Ken Grauer, MD
JUNE 2, 2023
I was sent the Holter monitor tracing in Figure-1 — but without the benefit of any clinical information. QUESTIONS: A total of 9 QRS complexes are seen in the 2 simultaneously-recorded monitoring leads. How would YOU interpret the rhythm in Figure-1 ? How many P waves do you see? Why do the QRS complexes of beats #4 and 5 in the bottom lead look different than the other 7 beats?
The Trauma Pro
JUNE 2, 2023
Over the recent decades, there has been a huge push toward “evidence-based” medicine. Unfortunately, the available amount of high-quality literature is relatively low. And the field of neurotrauma is even less-represented than most. Debates have raged over the years regarding the proper timing of surgical spine decompression in patients with spinal cord injuries.
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St. Emlyn
JUNE 2, 2023
St.Emlyn's - Emergency Medicine #FOAMed New guidelines from @RCollEM and @RCRadiologists finally agree that contrast CT should not be delayed in the critically ill/injured #FOAMed The post Contrast Induced Nephropathy – sense at last. St Emlyn’s appeared first on St.Emlyn's.
Science Based Medicine
JUNE 2, 2023
The authors of the Great Barrington Declaration never asked "vulnerable" people if they were on board with their plan to lock them down for month on end, with no backup plan if herd immunity never arrived. They just wanted to impose their will on tens of millions of vulnerable Americans whether they wanted it or not. The post “Their Plan is Incongruent With My Existence” first appeared on Science-Based Medicine.
ECG Guru
JUNE 2, 2023
Why is this left atrial atypical atrial flutter ( ECG 1 )? Atrial fibrillation can be excluded because nice flutter waves (all look the same) can be clearly identified. With typical right atrial flutter, the reentry circle runs counterclockwise and we see typical saw tooth patterns in the inferior leads (negative flutter waves). The flutter waves are positive in V1 ( ECG 2 ).
University of Maryland Department of Emergency Med
JUNE 2, 2023
The authors of this study retrospectively compared the 10-day mortality rates of patients who were triaged to levels 3-5 on the Scandinavian Ra.
PHARM
JUNE 2, 2023
Dr Sonia Henry was looking to escape her Sydney life when she signed up to work in remote hospitals. What she encountered was amazing beauty – and terrible suffering — Read on amp.theguardian.
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Dr. Smith's ECG Blog
JUNE 2, 2023
Written by Pendell Meyers A woman in her 30s with minimal past medical history presented simply stating she was "feeling unwell." Her symptoms started suddenly about 48 hours ago, but had continued to worsen, including epigastric discomfort, nausea, cough, and dyspnea and lightheadedness on exertion. She denied chest pain and denied feeling any palpitations, even during her triage ECG: What do you think?
Sensible Medicine
JUNE 2, 2023
PH is a 55-year-old woman who comes to see me for an initial visit. She says she has lost about 50 pounds over the last year. Over the last few weeks, the most she can eat at one sitting is a spoonful or two of food. Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber. René Leriche famously wrote, "Every surgeon carries within himself a small cemetery, where from time to time he goes to pray -- a place of bitterness an
EMDocs
JUNE 2, 2023
Original podcast posted on PEM Currents – Hosted by Brad Sobolewski ( @PEMTweets ) and co-authored by Dennis Ren ( @DennisRenMD ) This podcast series by PEM Currents is a co-production with the Emergency Medical Services for Children Innovation and Improvement Center (EMSC IIC), whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum.
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