Ken Grauer, MD
SEPTEMBER 22, 2023
The ECG in Figure-1 — was obtained from a middle-aged man with palpitations and shortness of breath. He was hemodynamically stable at the time this tracing was recorded. How would YOU interpret the ECG in Figure-1 ? Is there evidence of a recent or ongoing acute MI? What might you do first? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ).
Pediatric EM Morsels
SEPTEMBER 22, 2023
To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. Never fear. As our fearless leader likes to say: “children are not aliens, but they are a special population with unique anatomy and physiology.” Children compensate for blood and volume loss very well… until they don’t.
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Science Based Medicine
SEPTEMBER 22, 2023
Measles and COVID are different, of course, but they are not categorically different. With both viruses, unvaccinated children suffer the most. Yet, doctors who rightly said "measles can be a devastating childhood illness" also said it was "breathless fear-mongering" to acknowledge that COVID can also be a devastating childhood illness. The post Doctors on Measles: “NEVER Listen to the Anti-Vax Cult When They Say This ‘Natural’ Disease is Harmless”.
The Bottom Line
SEPTEMBER 22, 2023
Extracorporeal Life Support in Infarct-Related Cardiogenic Shock Thiele H. NEJM 2023; Online ahead of print. doi:10.1056/NEJMoa2307227 Clinical Question In patients presenting with acute myocardial infarction complicated by cardiogenic shock undergoing revascularisation, does the early unselected application of extracorporeal life support reduce mortality from any cause at day 30?
Dr. Smith's ECG Blog
SEPTEMBER 22, 2023
This ECG was texted to me with no other information. I assumed the presentation was consistent with acute MI. What did I say? "OMI. Activate the cath lab." The T-waves in V2-V6 are diagnostic. It does, in fact, the STE meets STEMI criteria since there is 1 mm of in V4 and V5. There is also some non-diagnostic STE in inferior leads. There is zero reciprocal ST depression. 50% of LAD OMI have zero reciprocal ST depression!
St. Emlyn
SEPTEMBER 22, 2023
St.Emlyn's - Emergency Medicine #FOAMed Does the age of your emergency physician influence survival rates? It appears so with more mortality the older the clinician. Why might this be? #FOAMed @stemlyns The post JC: How old is your doctor? St Emlyn’s appeared first on St.Emlyn's.
Sensible Medicine
SEPTEMBER 22, 2023
I’ve managed to keep up the every other week Friday Reflection for 58 weeks. A very busy month almost led me to miss this deadline, and then my mother came to the rescue. My mom died 4 years ago. At the time I packed away her journals and albums, unable to imagine getting rid of any of them. During the last couple of weeks, for the same reasons I failed to write a reflection this week, I dove into her files.
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PEMBlog
SEPTEMBER 22, 2023
For most children with children with constipation an abdominal X-Ray will not assist in making the diagnosis or quantifying the exact stool burden. @WilltheThrill2 made a special video that helps to answer the question. And yes, he’s my son. Enjoy!
Emergency Live
SEPTEMBER 22, 2023
Green Camps: a learning opportunity on road safety for young people With the Green Camps in Manfredonia and Varese, the first phase of the “Safety on the Road” project, a valuable initiative promoted by the Red Cross in cooperation with Bridgestone EMIA, has come to a successful end. These camps represented an important learning opportunity […] The post 5,000 students involved in the 'Safety on the Road' project appeared first on Emergency Live.
University of Maryland Department of Emergency Med
SEPTEMBER 22, 2023
Since the switch from fee for service to value based care in the US, there has been a marked push to improve our documentation to expand ou.
Emergency Medicine News
SEPTEMBER 22, 2023
An abstract is unavailable.
Taming the SRU
SEPTEMBER 22, 2023
Prekker, M. E. et al. Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults. N. Engl. J. Med.389, 418–429 (2023). Clinical Question: Does video laryngoscopy increase the likelihood of first attempt tracheal intubation with compared to direct laryngoscopy? Background More than 1.5 million adults undergo tracheal intubation outside of the operating room each year in the United States.
Emergency Medicine News
SEPTEMBER 22, 2023
An abstract is unavailable.
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