Fri.Jun 07, 2024

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ECG #433 — Which Lead Convinced Me?

Ken Grauer, MD

The ECG in Figure-1 was obtained from a previously healthy older man — who presented to the ED ( E mergency D epartment ) with new but atypical CP ( C hest P ain ) for several hours. QUESTIONS: Given this history — How would YOU interpret this ECG? Which lead is the most concerning? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ).

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Pertussis Cases are Rising Sharply in 2024

Science Based Medicine

As the pandemic "winds down", cases of whooping cough are on the rise in dramatic fashion. The post Pertussis Cases are Rising Sharply in 2024 first appeared on Science-Based Medicine.

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Overly optimistic design dooms many large randomized trials to failure

PulmCCM

Academic medicine is a tough business. Conceiving and conducting large randomized controlled trials is an expensive, time-consuming undertaking, requiring intense competition for funding and collaboration by dozens or hundreds of collaborators and facilitators. In an era of diminishing public funding, meaningful clinical research is becoming even more difficult.

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Chest pain with serial ECGs – can you guess the sequence?

Dr. Smith's ECG Blog

Written by Jesse McLaren A 45-year-old presented with 24 hours of intermittent chest pain. Below are serial ECGs focusing on the inferior leads and aVL. Can you guess the sequence? First, what’s the interpretation of each ECG on its own? #1 There’s T wave inversion in III/aVF and a taller T wave in aVL and V2. On it’s own this is nonspecific, but in the right context this could be diagonal occlusion (if active chest pain) or infero-posterior reperfusion (if resolved chest pain). #2 Normal ECG #3

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Meet Joe: A Passionate Recruiter Connecting Nurses with Their Perfect Roles

Core Medical Group

Joe is a Senior Recruiter in the Permanent Placement Division at CoreMedical Group, with over 2.5 years of experience. Known for being personable and easy to talk to, Joe enjoys fishing, watching sports, and spending time with his son. Joe is dedicated to connecting nurses with their perfect placement!

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Why should I take these medications?

Sensible Medicine

My one disappointment with Sensible Medicine, as we near the end of our second year, is that we don’t have more people writing from a patient perspective. I wrote one piece and Kristin Inciardi published a great one, but that is about it. Thus, I was thrilled to receive this one from John Horwitz. I am not sure what I should call it, a prose poem maybe?

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CT Case 067

Life in the Fast Lane

Georgina Beech, Leon Lam, Jennifer Davidson and Parvathy Suresh Kochath CT Case 067 80-year-old female presents with four days of left flank pain and fever. She is febrile 39.5, HR 110, and hypotensive with SBP 90.

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CT Case 066

Life in the Fast Lane

Parvathy Suresh Kochath, Georgina Beech, Leon Lam and Jennifer Davidson CT Case 066 A 71-year-old presents with vomiting and abdominal pain and inability to open his bowels. This was preceded by three days of diarrhoea.

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Ambulances in the world: differences and specificities

Emergency Live

The Journey Through Various Types of Ambulances Ambulances, essential for patient rescue and transportation, vary greatly depending on national and regional contexts. Each country tailors its emergency vehicles to specific healthcare and territorial requirements within its territory, with significant differences in vehicle types, functions, and equipment.

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Imaging Case of the Week 594 Anwer

EMergucate

The lateral neck x-ray shows a linear radio opaque foreign body approximately 2 inch long (chicken bone from history) in … Continue reading →

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ReBaked Morsel on Asthma Control – The 2020 NIH Asthma Management Guidelines

Pediatric EM Morsels

Knowing how to manage a severe asthma exacerbation in the ER is a vital ingredient to being a successful ER doctor, but what about the more mild cases? The kids with a history of wheezing that are at the start of a viral URI but not yet in the midst of an exacerbation? What recommendations should we be giving these families? Lucky for us, in 2020 there were some updates made to the NIH Asthma Management Guidelines and we’re going to discuss which ones can help us in the Emergency Department!

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Imaging Case of the Week 593 Answer

EMergucate

The chest x-ray shows left sided pleural based opacity protruding into the lung field with a reverse D appearance.

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Imaging Case of the Week 591 Answer

EMergucate

The frontal x-ray shows crowding of the radio capitellar space.

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Imaging Case of the Week 592 Answer

EMergucate

The abdominal x-ray shows paucity of gas in the abdomen.

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