Dr. Smith's ECG Blog

JANUARY 27, 2024

There were zero patients in this study with a "normal" ECG who had any kind of ACS! Validity of computer-interpreted ‘normal’ or ‘otherwise normal’ ECG in emergency department triage pateints. West J Emerg Med 2024). So this study is actually worthless. Deutch et al.

STEMI 105

STEMI Coronary ACS ED 105

Don't Forget the Bubbles

JULY 5, 2023

See this helpful summary article for more info. 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. Patients with SCA (HbSS) usually become symptomatic at this point.

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E-9-1-1 ACS OR ICU 126

FOAMfrat

OCTOBER 20, 2023

However, a previous blog I wrote covers this in relative detail, and the purpose of this article is to cover optimization as it applies to hemodynamics. Heffner AC, Swords DS, Neale MN, Jones AE. Incidence and factors associated with cardiac arrest complicating emergency airway management. Crit Care Med. 2018 Apr;46(4):532-539.

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E-9-1-1 ALS ACS OR 52

Dr. Smith's ECG Blog

JANUARY 9, 2024

She presented to the emergency department after a couple of days of chest discomfort. Ischemia from ACS causing the chest discomfort, with VT another consequence (or coincidence)? Many advances in treatment have occurred in the 28 years since this article was published. The ECG below was recorded. What is your assessment?

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Coronary ACS ED OR 102

Dr. Smith's ECG Blog

AUGUST 9, 2019

But if they do present: The very common presentation of diffuse STD with reciprocal STE in aVR is NOT left main occlusion , though it might be due to sub total LM ACS, but is much more often due to non-ACS conditions, especially demand ischemia. They will add up in varying magnitudes resulting in a variety of ECG presentations.

Coronary 52

Coronary STEMI ACS ALS 52

EMDocs

OCTOBER 21, 2023

The NIHSS cutoff that predicts outcomes is 4 points higher in AC compared with PC infarctions. Reference article,   Radiopaedia.org (Accessed on 15 Apr 2023) [link] Mattle HP, Arnold M, Lindsberg PJ, Schonewille WJ, Schroth G: Basilar artery occlusion. NIHSS does have limitations when applied to posterior circulation (PC) strokes.

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EMS ALS OR ACS 74

REBEL EM

SEPTEMBER 11, 2023

1 It is a quickly deployable and easily interpreted study that can be done in real time to guide decisions in the Emergency Department. Article: Hilsden R, Mitrou N, Hawel J, Leeper R, Thompson D, Myslik F. Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions.

ED 69

ED ACS Emergency Department OR 69

Dr. Smith's ECG Blog

AUGUST 26, 2019

She was brought to the Emergency Department and this ECG was recorded while she was still feeling nauseous but denied chest pain, shortness of breath, or other symptoms: What do you think? I wouldn't activate the lab for this EKG alone, but if the patient is clinically compatible with ACS you could call a heart alert.

STEMI 52

STEMI Coronary OR ED 52

Don't Forget the Bubbles

MAY 3, 2023

With millions of journal articles published yearly, it is impossible to keep up. Every month we ask some of our friends from PERUKI (Paediatric Emergency Research in the UK and Ireland) to point out something that has caught their eye. Garabon JJW, Gunz AC, Ali A, Lim R. Prekker ME, Bjorklund AR, Myers C, et al.

CPR 52

CPR Emergency Department ALS ICU 52

AAEM RSA

DECEMBER 3, 2020

This brief article discusses use of the monocyte-lymphocyte ratio, neutrophil-lymphocyte ratio, and platelet-lymphocyte ratio; recently innovated, simple, and effective biomarkers for prognosticating NSTIs. Wysoki MG, Santora TA, Shah RM, Friedman AC. West J Emerg Med. West J Emerg Med. Fournier gangrene.

Emergency Department 52

Emergency Department E-9-1-1 ALS EMT 52

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

Clin Chem [Internet] 2020;Available from: [link] Smith mini-review: Troponin in Emergency Department COVID patients Cardiac Troponin (cTn) is a nonspecific marker of myocardial injury. of Cardiology AC, Others. Cardiac Troponin Testing in Patients with COVID-19: A Strategy for Testing and Reporting Results.

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E-9-1-1 STEMI Coronary ALS 52

ACEP Now

NOVEMBER 7, 2023

A 67-year-old man presents to the emergency department (ED) in cardiac arrest. 8-12 A recent scoping review published in The American Journal of Emergency Medicine reviewed articles between 2016 and 2019, and found 18 observational studies, which failed to demonstrate sufficient evidence for widespread implementation of DSED.

Defibrillator 52

Defibrillator E-9-1-1 ALS Epinephrine 52

EMDocs

NOVEMBER 4, 2024

The American Academy of Emergency Medicine has called effective, efficient, and safe pain management a “specialty-defining skill.” Medication dosages detailed in this article are suggestions; local institutional pharmacy dosage policies should be followed. J Emerg Med. Acad Emerg Med. J Emerg Med. Epub 2021 Jan 2.

ED 99

ED E-9-1-1 Emergency Department ALS 99

Dr. Smith's ECG Blog

APRIL 8, 2015

Annotated Bibliography For an excellent overview of ED Syncope management , see this article by Kessler C et al. 2) Boston syncope rule: J Emerg Med. starts at end of article on p. The ROSE (Risk Stratification of syncope in the emergency department) Study. 2007 Oct; 33(3): 233–239. Commentary by Heidenreich PA.

Emergency Department 52

Emergency Department E-9-1-1 ED ALS 52

EMDocs

NOVEMBER 25, 2024

This article aims to create emergency clinician awareness of onchocerciasis as a potential cause of visual and dermatologic complaints and will highlight appropriate diagnosis and management strategies. However, recent progress in onchocerciasis research has led to an improved understanding of the immunopathology of O.

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E-9-1-1 ALS Emergency Department OR 45