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Elder Male with Syncope

EMS 12-Lead

Many of the changes seen are reminiscent of LVH with “strain,” and downstream Echo may very well corroborate such a suspicion, but since the ECG isn’t the best tool for definitively establishing the presence of LVH, we must favor a subendocardial ischemia pattern, instead. He awoke earlier that morning in his usual state of health.

Coronary 290
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Elbow Dislocations

REBEL EM

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

E-9-1-1 116
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Acute OMI or "Benign" Early Repolarization?

Dr. Smith's ECG Blog

In an attempt to clarify language, a consensus definition was developed. The definition requires the following three components: An end QRS notch (sometimes called a J wave) or slur, in the case of a slur it must lie entirely above the isoelectric baseline The peak amplitude of the notch or slur should be ≥ 0.1 Back to the case.

E-9-1-1 131
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Resuscitated from ventricular fibrillation. Should the cath lab be activated?

Dr. Smith's ECG Blog

Then assume there is ACS. Confirmation of sinus tachycardia should be easy to verify when the heart rate slows a little bit ( as the patient's condition improves ) — allowing clearer definition between the T and P waves. The ST depression usually resolves, or is clearly resolving (getting much better).

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First10EM Journal Club: January 2025

Broome Docs

These results are not definitive, but considering the rarity of demyelination, and the magnitude of the mortality results, this should probably influence clinical practice until we get the proper RCTs. Welcome to the first episode of the Broomedocs podcast for 2025. Listen in and learn! WOMAN are so negative WOMAN-2 Trial Collaborators.

ED 101
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Sudden shock with a Nasty looking ECG. What is it?

Dr. Smith's ECG Blog

RBBB + LAFB in the setting of ACS is very bad. Some patients have baseline RBBB with LAFB, but in patients with likely ACS, these are associated with severe infarction with cardiac arrest, cardiogenic shock or impending shock. Patients with ACS and RBBB/LAFB usually have a left main vs. proximal LAD. There is STE in aVR.

ACS 127
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REBEL Cast Ep114: High Flow O2, Suspected ACS, and Mortality?

REBEL EM

REBEL Cast Ep114 – High Flow O2, Suspected ACS, and Mortality? PMID: 33653685 Clinical Question: Is there an association between high flow supplementary oxygen and 30-day mortality in patients presenting with a suspected acute coronary syndrome (ACS)? Click here for Direct Download of the Podcast Paper: Stewart, RAH et al.

ACS 52