yang, MD

OCTOBER 15, 2023

To become a doctor, one learns how to prevent disease and death. To do this, one first must become acquainted with them: What happens? What does disease and death look like? sound like? smell like? What are their textures and patterns? What shifts over time, until the patient has no more time left? As medical students learn what disease and death look like, they witness human suffering.

Hospitals 59

Hospitals 59

SheMD

OCTOBER 15, 2023

Originally posted at EMDocs.net with direct link to page here. Sitting down to write this, I cursed myself for volunteering in the first place. Yes, I am a woman, yes I am a feminist, yes I am a physician, yes I am in academic leadership for a well-known emergency department… The yes’s are many, but what do I have to say that is so meaningful or useful that people would want to publish it?

Emergency Department 52

Emergency Department EMS Leadership Academics 52

Board Bombs

OCTOBER 15, 2023

Stevens Johnson. You must be a pretty bad dude to be named after this condition.Let's talk about this dermatologic nightmare that might be the only way to get a dermatologist to come to the hospital after hours. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. emboardbombs.com/interactive-question-bank/ Cite this podcast as: Briggs, Blake; Wosiski-Kuhn, Marlena. 195.

Hospitals 52

Hospitals 52

ACEP Now

OCTOBER 15, 2023

There is no shortage of evidence regarding the harms of opiate use and misuse. With this in mind, prescriptions for opiates have been dropping in the United States, but were still dispensed at a rate of 43.4 prescriptions annually per 100 persons in 2020. 1 The emergency department remains an important frontier for work in judicious prescribing, but opiate analgesia remains a valuable tool for the initial treatment of a variety of presentations.

Emergency Department 52

Emergency Department Outcomes CDC Research 52

ACEP Now

OCTOBER 15, 2023

A 37-year-old female was walking home from grocery shopping when she had an encounter with a stray pit bull. For obvious reasons, all history was obtained via emergency medical services and Cleveland police. They were called to the scene to find her with a blood pressure of 135/85, pulse of 110 beats per minute, and respiratory rate of 26 per minute.

Fractures 52

Fractures Dislocations Airway Management Operations 52

PHARM

OCTOBER 15, 2023

Could the vote affect the way the world views Australia and potentially have an impact on Australia’s international relations? — Read on theconversation.

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Pediatric Education

OCTOBER 15, 2023

Patient Presentation A 3-year-old female came to clinic with a 6 week history of painful swallowing. The mother cannot remember a triggering event but the girl would complain or make faces when eating solids. This did not occur with liquids and the child would point to her throat when asked where the pain was. She would complain with all textures of food.

Pediatrics 40

Pediatrics Infectious Diseases Wellness 40

PHARM

OCTOBER 15, 2023

Did Indigenous people want a Voice? The results from some of Australia’s most remote communities suggest many did – ABC News — Read on amp.abc.net.

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PHARM

OCTOBER 15, 2023

Polling catchments where Indigenous Australians form more than 50% of the population voted on average 63% in favour of the voice — Read on amp.theguardian.

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