Dr. Smith's ECG Blog

JULY 3, 2018

While in the emergency department, he undergoes an additional ECG: 00:49 - Not much change Second ECG with measurements and calculations Magnified view of second ECGs measurements and calculation It is still "negative" for LAD occlusion (less than 23.4) Use caution when prescribing opioids to patients concerning for ACS.

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ACS STEMI Coronary CAD 52

ACEP Now

NOVEMBER 7, 2023

A 67-year-old man presents to the emergency department (ED) in cardiac arrest. Marco is professor of emergency medicine at Penn State Health-Milton S. Heart disease and stroke statistics—2014 update: a report from the American Heart Association. Canadian Journal of Emergency Medicine. Circulation. 20(S1):S67.

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Defibrillator E-9-1-1 ALS Epinephrine 52

EMDocs

SEPTEMBER 25, 2023

References: Heffner AC et al. Incidence and factors associated with cardiac arrest complicating emergency airway management. actors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department. PLoS One 2014; 9(11): e112779. Int J Emerg Med.

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ED Emergency Department ALS Paramedic 95

Don't Forget the Bubbles

JUNE 30, 2023

A recent review was conducted on Trauma Quality Improvement Program data between 2014 and 2016. Interim results presented earlier this year show that REBOA performed within the Emergency Department increased mortality. b) Emergency thoracotomy Let’s be clear: YOU will not be doing any of this. 2014 Sep;45(9):1287-95.

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E-9-1-1 FFP Plasma Emergency Department 139

Don't Forget the Bubbles

MAY 3, 2023

This single-centre academic urban institution in the United States (US) undertook a 10-year retrospective observational study of paediatric intubation and bougie use in their emergency department (ED). Garabon JJW, Gunz AC, Ali A, Lim R. Prehosp Emerg Care. 468 paediatric patients were intubated in this timeframe.

CPR 52

CPR Emergency Department ALS ICU 52

EMDocs

FEBRUARY 12, 2024

2014 Feb;19(2):168-175. Epub 2014 Jan 3. Correlation and agreement between arterial and venous blood gas analysis in patients with hypotension-an emergency department-based cross-sectional study. Int J Emerg Med. The role of venous blood gas in the emergency department: a systematic review and meta-analysis.

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Emergency Department E-9-1-1 ED ICU 98

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Davidson L, Foley DA, Clifford P, Blyth CC, Bowen AC, Hazelton B, et al.

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Emergency Department E-9-1-1 ALS OR 143

EMDocs

NOVEMBER 4, 2024

54 It is vital to consider dangerous epigastric pain mimickers like acute coronary syndrome (ACS), hepatobiliary disease, or pancreatitis. The Treatment of Acute Pain in the Emergency Department: A White Paper Position Statement Prepared for the American Academy of Emergency Medicine. J Emerg Med. Acad Emerg Med.

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ED E-9-1-1 Emergency Department ALS 106

EMDocs

JANUARY 6, 2024

You review his chart and note that he had a heart transplant in 2014 but has not followed up with a cardiologist for at least 3 years. 15 Patients with a heart transplant can have ACS though they are unlikely to present with classic, crushing chest pain due to transplant-induced changes in cardiac innervation.

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EMS E-9-1-1 ACS Coronary 93

EMDocs

JUNE 14, 2023

Iran Red Crescent Med J 16: e5072, 2014. Parenteral organophosphorus poisoning in a rural emergency department: a case report. doi:10.1080/10773525.2015.1123848 Povey AC, Rees HG, Thompson JP, Watkins G, Stocks SJ, Karalliedde L. PMID: 25031861] Cook Matt, Frey Aaron. Pesticides and Cholinergics. CorePendium.

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E-9-1-1 Emergency Department Plasma ED 97

EMDocs

JUNE 27, 2024

Am J Emerg Med. Chinawa JM, Ubesie AC, Chukwu BF, Ikefuna AN, Emodi IJ. 2014 Feb;69(2):144-51. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. C or 100.4 mg/kg, max 0.4

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E-9-1-1 ICU ACS EMS 98

EMDocs

JUNE 7, 2023

Iran Red Crescent Med J 16: e5072, 2014. Parenteral organophosphorus poisoning in a rural emergency department: a case report. 12784 Povey AC, Rees HG, Thompson JP, Watkins G, Stocks SJ, Karalliedde L. She is speaking one word at a time and constantly coughing. She complains of dizziness, nausea, and abdominal cramps.

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E-9-1-1 ICU Emergency Department ED 98

Don't Forget the Bubbles

JULY 5, 2023

Opioids do not cause ACS but they can exacerbate hypoxia in patients with ACS. A 6-year-old girl from Saudi Arabia was referred by her General Practitioner to the local emergency department. Mechanical or non-invasive ventilation : children with ACS may require ventilatory support.

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E-9-1-1 ACS OR ICU 126

EMDocs

JANUARY 6, 2025

link] Hummell AC, Cummings M. HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. Undernourished children presenting to an urban emergency department of a tertiary hospital in Tanzania: a prospective descriptive study. Accessed October 5, 2024. 2022;37(1):41-49.

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ED E-9-1-1 ALS Emergency Department 75