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Concerning EKG with a Non-obstructive angiogram. What happened?

Dr. Smith's ECG Blog

[link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. The ambulance report says "BP continued to drop during transport and pt remained cold and clammy." But there are other KEY changes!

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emDOCs Podcast – Episode 90: Hypokalemic Periodic Paralysis

EMDocs

Could not ambulate. Epidemiology: Prevalence of hypoPP is approximately 1 per 100,000. References: Statland JM, Fontaine B, Hanna MG, et al. 2022;26(1):123-125. 2013 Jan;47(1):41-5. Venance SL, Cannon SC, Fialho D, et al; CINCH investigators. 2006 Jan;129(Pt 1):8-17. 2004 Nov 9;63(9):1647-55.

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Fake it 'Til You Make It… and other diseases you pretend to know

FOAMfrat

The patient’s mother accompanied me in the patient compartment of the ambulance on our 30-minute ride to the children's hospital. While transporting to the emergency department, the patient’s mother informed me that PDCD affects less than 1 in 50,000 individuals and is more common in males than females. Al-Essa MA, Ozand PT.

E-9-1-1 98
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EM@3AM: Thoracic and Lumbar Spine Trauma

EMDocs

Comprehensive physical exam is unremarkable, but she does have pain at the T-12/L-1 region of her back. Her patellar reflexes are 1+ bilaterally, no ankle clonus is noted, and she denies any saddle anesthesia or bowel/bladder incontinence. CT of lower spine is ordered and shows the following: 1 What is the diagnosis?

EMS 106
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What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?

Dr. Smith's ECG Blog

She was brought in by ambulance and received aspirin and nitroglycerin en route. IMPRESSION: 1. We know that most type 1 acute MI due to plaque rupture and thrombosis occurs in lesions that are less than 50% (see Libby reference). Lindahl et al. This originally radiated into her left arm. Stroke-volume:50 ml.

Coronary 109
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IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

1] The Adult Cardiac Arrest ACLS algorithm currently includes epinephrine and either amiodarone or lidocaine as recommended pharmacologic therapies. al answered this question with a prospective observational study which showed a significantly shorter time interval to obtain tibial IO access (4.6 1] Table from Hamam et al.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation. 9=11 70% monomicrobial, 25% poly-microbial, 5% culture-negative. 9=11 70% monomicrobial, 25% poly-microbial, 5% culture-negative. 2020 Sep 30;5(9):558-567. 10% of patients.

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