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SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?

The Skeptics' Guide to EM

Westafer serves as the Social Media Editor and a research methodology editor for Annals of Emergency Medicine. Case: A 72-year-old man with a history of high blood pressure and diabetes calls emergency medical services (EMS) for chest pressure and dyspnea that started 1 hour ago. Reference: Stopyra et al.

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Journal Feed Weekly Wrap-Up

EMDocs

ST segment elevation, or even an isoelectric ST segment, in these leads is abnormal and should make us concerned for ischemia Source Acute Coronary Occlusion in a Patient With Prior Known Right Bundle Branch Block: Another Chink in the Armor for the ST-Elevation Myocardial Infarction Criteria. Ann Emerg Med. 2023 Aug;82(2):219-221.

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Which patient has the more severe chest pain?

Dr. Smith's ECG Blog

Methods and Results Patients with confirmed ST elevation myocardial infarction (STEMI) treated by emergency medical services were included in this retrospective cohort analysis of the AVOID study. Chest pain severity was assessed upon admission to the primary percutaneous coronary intervention hospital. years old ± 13.7

STEMI 119
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Putting Clinical Gestalt to Work in the Emergency Department

ACEP Now

Does that normal troponin and ECG obviate the need for cardiology consultation for my patient with a concerning story for acute coronary syndrome? This means withholding second-guessing our emergency medical services colleagues for their snap decisions in the field with little objective diagnostics.

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SGEM#192: Sometimes, All You Need is the Air that You Breathe

The Skeptics' Guide to EM

He is also now a first-year medical student. Emergency medical services […] The post SGEM#192: Sometimes, All You Need is the Air that You Breathe first appeared on The Skeptics Guide to Emergency Medicine. He is also now a first-year medical student. Guest Skeptic: Marcus Prescott is a nurse in Norway.

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Classic EM: High risk and low prevalence diseases: Blast injuries

Core EM

Cardiovascular: Injury: cardiac contusion, wall rupture, tamponade, papillary muscle rupture, valve injury, aortic arch injury, and coronary artery dissection. Thoracic compartment syndrome may occur due to mediastinal hematoma and/or edema during positive pressure ventilation.

EMS 100
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Classic EM: High risk and low prevalence diseases: Blast injuries

Core EM

Cardiovascular: Injury: cardiac contusion, wall rupture, tamponade, papillary muscle rupture, valve injury, aortic arch injury, and coronary artery dissection. Thoracic compartment syndrome may occur due to mediastinal hematoma and/or edema during positive pressure ventilation.

EMS 100