article thumbnail

Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

DOI: Papudesi BN, Malayala SV, Regina AC. 2023 [book]. This month in JAAD Case Reports: August 2023: Xylazine and skin necrosis. Journal of the American Academy of Dermatology. 2023 Aug 1;89(2):231. Xylazine toxicity. PMID 37603662 Rose L, Kirven R, Tyler K, Chung C, Korman AM. JAAD Case Reports. 2023 Jun 1;36:113-5.

E-9-1-1 161
article thumbnail

Target Acquired

EMS 12-Lead

Anecdotally, had there been symptoms unequivocally consistent with ACS then one could justifiably make the case for a potential D1 occlusion. So, when I first began teaching ECGs and writing my books (in the early 1980s) — I decided to synthesize my impressions of the literature into what I felt (e.g.

ALS 130
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

A 60-something with Syncope, LVH, and convex ST Elevation

Dr. Smith's ECG Blog

Note 2 other similar cases at the bottom that come from my book, The ECG in Acute MI. I remained unconvinced that this was due to ACS. With the added history, and the entirety of the presentation, it was determined by cardiology that the clinical presentation was not due to ACS. What do you think? This is very low.

STEMI 52
article thumbnail

An elderly male with shortness of breath

Dr. Smith's ECG Blog

No wall motion abnormality This shows that significant ACS can have ZERO WMA!! I believe that I was the first to represent Wellens as a reperfusion syndrome, in my book , The ECG in Acute MI , pages 22-23 and 51, and in chapter 27 on Reperfusion and Reocclusion. The estimated pulmonary artery systolic pressure is 27 mmHg + RA pressure.

STEMI 116
article thumbnail

Chest discomfort and a dilated right ventricle. What's going on?

Dr. Smith's ECG Blog

Here is an example of isolated RV infarction, from Dr. Smith's book : Learning points: 1) OMI can be very subtle and RV infarction may manifest poorly on the standard ECG. Smith's book : Learning points: 1) OMI can be very subtle and RV infarction may manifest poorly on the standard ECG. This is the ECG at discharge 3 days post PCI.

STEMI 116
article thumbnail

Normal ACS care, everything by the book! But normal ACS care could be much better. This post explains everything.

Dr. Smith's ECG Blog

Discussion: This case highlights many important points worthy of discussion, mainly because it represents very routine care for ACS but there are so many ways we could improve outcomes with tools we already have! Troponin was rising when last checked, 8928 ng/L.

ACS 81
article thumbnail

ED care of refugee populations from sub-Saharan Africa

EMDocs

link] Hummell AC, Cummings M. In: CDC Yellow Book 2024. In: CDC Yellow Book 2024. In: CDC Yellow Book 2024. In: CDC Yellow Book 2024. Accessed October 5, 2024. link] Centers for Disease Control and Prevention (U.S.). History and Physical: Refugee Health Domestic Guidance.; Accessed October 5, 2024. doi:10.1002/ncp.10797

ED 75