Fri.Sep 29, 2023

article thumbnail

ECG Blog #397 — An Unusually Long Cycle?

Ken Grauer, MD

You are asked to interpret the ECG in Figure-1. What is the rhythm in ECG #1 ? Figure-1: You are asked to interpret this tracing. What is the rhythm? MY Thoughts on the ECG in Figure-1: I routinely begin assessment of each 12-lead ECG I encounter — with interpretation of the rhythm. To do this — I apply the P s, Q s, 3 R Approach ( See ECG Blog #185 — for review of my system ).

EKG/ECG 239
article thumbnail

Proportionality and Serial ECGs Make the Diagnosis. What does the Queen say?

Dr. Smith's ECG Blog

This case comes from Jason Winter, of The Facebook Clinical Electrocardiology ECG Page. A 60-something woman called EMS for chest pain. Here is her first prehospital ECG: What do you think? There is very low voltage in the precordial leads, with a total QRS amplitude of only 3.5 mm in V2 and 4 mm in V3. In spite of this low voltage, there is ST elevation (as measured at the J-point and relative to the PQ junction, and as measured by the computer and shown on the right), of 0.54 mm in V2 and 0.65

EKG/ECG 117
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Refillable Device for Drug Delivery Past the Blood-Brain Barrier: Interview with Mike Maglin, CEO at CraniUS

Medagadget

CraniUS , a medtech company based in Baltimore, has developed the NeuroPASS drug delivery system. The technology is designed to deliver drugs to the brain, and it can bypass the blood-brain barrier. This layer of specialized endothelium significantly restricts which drug molecules can enter the brain, normally greatly limiting treatment options for patients with brain-based disease.

article thumbnail

A man in his 40s with acute chest pain. What do you think?

Dr. Smith's ECG Blog

Sent by anonymous, written by Pendell Meyers, reviewed by Smith and Grauer A man in his 40s presented to the ED with HTN, DM, and smoking history for evaluation of acute chest pain. He was eating lunch when he had sudden onset chest pressure, 9/10, radiating to his back, with sweating and numbness in both hands. Triage ECG: What do you think? It's a very "fun" ECG, with initial ectopic atrial tachycardia (negative P waves in inferior leads conducting 1:1 with the QRSs), followed by spontaneous r

EKG/ECG 107
article thumbnail

29 September: The World Heart Day

Emergency Live

World Heart Day: prevention is our best defence Every year, on 29 September, the world comes together to celebrate World Heart Day, an event dedicated to raising awareness of cardiovascular disease, one of the leading causes of death globally. This day aims to promote awareness of the risk factors associated with heart disease and encourage […] The post 29 September: The World Heart Day appeared first on Emergency Live.

102
102
article thumbnail

Couldn’t Find a Catchy Title, But We Tri(fascicular)ed

Kings County Downstate EM

Co-authors: Balal Aslam MD, Esteban Davila MD Edited by: Alec Feuerbach MD Case: An 82-year-old female with a past medical history of diabetes and hypertension presented to the ED after a syncopal episode. The patient stated that she was walking to the shower when she felt weak, had a “strange […] The post Couldn’t Find a Catchy Title, But We Tri(fascicular)ed appeared first on County EM.

EMS 98
article thumbnail

Over 260 exhibitors from Italy and 21 other countries at REAS 2023

Emergency Live

The REAS 2023 international exhibition, the major annual event for the emergency, civil protection, first aid and firefighting sectors, is growing The 22nd edition, which will take place from 6 to 8 October at the Montichiari Exhibition Centre (Brescia), will see an increase in the participation of organisations, companies and associations from all over the […] The post Over 260 exhibitors from Italy and 21 other countries at REAS 2023 appeared first on Emergency Live.

101
101

More Trending

article thumbnail

Allie: Bridging Healthcare Careers and Passion

Core Medical Group

In the world of healthcare recruitment, Allie has spent the past six months as a vital part of the Allied Healthcare Recruiting Division. Her life outside of work revolves around family and a deep passion for camping and outdoor activities. The highlight of recruiting for her lies in making meaningful connections and directly impacting her clinicians lives.

80
article thumbnail

Droplet Battery Harnesses Ionic Gradients for Bioelectronic Implants

Medagadget

Researchers at Oxford University have developed a tiny battery that can power small implantable devices, such as drug delivery technologies. The new battery is inspired by the ionic gradients that electric eels use to generate electricity. It involves tiny droplets of a conductive hydrogel that are placed near each other. Each droplet has a different ionic concentration, meaning that ions will flow from high concentration droplets to low concentration droplets.

article thumbnail

A Nice Chat with The Infant Feeding Alliance on Breastfeeding Promotion Pitfalls

Science Based Medicine

Last week I had the pleasure of sitting down with Ruth Harpur from the Infant Feeding Alliance for a nice chat about problems with aggressive breastfeeding promotion. The post A Nice Chat with The Infant Feeding Alliance on Breastfeeding Promotion Pitfalls first appeared on Science-Based Medicine.

79
article thumbnail

SAEM Clinical Images Series: Only a Flesh Wound

ALiEM

A 49-year-old male was triaged to the Fast Track area with complaints of an abrasion to the neck following an assault. The patient was attending a party with his family when “someone started shooting.” The patient believes some stucco or stone fragment from a brick wall struck him in the neck during the initial incident, but his primary concern was for his more seriously wounded family members.

article thumbnail

Day 3 RCEM Annual Scientific Conference: Glasgow 2023. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Chris Gray @cgraydoc and team review the third day of the annual scientific conference for RCEM held in Glasgow 2023. #FOAMed @stemlyns The post Day 3 RCEM Annual Scientific Conference: Glasgow 2023. St Emlyn’s appeared first on St.Emlyn's.

64
article thumbnail

Prediction explainer: what should clinicians consider when considering a new clinical prediction model?

Sensible Medicine

Sensible Medicine is excited to publish this brief explainer on prediction and prediction scores. I connected with the two authors on Twitter. This sort of educational content is exactly what we aim for here at Sensible Medicine. Here are the Authors’ Bios: Adrian Barnett is a professor of statistics who has worked for over 29 years in health and medical research.

article thumbnail

A video on talking to parents about comprehensive respiratory viral panels

PEMBlog

Did you know that there are comprehensive respiratory viral panels that will test for dozens of viruses all at once? Did you know that these tests are very expensive, and that they rarely alter management? Did you know that Choosing Wisely recommends that we do not routinely obtain them for respiratory viral illnesses? Of course you did, but that doesn’t mean you shouldn’t watch this entertaining video that I made with Dr.

article thumbnail

Prediction explainer: what should clinicians consider when considering a new clinical prediction model?

Sensible Medicine

Sensible Medicine is excited to publish this brief explainer on prediction and prediction scores. I connected with the two authors on Twitter. This sort of educational content is exactly what we aim for here at Sensible Medicine. Here are the Authors’ Bios: Adrian Barnett is a professor of statistics who has worked for over 29 years in health and medical research.