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Profound ST depression in II, III, aVF

Dr. Smith's ECG Blog

On arrival to the ED, the patient was diaphoretic, tachycardic. I did not think it was due to ACS, but we ordered an ED ECG immediately: What do you think? I was not worried for a coronary etiology. Peak plasma concentration of amphetamines is rapid ( within minutes ) following inhalation or injection.

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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

Here is his ED ECG: There is obvious infero-posterior STEMI. Internal potassium balance and the control of the plasma potassium concentration. Plasma potassium ([K] p ) was measured at 15-minute intervals during and after the infusion in 31 patients. Medics stated that he had not been taking his clopidogrel for 2 weeks.

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Systemic Lupus Erythematosus: ED presentations, evaluation, and management

EMDocs

SLE is considered an atypical risk factor for cardiovascular disease and acute coronary syndrome(8,9,11). Treatment requiresaggressive anticoagulation, glucocorticoids, plasma exchange, and intravenous immunoglobulin (IVIG)(27). This leads to adiffuse hypercoagulable state and widespread vascular dysfunction. Ann Rheum Dis.

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Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

During observation in the ED the patient had multiple self-terminating runs of Non-Sustained monomorphic Ventricular Tachycardia (NSVT). CT coronary angiogram showed a hypoplastic RCA and dominant LCx. The minimum effective plasma concentration of flecainide is about 200 ng/mL. No PVCs are seen. and Brugada syndrome.

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The Basics of Dexmedetomidine

Don't Forget the Bubbles

This is likely because Dexmed helps dampen the sympathetic response to perioperative stress, improving coronary artery perfusion. Later phase : As plasma levels fall, vasoconstriction decreases. How is Dexmedetomidine used in the ED? One of the most exciting areas for Dexmed in the ED is its availability in non-IV routes.

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