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ECG Blog #482 — This Patient got Morphine

Ken Grauer, MD

Therefore the ST segment straightening with fatter-than-expected T wave peak, as well as ~1 mm. In the limb leads the 2 lateral leads ( leads I and aVL ) as well as lead II complement the ST-T wave depression seen in the lateral chest leads ( BLUE arrows in these limb leads ). of J-point ST elevation in lead V1 is clearly abnormal.

EKG/ECG 393
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The Study of the Week Is a Beautiful Example of Science Done Well

Sensible Medicine

This data also aligns well with two previous negative trials that tested oral anticoagulation to prevent recurrent stroke in patients who had stroke of unknown origin. The Most Important Lesson Professor Kamel has shown us science done well. It is common to not find an obvious source for stroke. He and his team had a great idea.

Wellness 136
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New "sepsis tests" are here: how well do they work?

PulmCCM

Overly general case definitions and sloppy EMR algorithms result in a high rate of overtreatment with antibiotics due to false positives, as well as delayed treatment from false negatives. Bands 2 and 3 did not discriminate well and did not provide useful or actionable information. This was seen in about 1/4 of the patients.

Sepsis 45
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Can I Keep Patients With More Than Three Rib Fractures At My Level IV Trauma Center?

The Trauma Pro

A well-designed practice guideline is critical so that all clinicians apply best practices in caring for these patients. The requirement that hospitalists be current in ATLS is beneficial because it gives them a better understanding of the physiologic effects and priorities in managing trauma patients.

Fractures 174
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ECG Blog #434 — WHY Did this Patient Arrest?

Ken Grauer, MD

The above said, when for whatever reason sinus P waves are not well seen in lead II — the 2nd -best lead when looking to determine if sinus rhythm is present, is lead V1. ECG Blog #193 — Reviews the basics for predicting the "culprit" artery ( as well as reviewing why the term "STEMI" should be replaced by "OMI" = O cclusion-based MI ).

EKG/ECG 406
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Vascular And Nerve Injury After Knee Dislocation

The Trauma Pro

There’s a lot of dogma in trauma care, as well as in the field of medicine generally. The knee dislocation dogma is that the incidence of vascular injury is high (around 50%) with posterior dislocation and somewhat lower with non-posterior dislocation. At least, that’s what I learned way back when.

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ECG Blog #451 — Premature Closure.

Ken Grauer, MD

This is not to say that sinus tachycardia will never go faster than 170/minute — but rather to suggest that when the rate of the regular SVT rhythm you are assessing is well over this rate range — then the rhythm is less likely to be sinus tachycardia. NOTE : This ~140-160/min. range is for untreated AFlutter.

EKG/ECG 425