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SAEM Clinical Images Series: A Case of Painful Skin Lesions

ALiEM

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. to 1.2%).

Plasma 161
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Tasty Morsels of Critical Care 010 | Cardiac disease in pregnancy

Emergency Medicine Ireland

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.

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Profound ST depression in II, III, aVF

Dr. Smith's ECG Blog

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.

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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

Internal potassium balance and the control of the plasma potassium concentration. Volume 34 , Issue 11 , pages 10771082 , November 1994 Although concentrated infusions of potassium chloride commonly are used to treat hypokalemia in intensive care unit patients, few studies have examined their effects on plasma potassium levels.

STEMI 52
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Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

CT coronary angiogram showed a hypoplastic RCA and dominant LCx. The minimum effective plasma concentration of flecainide is about 200 ng/mL. This plasma concentration leads to a QRS prolongation of about 10 msec. At plasma concentration peak ( after 90120 min. ) record another ECG and calculate the QRS duration. =

Plasma 72
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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. Emerging evidence from animal studies also suggests that Dexmed may have neuroprotective properties.

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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.

ED 71