Dr. Smith's ECG Blog

FEBRUARY 4, 2022

A 40 something otherwise healthy man presented with substernal chest pain. It had occurred once 3 days prior and resolved without any medical visit. He had a triage ECG at time zero: Here is the computer interpretation (Normal) This was the Veritas algorithm. What do you think? This ECG is DIAGNOSTIC of acute LAD Occlusion. The T-waves are hyperacute, but most important, the minimal ST Elevation is accompanied by Terminal QRS Distortion , or at least nearly so.

EKG/ECG 52

EKG/ECG Wellness Emergency Department Outcomes 52

Core Medical Group

FEBRUARY 3, 2022

Are you about to apply for a new job in healthcare, but unsure how to address the gaps in your resume? There’s no need to stress. It’s extremely common! In fact, gaps in employment history have never been higher. This shouldn’t come as a surprise given the state of the world over the past several years.

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ECG Guru

FEBRUARY 2, 2022

This two-lead rhythm strip shows a normal sinus rhythm at about 63 bpm. The P waves are regular. After the sixth P-QRS, there is a non-conducted P wave. The normal rhythm then resumes. The two most common reasons for a non-conducted P wave in the midst of a normal sinus rhythm are 1) non-conducted PAC, and 2) Wenckebach conduction. The first is easy to rule out.

EKG/ECG 52

EKG/ECG 52

JournalFeed

JANUARY 29, 2022

It’s the JournalFeed Podcast for the week of January 24-28, 2022. We cover the EvK RCT - etomidate vs ketamine for RSI, PE-SARD - predicting major bleed in PE treatment, a major update on antithrombotics for VTE, HEP-COVID - anticoagulation for COVID patients, and a new PE rule out pathway.

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The Skeptics' Guide to EM

JANUARY 29, 2022

Date: January 25th, 2022 Reference: Beyde et al. Efficacy of empiric antibiotic management of septic olecranon bursitis without bursal aspiration in emergency department patients. AEM January 2022 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: You’re working in your busy freestanding emergency department […] The post SGEM#358: I Would Do Anything for Septic Olecranon Bursitis But I Won’t Tap That fir

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Emergency Department Academics Hospitals Outcomes 52

EMergucate

JANUARY 29, 2022

The following chest x-ray is from an 88 year old who has presented with acute onset left sided chest pain followed by diaphoresis and dyspnoea. Patient is afebrile.

EMS 52

EMS 52

University of Maryland CC Project

FEBRUARY 2, 2022

Dr. William Grier, a fellow in the Pulmonary and Critical Care Medicine program at the University of Maryland provides an update on new COVID-19 literature including the new Omicron variant and novel therapeutics. Dr. William Grier, a fellow in the Pulmonary and Critical Care Medicine program at the University of Maryland provides an update on new COVID-19 literature including the new Omicron variant and novel therapeutics.

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PulmCCM

JANUARY 29, 2022

Jon-Emile S. Kenny MD [ @heart_lung ] “When she smiles without her teeth in place she looks like a witch. But with them in her mouth she’s very pretty.” -Judy Blume Basic Biology The SARS-CoV-2 genome encodes structural proteins [i.e., spike, envelope, membrane, nucleocapsid] and polyproteins [i.e., pp1a and pp1ab]. When the guts of SARS-CoV-2 spew into a cell, viral mRNA acts as a template for polyprotein inception.

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EMergucate

JANUARY 29, 2022

Original paper here What is this study about Authors hypothesized that given intramuscularly, Ketamine would work quicker (and safer) when … Continue reading →

EMS 52

EMS 52

University of Maryland CC Project

FEBRUARY 2, 2022

Dr. Andrew Shorr, MD, MPH, MBA, the Director of Pulmonary and Critical Care Medicine and Professor of Medicine at Georgetown Medstar Hospital presents a lecture on issues in nosocomial and ventilator associated pneumonia as part of the DC5 lecture series Dr. Andrew Shorr, MD, MPH, MBA, the Director of Pulmonary and Critical Care Medicine and Professor of Medicine at Georgetown Medstar Hospital presents a lecture on issues in nosocomial and ventilator associated pneumonia as part of the DC5 lectu

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Board Bombs

JANUARY 31, 2022

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com Harry Potter might have saved the world, but all Quidditch players have to retire eventually right?? Or else you end up with a spontaneous pneumothorax.Let's talk all about this classic diagnosis.

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PulmCCM

JANUARY 29, 2022

Jon-Emile S. Kenny MD [ @heart_lung ] “… but prejudices, like odorous bodies, have a double existence, both solid and subtle – solid as the pyramids, subtle as the twentieth echo of an echo, or as the memory of hyacinths which once scented the darkness.” -Mary Ann Evans Background As previously described , the SARS-CoV-2 main protease inhibitor [Mpro] is an existential feature of the virus.

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Hospitals Outcomes Wellness Pediatrics 40

EMergucate

FEBRUARY 2, 2022

You are reviewing an 80 year old man who has collapsed.

EKG/ECG 40

EKG/ECG 40

Emergency Medicine Cases

FEBRUARY 1, 2022

How many civil actions against Emergency Physicians does CMPA handle and what have been the outcomes? What are the 4 aspects of medical negligence and the anatomy of a legal action against physicians in Canada? What are the 3 stages of civil action in a medicolegal law suit in Canada? How should you respond when you are served with a medicolegal action?

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Outcomes EMS 52

EMergucate

FEBRUARY 2, 2022

A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol.

EMS 40

EMS 40

EMergucate

FEBRUARY 1, 2022

A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol.

EMS 40

EMS 40