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Friday Reflection 32: The Trauma of Not Dying Alone

Sensible Medicine

LT is an 87-year-old-man with presumed Alzheimer’s dementia. PT’s own appointments with me are mostly consumed by discussion about LT.  LT’s wife was practically a case study. If you appreciate our work, consider becoming a free or paid subscriber.   The next five years were familiar to me.

Hospice 111
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BHP Corner: Decision Points in Cardiac Arrest

EM Ottawa

You continue CPR with a King LT and provide 3 shocks, along with a dose of epinephrine remembering that […] The post BHP Corner: Decision Points in Cardiac Arrest appeared first on EMOttawa Blog. The initial rhythm is ventricular fibrillation.

CPR 98
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Friday Reflection 31: Senses, Memories, and Medicine

Sensible Medicine

LT was an 80-year-old woman admitted to our inpatient medical team with gram-negative bacteremia. ” Back to where I began with LT. What made the admission memorable was that LT was lying in room 23. I certainly could have watched my team finish their assessment of LT. “Where are we going?”

Hospice 79
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SGEM#396: And iGel Myself, I’m Over You, Cus I’m the King (Tube) of Wishful Thinking

The Skeptics' Guide to EM

Two large trials, PART by Wang et al and AIRWAYS-2 by Benger et al recently evaluated the King-LT and the iGel respectively as alternatives to endotracheal intubation (ETI) in cardiac arrest. Background: Airway management strategies for out of hospital cardiac arrest (OHCA) have been hotly debated since the dawn of CPR.

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ECG Blog #405 — Is AV Block Complete (vs AV Dissociation)

Ken Grauer, MD

which usually requires a long enough rhythm strip at a slow enough rate = <50-55/minute — in order to guarantee that on-time P waves are occurring at all points in the cycle — but still fail to conduct ). = = Figure: Laddergram of today's rhythm through the Atrial Tier.

EKG/ECG 413
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Why is the angiogram normal?

Dr. Smith's ECG Blog

<; 0.033). <; 0.033), repeat 2 hours later 0.016. Serial cTnI values were 0.019 ng/mL and 0.027 ng/mL, rising but still within the reference range (&lt; 0.033). The primary care physician's note indicates low suspicion for cardiac ischemia, but "for completion, check troponin and ECG." His ECG is shown.

EKG/ECG 67
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Friday Reflection 31: Senses, Memories, and Medicine

Sensible Medicine

LT was an 80-year-old woman admitted to our inpatient medical team with gram-negative bacteremia. ” Back to where I began with LT. What made the admission memorable was that LT was lying in room 23. I certainly could have watched my team finish their assessment of LT. “Where are we going?”

Hospice 52