Sat.Apr 13, 2024

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ECG Blog #425 — Are there P Waves?

Ken Grauer, MD

I was sent the ECG in Figure-1 — told only that the patient was 70 years old, and had a history of an ASD ( A trial S eptal D efect ). Serum K+ was normal. The patient was hemodynamically stable with ECG #1. QUESTIONS: How would YOU interpret the rhythm in Figure-1 ? Are there P waves? Figure-1: The initial ECG in today's case. MY Initial Thoughts on Today's CASE: Knowing that today's patient has a history of an ASD ( A trial S eptal D efect ) — is relevant to the interpretation of today's inter

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SGEM#436: For the Longest Time – To Give TNK for an Acute Ischemic Stroke

The Skeptics' Guide to EM

Reference: Albers GW et al. TIMELESS Investigators. Tenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection. NEJM Feb 2024 Date: April 12, 2024 Guest Skeptic: Dr. Vasisht Srinivasan is an Emergency Medicine physician and neurointensivist at the University of Washington and Harborview Medical Center in Seattle, WA. He is an assistant professor in Emergency […] The post SGEM#436: For the Longest Time – To Give TNK for an Acute Ischemic Stroke first appeared on The Skeptics Guid

Stroke 129
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11th Kongress der Arbeitsgemeinschaft fur Notfallmedizin. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Our conference report from the 11th Kongress der Arbeitsgemeinschaft fur Notfallmedizin in Graz Austria in 2024. r@stemlyns Blog themes on trauma, cardiac arrest and research. #FOAMed The post 11th Kongress der Arbeitsgemeinschaft fur Notfallmedizin. St Emlyn’s appeared first on St.Emlyn's.

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EM@3AM: Auricular Hematoma

EMDocs

Authors: Jacob Tauferner, MD (EM Resident Physician, UTSW/ Dallas, TX); Mihir Patel, MD (EM Attending Physician, Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) ; Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

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Skeptics in the Pub. Cholera. Epilogue

Science Based Medicine

I felt remarkably well when I awoke despite the previous night’s beer. I was a little thirsty, and my mouth felt like I brushed my teeth with a toilet brush. I took a long shower and took my time getting ready for work. I bought a scone and tea on my way to the trolley and picked up a newspaper. For the […] The post Skeptics in the Pub. Cholera.

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EMCrit Wee – Ross Prager on 10 Heuristics for the New ICU Attending

EMCrit

10 heuristics for the new Crit Care doc from Ross Prager EMCrit Project by Scott Weingart, MD FCCM.

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Lab case 441 interpretation

EMergucate

Answers: PH = 7.15, that is severe acidaemia HCO3 = 6.5 mmol/L, so we have metabolic acidosis. Since we have metabolic acidosis, then we need to calculate compensation and anion gap.

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New Duke Criteria! | And They Work!

JournalFeed

The JournalFeed podcast for the week of April 8-12, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Wednesday Spoon Feed : This external validation compared the 2023 Duke-International Society for Cardiovascular Infectious Diseases Diagnostic (ISCVID) Criteria against various other criteria for diagnosing infective endocarditis (IE) and found the 2023 Duke-ISCVID Criteria had the be