Dr. Smith's ECG Blog

JUNE 11, 2021

Case submitted and written by Dr. Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo with a history of hypertension developed chest pain and collapsed, and had bystander CPR. The paramedics found the patient with ROSC and a GCS 7, and an ECG showing LBBB with possible lateral ST elevation. The patient was brought to the ED as a possible Code STEMI and was seen directly by cardiology.

EKG/ECG 52

EKG/ECG Documentation/Coding CPR Shock 52

Downeast Emergency Medicine

JUNE 7, 2021

This lecture was presented at the 2021 Maine Medical Center Winter Symposium. For more information on the symposium click here. Key concepts for Ultrasound Guided IV placement LENGTH Always use long IV (1.88 inches) catheters or it will pull out of the vessel. FLASH Do NOT look for flash, you should watch the needle all the way into the vessel to ensure your location.

Ultrasounds 52

Ultrasounds Wellness 52

Emergency Medicine Ireland

JUNE 7, 2021

Welcome back to the tasty morsels of critical care podcast. It is with trepidation that I approach any topic that involves the negative feedback loops of endocrine control as I really struggle to keep it all straight in my head, Read More » Welcome back to the tasty morsels of critical care podcast. It is with trepidation that I approach any topic that involves the negative feedback loops of endocrine control as I really struggle to keep it all straight in my head, but today I’m going to t

Sepsis 52

Sepsis 52

JournalFeed

JUNE 5, 2021

It’s the JournalFeed Podcast for the week of May 31 - Jun 4, 2021. We cover pulse oximeter inaccuracies in Black patients, the AHA statement on opioid-associated OHCA, EMS predictors of c-spine injury, usefulness of CTA to diagnose aerodigestive tract injury in penetrating neck trauma, and the efficacy of listening to educational podcasts while driving vs with no distractions.

EMS 52

EMS 52

The Skeptics' Guide to EM

JUNE 5, 2021

Date: May 25th, 2021 Guest Skeptic: Dr. Garreth Debiegun is an emergency physician at Maine Medical Center in Portland, ME and clinical assistant professor with Tufts University School of Medicine. He also works at an urgent care and a rural critical access hospital. Garreth is interested in wilderness medicine and is the co-director of the […] The post SGEM#333: Do you gotta be starting something – like tPA before EVT?

Stroke 52

Stroke Urgent Care Critical Access Outcomes 52

EMergucate

JUNE 9, 2021

86 year old male with a background of CRF, PPM and AF presents to ED with SOB Answer Rate: Ventricular … Continue reading →

EKG/ECG 52

EKG/ECG 52

EM Literature of Note

JUNE 9, 2021

While the blog has become a bit sparse – owing to the demands of a new environment down in New Zealand – I’ve got plenty of new content to share. I’m still writing bimonthly for ACEP Now : Should We Use New Blood Test to Rule Out TBI? Insights from the Pediatric Emergency Care Applied Research Network Then, every month there’s a new Annals of Emergency Medicine Journal Club : Stop the MABness!

Emergency Department 40

Emergency Department Pediatrics Research Wellness 40

EMergucate

JUNE 5, 2021

The left hip x-ray shows an avulsion fracture of the ischial tuberosity.

Fractures 52

Fractures EMS 52

EMergucate

JUNE 7, 2021

28 year old man presented to ED with nausea and vomiting for 5 days. His venous blood gases showed the following: PH = 7.82 PaCo2 = 28.

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EMergucate

JUNE 6, 2021

86 year old male with a background of CRF, PPM and AF presents to ED with SOB Describe and Interpret … Continue reading →

EKG/ECG 40

EKG/ECG 40

EMergucate

JUNE 5, 2021

The coronal CT face image shows ‘tear drop sign’.

Fractures 52

Fractures EMS 52

EMergucate

JUNE 9, 2021

A 35 year old male presents to ED confused and combative. No further information is known. VBG: pH 7.

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