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Reflections on 2020 COVID Pandemic – EM Physicians Words of Wisdom

Emergency Medicine Cases

It goes without saying that 2020 presented many challenges for the worldwide EM community. As we enter 2021 I thought it important to reflect on what we did well in 2020, what made us proud to be EM docs, so that we keep this perspective and keep on growing as a community going forward. And this is what they said….

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High sensitivity cardiac troponins for ED chest pain evaluation (2022 ACC pathway)

ALiEM

Let’s apply the ESC 2020 0/1 hour pathway [2], with some modifications based on the 2022 ACC guidelines [1]: Figure 1. The first hs-cTn results in the intermediate range on your assay-specific cutoff for the ESC 2020 pathway or high-STEACS pathway. An example is if the patient has a very low value (e.g., J Am Coll Cardiol.

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ECG of the Week – 20th May 2020

EMergucate

You have reviewed a 45 year old quadriplegic who has a background history of Autonomic dysfunction. He took GTN at … Continue reading →

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ECG of the Week – 3rd June 2020

EMergucate

You’ve seen a 37 year old lady with poorly controlled diabetes who has presented feeling hot and flushed with a … Continue reading →

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ECG of the Week – 10th June 2020

EMergucate

Following is an ECG of a 73 years of male patient with a history of IHD with 3 stents presenting with intermittent mild central chest pain. You are shown this ECG. Describe the abnormalities and yo…

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ECG of the Week – 24th June 2020

EMergucate

The following ECG is from a 52 year old male with a history of bipolar mood disorder and cardiomyopathy. He presents to ED complaining of increasing shortness of breath and leg swelling. The patie…

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ECG of the Week – 8th July 2020

EMergucate

The following ECG has been taken from a 69 year old man who has presented with palpitations and chest pain: … Continue reading →

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