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ECG of the Week 27th November – Interpretation

EMergucate

The ECG below is taken from a 4 year old boy who has presented with multiple episodes of syncope after sustaining a head injury in a fall of <1m.

EKG/ECG 52
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ECG of the Week – 27th November 2019

EMergucate

The ECG below is taken from a 4 year old boy who has presented with multiple episodes of syncope after sustaining a head injury in a fall of <1m.

EKG/ECG 40
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A Child with Blunt Trauma

Dr. Smith's ECG Blog

A 6 yo girl had significant trauma from an MVC, with head injury (initial GCS 10, but no intracranial bleeding) and mild orthopedic injuries. As part of her workup, this ECG was recorded: What do you think? The finding of RBBB on this ECG is highly suggestive, if not diagnostic, of myocardial contusion.

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SAEM Clinical Images Series: Seeing Double

ALiEM

Laboratory Data CBC , CMP , EKG , and Troponins were normal. Unilateral Internuclear Ophthalmoplegia Following Minor Head Injury. Lipid panel : Cholesterol 241 (H) CSF : No oligoclonal bands, Protein 197 (H), Albumin 57 (H), IgG 16.3 (H) References Kim SS, Lee MH, Ji C. Korean J Neurotrauma. 2022 Oct 24;18(2):329-334.

Stroke 67
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Emergency Medicine Deserves to “Re-Brand” Itself as a Cost Saver

ACEP Now

Now, for selected patients, emergency physicians can leverage low and non-rising high sensitivity troponin values and a low HEART score (composed of history, ECG, age, risk factors, and troponin level) to implement outpatient follow-up plans safely, within a few hours. Risk of brain tumor induction from pediatric head CT procedures.

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EM Quick Hits 17 Adrenal Crisis, Strep Throat, Posterior MI, DKA Just the Facts, Ovarian Torsion Imaging, HINTS Exam, Canadian CT Head Rule

Emergency Medicine Cases

Anand Swaminathan on recognition and ED management of adrenal crisis, Maria Ivankovic on indications for antibiotics in strep throat from EM Cases Course 2020, Jesse McLaren on recognition of posterior MI from ECG Cases, Justin Yan & Hans Rosenberg on just the facts of approach to DKA, Brit Long on ovarian torsion imaging myths, Walter Himmel on (..)

EMS 52
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Behavioural and Psychological Symptoms of Dementia (BPSD)

Mind The Bleep

environmental factors, pain, infection, dehydration, electrolyte disturbance, head injury, medication etc) Does the individual have capacity? It is important to complete an ECG prior to initiating pharmacological therapy as drugs, such as antipsychotics can prolong the QT interval, increasing the risk of arrhythmias.