Dr. Smith's ECG Blog

DECEMBER 16, 2022

This 39 year old patient presents with syncope. What do you think? There appears to be RBBB with excessively discordant ST depression (2-2.5 mm) in V2 and V3, suggestive of RBBB with posterior OMI Whenever you see abnormal ST-T (ST elevation, ST depression, hyperacute T-waves), you MUST look at the entire ECG (rhythm, rate, P-waves, intervals, and QRS) to see if there is some abnormality among these which can explain the ST-T.

EKG/ECG 52

EKG/ECG 52

NRC Health

DECEMBER 15, 2022

The NRC Health 2023 Pediatric Collaborative is truly a can’t-miss experience, with exceptional presentations that will stir innovative ideas. The post Pediatric Collab preview: Support employees and deliver better care appeared first on NRC Health.

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Pediatrics 52

Medical Law

DECEMBER 14, 2022

When you’ve suffered serious injuries caused by somebody’s careless behavior, you’ll probably want to resolve the matter quickly. After all, you have other things to focus on — overcoming the trauma, getting back to work, and resuming your daily activities. There’s a natural desire to finalize the legal process and start putting your life back together.

Hospitals 52

Hospitals 52

EMergucate

DECEMBER 13, 2022

The following ECG was obtained in a 38 year old Indigenous man with a history of ischaemic cardiomyopathy at a regional hospital. He did not have a history of left bundle branch block previously.

EKG/ECG 52

EKG/ECG Hospitals 52

Dr. Smith's ECG Blog

DECEMBER 14, 2022

Sent by Drew Williams, written by Pendell Meyers A man in his 50s with history of hypertension was standing at the bus stop when he developed sudden onset severe pressure-like chest pain radiating to his neck and right arm, associated with dyspnea, diaphoresis, and presyncope. EMS arrived and administered aspirin and nitroglycerin. He reported several weeks of intermittent chest pain similar to the active pain, worsening over the past 2-3 days, some of them as long as an hour, but all spontaneou

EKG/ECG 52

EKG/ECG EMS Documentation/Coding Emergency Department 52

Clinical Correlations

DECEMBER 14, 2022

By: Michael Moore Peer Reviewed “Too many complex back surgeries are being performed and patients are suffering as a result” wrote National Public Radio health science journalist Joanne Silberner in her 2010 article “Surgery May Not.

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RebelEM

DECEMBER 14, 2022

Take Home Points Perichondritis is an infection of the cartilage and connective tissue of the ear Perichondritis can be recognized clinically by erythema, swelling and tenderness of the auricle. The most common organism in perichondritis is P. aeruginosa and antibiotics should be tailored to cover this organism REBEL Core Cast 92.0 – Perichondritis Click here for Direct Download of the Podcast Background Perichondritis may appear to be a simple cellulitis of the ear but, in fact, it repres

EMS 52

EMS 52

EB Medicine

DECEMBER 12, 2022

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2022 Evidence-Based Urgent Care article on Influenza in Urgent Care. Epidemiology Historical data Since COVID, tracking "influenza-like illness" has been complicated Influenza deaths and age Annual mortality  Outbreaks Transmission Classification Influenza A, B, and C Hemagglutinin and neuraminidase subgroups Antigenic drift and shift Pathophysiology Transmission Incubation Secondary infection H3N2 Vaccines Egg-based,

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Urgent Care CDC Documentation/Coding 52

Dr. Smith's ECG Blog

DECEMBER 12, 2022

Written by Pendell Meyers I was reading ECGs in a database (without any clinical information) when I came to this one: What do you think? Seeing only this ECG with no context, I thought this ECG was within normal limits. The upright and large T wave in V1 is unusual, but if it were hyperacute, I did not see reciprocal findings in V6 which would be concerning for LAD OMI pattern (we call that "precordial swirl").

EKG/ECG 52

EKG/ECG EMS 52

Board Bombs

DECEMBER 11, 2022

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Is your ED crowded? Sick of the RSV? Let’s review with an expert Pediatric EM specialist and our Lead Editor on PEM, Dr. Shad Baab! We will set you straight. Want to experience the greatest in board studying?

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Pediatrics EMS 52

Dr. Mike Sevilla

DECEMBER 11, 2022

What a beautiful day here in northeastern Ohio. It was a crisp 39 degrees at Beaver Creek State Park today as we hiked close to sunset. This hike really reminded me of the time when my father was sick two years ago. In the past few weeks, I’ve seen on by feed that there are many of my Facebook friends have experienced loss with the passing of a family member recently.

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The Skeptics' Guide to EM

DECEMBER 10, 2022

Date: November 30th, 2022 Reference: Johnson et al. One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. Bone Joint J 2022 Guest Skeptic: Dr.Matt Schmitz is an Orthopaedic Surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. […] The post SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management

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Operations Fractures Military Emergency Department 52

Dr. Smith's ECG Blog

DECEMBER 10, 2022

I was texted this ECG by one of my partners, with the following history: A 60-something male with diabetes and HTN presented with syncope. Per EMS report, the patient had a syncopal episode at work. On medics arrival, patient noted to be pale and diaphoretic, SBPs 60-80s, complaining of nausea and had one episode of emesis en route, possible hematemesis.

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EKG/ECG Operations Shock EMS 52

Ultrasound Gel

DECEMBER 15, 2022

Here's a little bit about our podcast. You can find out more at UltrasoundGEL.org. Here's a little bit about our podcast. You can find out more at UltrasoundGEL.org.

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EMergucate

DECEMBER 13, 2022

ECG of the week 7th December 2022 – Interpretation: There is a regular narrow complex tachycardia (QRS < 120ms, rate … Continue reading →

EKG/ECG 52

EKG/ECG EMS 52

Stop and Think

DECEMBER 14, 2022

Offered without comment: Otis Brawley MD h/t @jenmnyc Thanks for reading Stop and Think ! Subscribe for free to receive new posts and support my work.

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EM SIM Cases

DECEMBER 13, 2022

This is the first case in a series looking at critical care medicine. Patients under the care of the critical care team may develop delayed complications of their illness or injuries. These cases can help individuals and teams prepare to identify and manage these patients who become newly, and sometimes unexpectedly, unstable. This case comes from Dr.

Airway Management 40

Airway Management Academics Emergency Department Hospitals 40

University of Maryland CC Project

DECEMBER 10, 2022

James Manning, MD, the Co-Founder and Chief Medical Officer at Resusitech, Inc and Professor of Emergency Medicine at the University of North Carolina at Chapel Hill, School of Medicine, presents a lecture entitled "Selective Aortic Arch Perfusion in Trauma and Medical Cardiac Arrest".

Resuscitation 40

Resuscitation 40

EMergucate

DECEMBER 11, 2022

The chest x-ray shows sail shaped density behind the heart with a parallel left heart border silhouetting the medial left … Continue reading →

EMS 52

EMS 52

University of Maryland Department of Emergency Med

DECEMBER 15, 2022

Pseudohyperkalemia can result from the use of small bore IVs, excessive tourniquet time, fist clenching and mechanical stress during collection. These facto.

Pediatrics 40

Pediatrics 40

JournalFeed

DECEMBER 10, 2022

The JournalFeed podcast for the week of Dec 5-9, 2022. 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. Delirium = CT Spoon Feed Among patients ≥65 years who presented to the ED with delirium, confusion, or altered mental status, 15.6% had an abnormal head CT.

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Hospitals Fractures 40

American Medical Compliance

DECEMBER 14, 2022

On December 7th, 2022, President Biden signed a new law protecting victims of sexual harassment. The bipartisan bill, known as the Speak Out Act, passed the House of Representatives by a 315-109 vote and cleared the Senate unanimously. The law grants survivors the right to come forward with their experiences of workplace misconduct when they have previously been silenced.

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EMergucate

DECEMBER 13, 2022

The foot x-ray shows avulsion fracture of the base of the 2nd metatarsal (fleck sign) with mild widening of the … Continue reading →

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Fractures EMS 52

University of Maryland Department of Emergency Med

DECEMBER 10, 2022

TACTICS Transfusion 1:1:1 Whole B.

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EMergucate

DECEMBER 13, 2022

The following forearm x-rays are from a 9-year-old with pain around their elbow after fall on to outstretched hand.

EMS 52

EMS 52

EMergucate

DECEMBER 12, 2022

Question 1: PH = 7.349, that is mild acidaemia HCO3 = 18 mmHg. so we have metabolic acidosis. Since we have metabolic acidosis then we need to calculate the compensation and the anion gap.

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EMergucate

DECEMBER 12, 2022

85-year-old man presented with recurrent syncope episodes. His blood gases (on 3 L O2) showed the following: PH = 6.

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