Dr. Smith's ECG Blog

MAY 20, 2024

This was sent by an undergraduate (not yet in medical school, but applying now) who works as an ED technician (records all EKGs, helps with procedures, takes vital signs) and who reads this blog regularly. Edited by Smith He also sent me this great case. A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon.

EKG/ECG 124

EKG/ECG Hospitals Wellness Emergency Department 124

Sensible Medicine

MAY 20, 2024

The story of reversal agents for anticoagulants exposes many of the complexities of treating human beings. I like the story and I think you will too. Some background, then to the ANNEXA-I study. The new anticoagulants are called direct acting oral anticoagulants or DOACs. Rivaroxaban (Xarelto) and apixaban (Eliquis) are the two most popular. These drugs surpassed the old one, warfarin, because of convenience, efficacy and safety.

Stroke 106

Stroke Outcomes Hospitals Wellness 106

Science Based Medicine

MAY 20, 2024

Perusing the hellscape that is what Twitter has degenerated into as X, I found an alternative cancer cure testimonial, which led me into "functional health" nonsense that I hadn't encountered before. Introducing FitScript. The post FitScript™: Functional health quackery and a misleading alternative cancer cure testimonial first appeared on Science-Based Medicine.

80

80

EM Ottawa

MAY 20, 2024

Methodology: 3/5 Usefulness: 2/5 Fischer U, et al. N Engl J Med. 2023 Jun 29;388(26):2411-2421. Question and Methods: RCT at 103 sites to compare outcomes at 30 days for early versus late DOAC initiation among patients with ischemic stroke and atrial fibrillation. Findings: Primary outcome (ischemic stroke, systemic embolism, major bleeding, vascular death) occurred in […] The post Early versus Later Anticoagulation for Stroke with Atrial Fibrillation appeared first on EMOttawa Blog.

Stroke 57

Stroke Outcomes 57

RCEM Learning

MAY 20, 2024

The post Explore the Frontiers of Pre-Hospital Care Research appeared first on RCEMLearning.

Research 83

Research Hospitals 83

RebelEM

MAY 20, 2024

A 67-year-old woman with a history of atrial fibrillation on apixaban presents to the ED for epistaxis that began 30 minutes ago. Her bleeding is difficult to control with direct nasal pressure and topical agents but resolves with silver nitrate cauterization. Her vital signs are within normal limits. How should this patient’s apixaban be managed? Administer a one-time dose of intravenous vitamin K Administer andexanet alfa Bolus 1 unit of prothrombin complex concentrate Give intravenous tranexa

EMS 55

EMS 55

Medical Law

MAY 20, 2024

Mastering truck braking techniques is crucial to preventing brake failure in semi-trucks. A fully loaded big rig truck weighs up to 30 tons, and it becomes a deadly hazard when the driver is unable to stop it, especially while traveling downhill. This is part of why brake failure is a leading cause of catastrophic truck accidents on the road. Sadly, a lot of trucking companies attempt to cut costs and save money by hiring inexperienced or inadequately-trained drivers who simply don’t know how to

Operations 52

Operations 52