Sat.Nov 11, 2023

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Instructors' Collection ECG: Isolated Posterior Wall M.I.

ECG Guru

This interesting case was provided by Dr. Bojana Uzelac, Emergency Medicine physician. We are paraphrasing a translation of her comments here. The patient is a 50-year-old complaining of chest pain. The ECG shows a rare occurrence – an isolated POSTERIOR WALL MI (PWMI). Note that leads V1 through V4 show the usual signs of posterior wall MI. We see ST segment depression, which represents a reciprocal view of the ST elevation present on the posterior wall of the left ventricle.

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ICU Physiology in 1000 Words: The Right Atrial Pressure Does Not Determine Cardiac Output – Part 1

PulmCCM

Jon-Emile S. Kenny MD [ @heart_lung ] It is axiomatic that association is not causation. Sometimes, however, this principle is lost in the fuliginous fog of literature and life. It feels like we’ve known all of macrohemodynamics already, known the right atrial pressure [P ra ] and cardiac output [CO], known them rounding in the evenings, mornings, afternoons, measuring them, as we do our lives with coffee spoons.

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The Annual ILCOR Update – what’s new in adult life support

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed A summary of the annual consensus update from the International Liaison Committee on Resuscitation looking particularly at ECPR, DSED, Drowning and prognostication The post The Annual ILCOR Update – what’s new in adult life support appeared first on St.Emlyn's.

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A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis?

Dr. Smith's ECG Blog

A 90-something year old woman presented with an acute mild stroke. She had a routine ECG as part of her workup: What do you think? This was shown to me in real time. I thought it had to be an inferior-lateral-posterior OMI. But the patient had no symptoms. Later, she did admit to some vague chest discomfort, but that could be due to the power of suggestion.

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Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: ACORN RCT – Piperacillin-Tazobactam or Cefepime? Spoon Feed In this randomized control trial of patients receiving cefepime or piperacillin-tazobactam, there was no difference in risk of acute kidney injury between

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Skeptics in the Pub. Cholera. Chapter 3a

Science Based Medicine

The serialization of the novel Skeptics in the Pub. Cholera. continues with chapter 3a The post Skeptics in the Pub. Cholera. Chapter 3a first appeared on Science-Based Medicine.

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MRSA Precautions | Snarky Signovers

JournalFeed

The JournalFeed podcast for the week of Nov 6-10, 2023. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Wednesday Spoon Feed: Contact precaution (CP) for patients with MRSA infection or colonization is listed as an "essential practice" for all U.S. hospitals, but should it be?

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SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?

The Skeptics' Guide to EM

Date: November 2, 2023 Reference: Coventry et al. Which clinical features best predict occult scaphoid fractures? A systematic review of diagnostic test accuracy studies. Emerg Med J. Aug 2023 Guest Skeptic: Dr. Matt Schmitz is an Orthopaedic Surgeon who sub-specializes in adolescent sports and hip preservation. He will soon be transitioning out of the US military after […] The post SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?

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