article thumbnail

Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

The patient was tremulous and severely hypoglycemic by point-of-care testing. Tachycardia is unusual for OMI, unless the patient is in cardiogenic shock (or getting close). Jenkins and Frick — or additional procedures may be ordered and/or patients shocked for artifact simulating VT/VFib ).

EKG/ECG 64
article thumbnail

Diagnostics: Inflammatory Markers

Taming the SRU

Diagnostic accuracy of point-of-care tests in acute community-acquired lower respiratory tract infections. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Intensive Care Med. The American journal of gastroenterology. 2015;110(6):802-819. doi:10.1038/ajg.2015.120

article thumbnail

Episode 24 - First Trimester Pregnancy Emergencies: Recognition and Management

EB Medicine

Interestingly, groups have examined outpatient care with 2 days of daily IM ceftriaxone vs inpatient IV antibiotic therapy and they found that there may be a higher than acceptable risk in the outpatient setting as several required eventual admission and one developed septic shock in their relatively small trial.