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Cardiac Arrest, acute ST elevation and depression superimposed on LVH, but NOT due to ACS

Dr. Smith's ECG Blog

He was resuscitated with chest compressions and defibrillation and 1 mg of epinephrine. He arrived in the emergency department hemodynamically stable. A bedside echo performed by the emergency physician showed no wall motion abnormality and confirmed LVH. This young male had ventricular fibrillation during a triathlon.

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See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion.

Dr. Smith's ECG Blog

The ST segment changes are compatible with severe subendocardial ischemia which can be caused by type I MI from ACS or potentially from type II MI (non-obstructive coronary artery disease with supply/demand mismatch). The patient was rushed to the nearest emergency department (non-PCI facility) for stabilization.

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A man with chest pain off and on for two days, and "No STEMI" at triage.

Dr. Smith's ECG Blog

Written by Kaley El-Arab MD, edits by Pendell Meyers and Stephen Smith A 61-year-old male with hypertension and hyperlipidemia presented to the emergency department for chest tightness radiating to the back of his neck that has been intermittent for the past day or two. What do you think? Stay tuned for upcoming studies showing this.

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Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab?

Dr. Smith's ECG Blog

With ventilations and epinephrine, she regained a pulse. Data collected included demographics, initial rhythm, EKG, emergency department (ED) CT and outcomes. We analyse disease-specific and emergency care data in order to improve the recognition of subarachnoid haemorrhage as a cause of cardiac arrest. Results: Over 8.5

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What Is the Best Defibrillation Strategy for Refractory Ventricular Fibrillation?

ACEP Now

A 67-year-old man presents to the emergency department (ED) in cardiac arrest. Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful. Canadian Journal of Emergency Medicine. Emmerson AC, Whitbread M, Fothergill RT. He was found by bystanders after he collapsed and 911 was called.

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A Seven-Step Approach to Massive Hemoptysis

ACEP Now

One of the most hair-raising presentations to the emergency department (ED) can be massive hemoptysis with respiratory failure. He is the founder and host of Emergency Medicine Cases podcast and website. References Deshwal H, Sinha A, Mehta AC. The emergency department evaluation and management of massive hemoptysis.

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Optimizing Hemodynamics Prior to RSI

FOAMfrat

Epinephrine should be considered as the vasopressor of choice in patients with decreased myocardial function. Heffner AC, Swords DS, Neale MN, Jones AE. Incidence and factors associated with cardiac arrest complicating emergency airway management. Intern Emerg Med. Acad Emerg Med. Bull Emerg Trauma.

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