Pediatric EM Morsels

AUGUST 4, 2023

England, 2021) The third portion of the duodenum courses between the SMA and the aorta, which can lead to external compression of the duodenum. England, 2021) In SMA syndrome the angle is decreased to < 22 o and the normal distance <8 mm. England, 2021) This condition is often attributed to rapid weight loss.

E-9-1-1 246

E-9-1-1 ED OR EMS 246

EMergucate

JULY 21, 2021

A 52 year old female referred by their GP with abnormal biochemistry results. Below is the patients ECG: Describe and … Continue reading →

130

130

Pediatric EM Morsels

FEBRUARY 2, 2024

Abdel-Haq 2021). Travel dates can help to exclude certain infections by their incubation periods (Abdel-Haq 2021) Physical examination can sometimes reveal concerning features including hepatomegaly , jaundice or a rash that may guide differential. A study of swiss tourists found they compromised 53.4%

E-9-1-1 161

E-9-1-1 ED OR Emergency Department 161

EMergucate

AUGUST 23, 2021

The ECG below is from a 79 year old man who has presented short of breath with Acute Pulmonary Oedema. His past medical history includes HTN, T2DM and CKD.

EMS 130

EMS 130

EMergucate

APRIL 14, 2021

37 y/o female presented with a history of fever. A routine ECG was performed as the patient had a rapid pulse. Q: Describe and interpret this ECG? Q: How would you manage this patient?

130

130

EMergucate

JULY 14, 2021

47 y/o male presented with upper abdominal pain. A routine ECG was performed. Describe and interpret the ECG? Interpretation: … Continue reading →

130

130

EMergucate

FEBRUARY 15, 2021

The following ECG’s are from a 89 yr old male who presented with worsening dizziness and light-headedness. Clinical examination revealed … Continue reading →

130

130

EMergucate

MAY 11, 2021

3 y/o boy admitted via ED for viral induced wheeze as he was requiring ongoing bronchodilator therapy and supplemental oxygen. … Continue reading →

ED 130

ED 130

EMergucate

JANUARY 19, 2021

The ECG below has been taken from an 89 year old gentleman who has just transferred from the SJA stretcher to an ED bed. He has a history of prostate cancer and Aortic Stenosis and had an episode o…

ED 130

ED 130

EMergucate

JANUARY 12, 2021

The following ECG is taken from a 28 year old man who presented with palpitations and presyncope. His symptoms had spontaneously resolved and he currently feels well. Describe and interpret his ECG…

130

130

EMergucate

JULY 19, 2021

A 52 year old female referred by GP with abnormal biochemistry results. Below is the patients ECG: Describe and interpret … Continue reading →

100

100

Pediatric EM Morsels

OCTOBER 6, 2023

The most common countries of acquisition were Bangladesh, India, Nepal, and Pakistan (Forster 2021) For travelers, the peak incidence occurs at age 10 and those who are visiting to their country of birth. Rauniyar 2021) Up to 10% of patients may present with constipation as opposed to diarrhea. Shah 2021).

OR 161

OR EMS ED 161

EMergucate

AUGUST 4, 2021

A 60 year old male presents with an overdose. Below is the patients ECG: Describe and interpret the ECG What … Continue reading →

Overdose 130

Overdose 130

EM Literature of Note

JANUARY 9, 2022

Pressin’ On: Effect of Vasopressin and Steroids on Achieving ROSC in IHCA Two more pieces in ACEPNow : Data Supporting Therapeutic Hypothermia for Cardiac Arrest Aren’t So Hot 2021 Literature in Review: TXA, tPA, Fluids, Antibiotics, and Minor Miracles And, finally, from a talk I gave our ACEM trainees – the list of included articles, highlighting (..)

Emergency Department 40

Emergency Department STEMI OR 40

EMergucate

SEPTEMBER 22, 2021

A 50 year old male presents to ED after being found in a park. Below is the patients ECG: Describe … Continue reading →

ED 130

ED 130

EMergucate

JUNE 18, 2021

33 y/o female presented with 6 hours history of palpitations and dyspnea. She denied any chest pain. Her Blood … Continue reading →

130

130

EMergucate

JULY 27, 2021

You are reviewing the ECG of a 65 year old man who has presented with a one week history of chest tightness and shortness of breath. He has a background history of Type 2 Diabetes and had x2 corona…

130

130

EMergucate

DECEMBER 29, 2021

A 78 year old male presents to ED complaining of chest pain. He has a PPM and ICD in situ. Below are 2 ECG’s of the patient while he is in ED.

ED 130

ED EMS 130

EMergucate

AUGUST 18, 2021

A 65 year old male presents with SOB over the last 2 days. The patient has a background of diabetes … Continue reading →

130

130

Pediatric EM Morsels

JULY 19, 2024

2021 Aug;147:110807. Epub 2021 Jun 24. 2021 Aug;147:110802. Epub 2021 Jun 12. Resources Konanur A, McCoy JL, Shaffer A, Kitsko D, Maguire R, Padia R. Detecting coagulopathy in pediatric patients with post-tonsillectomy hemorrhage. Int J Pediatr Otorhinolaryngol. doi: 10.1016/j.ijporl.2021.110807. 2021.110807. 2021.110802.

E-9-1-1 286

E-9-1-1 Epinephrine Emergency Department OR 286

EMergucate

MARCH 6, 2021

A 38-year-old male presented with chest pain. Patient reports having a procedure at the age of 12 for congenital heart … Continue reading →

130

130

EMergucate

JULY 6, 2021

You have been asked to review an ECG for a 57 year old lady who has presented with chest heaviness … Continue reading →

EMS 130

EMS 130

EMergucate

APRIL 26, 2021

A 68 year old female presents to ED complaining of chest pain radiating to both arms. Below is the patients … Continue reading →

ED 130

ED 130

Emergency Medicine Cases

SEPTEMBER 26, 2023

The tragic death of his son Ben McKenzie at the age 15 from hypoxic respiratory arrest as a result of anaphylaxis and asthma in 2021 has led Dr. McKenzie on a mission to prevent deaths from anaphylaxis and asthma by educating emergency providers around the world using his AMAX4 algorithm as a framework.

EMS 279

EMS 279

EMergucate

MAY 16, 2021

A 58 year old male presents to ED complaining of a headache and weakness to his left side. The following … Continue reading →

ED 130

ED 130

EMergucate

OCTOBER 27, 2021

A 81 year old male presents to a regional emergency department, 4 hours away from a cath lab, complaining of chest pain. Below is the patients ECG:

Emergency Department 130

Emergency Department 130

EMergucate

SEPTEMBER 29, 2021

The following ECG is from an 83 year old lady who has presented with new renal impairment following a fall (Na 134 K5.4 Cr 164 from a baseline of 110).

130

130

EMergucate

AUGUST 24, 2021

The ECG below is from a 79 year old man who has presented short of breath with acute pulmonary oedema. His past medical history includes HTN, T2DM and CKD.

130

130

EMergucate

MAY 26, 2021

You have requested an ECG for a 91 year old lady who has multiple co-morbidities and lives in a nursing home. She has presented short of breath. Her ECG is as below.

EMS 130

EMS 130

EMergucate

OCTOBER 19, 2021

The ECG below is from a 66 year old diabetic man who has presented with sepsis. Interpretation Rate: 72 Rhythm: … Continue reading →

130

130

EMergucate

MARCH 23, 2021

You are reviewing a 76 year old patient who has presented after a 90 minute episode of dizzyness and shortness of breath. His GP has referred him in with an irregular pulse.

130

130

EMergucate

APRIL 5, 2021

57 y/o female with a background history of metastatic gastric cancer presented with dizziness and light-headedness. She is not complaining … Continue reading →

130

130

EMergucate

MARCH 11, 2021

A 70 year old female presents with a 1 day history of shortness of breath and palpitations. Below is her … Continue reading →

130

130

Pediatric EM Morsels

APRIL 5, 2024

Silva-Ramos 2021) Majority of cases arise from travel to South Africa. (Silva-Ramos 2021) Majority of cases arise from travel to South Africa. (Frean 2019) The classic triad described is fever, eschar and rash. Silva-Ramos 2021) Fever and a characteristic eschar (tache noir) are seen 90% of the time.

E-9-1-1 161

E-9-1-1 ALS OR EMS 161

EMergucate

MARCH 2, 2021

You are reviewing the ECG of a 40 year old lady with a background of hypoxic brain injury following Influenza A H1N1 ARDS who has presented with a reduced GCS from her nursing home.

EMS 130

EMS 130

EMergucate

AUGUST 11, 2021

You are reviewing a patient that has been woken from sleep by central chest pain, with associated shortness of breath … Continue reading →

130

130

EMergucate

MAY 15, 2021

3 y/o boy admitted via ED for viral induced wheeze as he was requiring ongoing bronchodilator therapy and supplemental oxygen. … Continue reading →

ED 130

ED 130