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emDOCs Revamp: Esophageal Perforation

EMDocs

1 , 2 The most common non-iatrogenic cause is spontaneously due to increased intraesophageal pressure, Boerhaave syndrome, from forceful retching, coughing, straining, seizures, or even childbirth (15% of cases). Caution with use of NIPPV – positive pressure can worsen injury as well as increase subcutaneous emphysema.

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A Pathognomonic ECG. What is it?

Dr. Smith's ECG Blog

Assuming the heart rate is not too rapid ( this method works less well with heart rates >90-100/minute ) — one may suspect that the QTc will be long if the longest QT interval that you can clearly see on the tracing is more than half the R-R interval. The computer calculated a QTc = 525 ms for the ECG #1.

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??I would have been thankful for, in days of yore …

Advanced Emergency Nursing from AENJ

If doing what was called "the one-man-band resurrection shuffle" [single person CPR in the back of a moving ambulance], this worked very well, as the bag would stay hanging there on the patient's face. How useful these would have been to let us know how well the patient was oxygenating and ventilating!

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Diffuse ST depression, and ST elevation in aVR. Left main, right?

Dr. Smith's ECG Blog

For example R wave amplitude in lead I is >25mm >22mm in aVL ( whereas 12mm qualifies as LVH ) and well over 25mm in each of leads V3, V4, V5 and V6. Often more than one entity is operative as is likely in this case. QRS amplitude in most leads is either off the page, or overlaps with neighboring leads.

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A Cheat Sheet for Neonatal Invasive Ventilation

Mind The Bleep

meningitis), intractable seizures, low GCS, increased risk of aspiration or airway obstruction such as pathological obstruction (e.g. The reason this doesn’t work well when there is an air leak is because the expired tidal volume detected by the flow sensor is inaccurate. This means that SIMV does not work as well as AC with VG.

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Seizure in a 30 something

Dr. Smith's ECG Blog

Her husband called EMS when the patient experienced new onset seizures accompanied by micturition. However, cardiac syncope is always a differential diagnosis when someone presents with first time seizures. There are a number of things to look for in an ECG that can hint at arrhythmia as the cause of an apparent seizure.

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Imported Malaria

Pediatric EM Morsels

Both have a range of detection limits, which can be greatly dependent on operator. With concern for malaria, it is very important to identify who is non-immune and semi-immune as this can affect both the timeframe for illness after departure from the endemic country as well as severity of illness. vivax and P. malariae , and P.

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