Sat.Jan 13, 2024

article thumbnail

ECG Blog #412 — Is Cardiac Cath Indicated?

Ken Grauer, MD

The ECG in Figure-1 was obtained from a middle-aged man with known hypertension — who presented to the ED ( E mergency D epartment ) for CP ( C hest P ain ) over the preceding 2-3 days. QUESTIONS: How would YOU interpret the ECG in Figure-1 ? Should you activate the cath lab? If not — What next? Figure-1: The initial ECG in today's case — obtained from a middle-aged man with CP for the past 2-3 days.

EKG/ECG 400
article thumbnail

JC: Intubation for the low GCS tox patient. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Virchester (the home of St Emlyn’s) is a large conurbation that suffers from many of the issues that affect large urban populations in the western world. One part of that […] The post JC: Intubation for the low GCS tox patient. St Emlyn’s appeared first on St.Emlyn's.

117
117
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Orthostatic hypotension onset after invasive procedure?

Dr. Smith's ECG Blog

Written by Willy Frick A man in his 70s with a history of HFrEF and sick sinus syndrome s/p dual chamber pacemaker placement was admitted for overnight observation following outpatient placement of a mitral valve clip. The procedure note indicates uncomplicated clip placement. The next morning, the following ECG was obtained. What do you think? The tracing shows sinus rhythm with PVCs and non-specific ST&T wave abnormality.

EKG/ECG 109
article thumbnail

SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

The Skeptics' Guide to EM

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Resuscitation 2023. Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health […] The post SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Me

article thumbnail

Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. It’s 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: High-Dose Nitroglycerin for SCAPE – But How High? Spoon Feed High-dose nitroglycerin improves outcomes in patients with sympathetic crashing acute pulmonary edema (SCAPE) without significant side effects when compar

Stroke 62
article thumbnail

Workplace Violence and Mental Health in Emergency Medicine

ACEP Now

Careers often align with personality, interests, morals, and aspirations. This allows professionals to develop a sense of passion for, and fulfillment from, their chosen field. I chose emergency medicine, like so many others, to care for patients who are in their most vulnerable state. We must know a little about a lot or, more accurately, a lot about a lot.

article thumbnail

JC: Intubation for the low GCS tox patient. St Emlyn’s

PHARM

St.Emlyn’s – Emergency Medicine #FOAMed Virchester (the home of St Emlyn’s) is a large conurbation that suffers from many of the issues that affect … JC: Intubation for the low GCS tox patient.

52

More Trending

article thumbnail

A POCUS Primer | High-dose Nitro

JournalFeed

The JournalFeed podcast for the week of Jan 8-12, 2024. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Monday Spoon Feed: This expert panel from Canada has compiled a list of what they deem to be the most influential POCUS papers with regard to cardiac arrest as well as evaluation of shock.

Shock 52
article thumbnail

An Analysis of Racism in Health Care

ACEP Now

“I matter, now what are you gonna do?” 1 That is the last line in Dr. Robert Ray, Jr.’s eye-opening and intensely raw blog, where he details his experiences with institutional and systemic racism during his emergency medicine residency. I have read his account several times now, and, as a white woman, I struggle with how to write about it. Why Is It a Struggle for Me to Know How to Feel or What to Do with It?

article thumbnail

Case Report: Intimate Partner Sexual Assault?

ACEP Now

Case A 24-year-old female presents to the emergency department (ED) claiming to be sexually assaulted by her friend-with-benefits sexual partner. She wants to file a police report and have a sexual assault nurse examiner (SANE) exam performed. Medical screening examination is performed and she does not have injuries or complaints that need to be addressed.