ALiEM

OCTOBER 20, 2023

A 50-year-old Caucasian female with a history of hypertension, coronary artery disease, and insulin-dependent diabetes mellitus presents to the emergency department with a complaint of painful sores on the top of her left foot.

Plasma 161

Plasma Coronary Emergency Department OR 161

Emergency Medicine Ireland

DECEMBER 7, 2020

Pregnancy itself with its bump in plasma volume, reduced Hb and increased cardiac output is like one long exercise stress test. Some unique features to consider in pregnancy is spontaneous coronary artery dissections. Improved care of complex. Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 40

Critical Care CAD Plasma ACS 40

Dr. Smith's ECG Blog

JULY 27, 2023

I was not worried for a coronary etiology. Peak plasma concentration of amphetamines is rapid ( within minutes ) following inhalation or injection. The precordial findings are typical for a young AA male See 20 similar cases here. I suspected no OMI, that this could be due to LVH plus tachycardia.

Coronary 52

Coronary ACS Naloxone Plasma 52

Dr. Smith's ECG Blog

APRIL 8, 2016

Internal potassium balance and the control of the plasma potassium concentration. Here is his ED ECG: There is obvious infero-posterior STEMI. What are you worried about in addition to his STEMI? The corrected QT interval is extremely long, about 500 ms. This suggests an electrolyte abnormality or a medication effect (acquired long QT).

STEMI 52

STEMI Plasma Defibrillator OR 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2025

CT coronary angiogram showed a hypoplastic RCA and dominant LCx. You have given IV MgSO4 a fast acting -blocker and IV amiodarone bolus and infusion. The possibility of an ischemic cause of the ventricular arrhythmia has to be considered! That said there were no clinical symptoms or ECG findings suggestive of ongoing ischemia.

Plasma 72

Plasma ACS OR Coronary 72

Don't Forget the Bubbles

MARCH 24, 2025

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. Dexmedetomidine (Dexmed) is a highly selective alpha-adrenoreceptor agonist that can provide anxiolysis, sedation , and analgesia.

E-9-1-1 59

E-9-1-1 Emergency Department ALS Critical Care 59

EMDocs

FEBRUARY 3, 2025

SLE is considered an atypical risk factor for cardiovascular disease and acute coronary syndrome(8,9,11). She also reports a fever (maximum 101F), photosensitivity, and mild abdominal discomfort radiating to both flanks, accompanied by some shortness of breath. However, she denies chest pain or any recent infections.

ED 70

ED E-9-1-1 ALS OR 70