Remove EKG/ECG Remove Emergency Department Remove Resuscitation
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Putting Clinical Gestalt to Work in the Emergency Department

ACEP Now

On a busy day shift in the emergency department, our seasoned triage nurse comes to me after I finish caring for a hallway patient, “Hey, can you come see this guy in the triage room? This is the essence of emergency medicine. The “bundling” heuristic—if I send a troponin, then an ECG is needed. His vitals are fine…”.

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Neonatal Resuscitation Tips

ACEP Now

A gravid woman presents to your emergency department (ED). Neonatal resuscitation is common; 10 percent of the four million newborns in the U.S. 2 These rare scenarios are difficult to prepare for; resuscitation guidelines are not strictly followed in more than 90 percent of cases. How do you stabilize this patient?

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ECG Pointers: A Dynamic Approach to Tachydysrhythmias Part 2

EMDocs

These are very commonly encountered in the emergency department, so being able to correctly identify the rhythm is extremely important. These are very commonly encountered in the emergency department, so being able to correctly identify the rhythm is extremely important. Take a look at this ECG. Let’s dive in!

EKG/ECG 95
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A 50-something with chest pain.

Dr. Smith's ECG Blog

This was sent by anonymous The patient is a 55-year-old male who presented to the emergency department after approximately 3 to 4 days of intermittent central boring chest pain initially responsive to nitroglycerin, but is now more constant and not responsive to nitroglycerin. This ECG was recorded in triage.

EKG/ECG 137
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Case Report: Coronary Vasospasm-Induced Cardiac Arrest

ACEP Now

During initial assessment, an ECG was obtained and revealed ST-segment elevation (STE) in the inferior leads with ST depression anteriorly. Initial ECG demonstrating inferolateral ST segment elevation and anteroseptal depression, just prior to cardiac arrest. The ECG showed ST-segment elevation without obstructive coronary disease.

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SGEM#430: De Do Do Do, De Dash, Dash DAShED – Diagnosing Acute Aortic Syndrome in the ED.

The Skeptics' Guide to EM

Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome. first appeared on The Skeptics Guide to Emergency Medicine. She is received in the resuscitation room.

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Proning for ARDS

Northwestern EM Blog

While a randomized control trial should be done to evaluate the effect of early proning in a controlled environment, these studies suggest that we should consider using this in our Emergency Department for patients who present with hypoxia and concern for mild to moderate ARDS without urgent need for intubation. Suction as needed.