EMCrit 397 – Philosophy of Arterial Lines in the ED – A Debate in Absentia
EMCrit Project
MARCH 23, 2025
A discussion of some arterial line philosophy, accuracy, and ease of placement. EMCrit Project by Scott Weingart, MD FCCM.
Sun.Mar 23, 2025
85 
SGEM Xtra: 5 Papers in 15 Minutes (Incrementum 2025)
The Skeptics' Guide to EM
MARCH 23, 2025
Date: March 23, 2025 I was honoured to be invited to speak at Incrementum 2025 in Mercia, Spain. Thank you to Paco, Carmen, and the Incrementum team for putting on one of the best conferences ever. They asked me to talk about five important recent papers in 15 minutes. Usually, I do ten papers in ten minutes.However, This was an international audience, with many of the close to 600 attendees having English as their second language.
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When ACS care is very delayed, "STEMI metrics" can be perfect. And how specific is Queen of Hearts?
Dr. Smith's ECG Blog
MARCH 23, 2025
Written by Pendell Meyers, sent by anonymous, with additions by Smith A man in his 40s had acute chest pain and called EMS. EMS arrived and recorded this ECG: What do you think? Here is the PMcardio Queen of Hearts interpretation of the ECG: STEMI equivalent detected. Inferior and posterior OMI without STEMI criteria. If you think the Queen of Hearts is so sensitive because it sacrifices specificity, you would be wrong.
PulmCrit Wee – Loading infusion auto-titration (LIAT) for infused medications with intermediate half-lives
EMCrit Project
MARCH 23, 2025
Let's talk about starting patients on milrinone. Milrinone is part of a group of medications that I would regard as quasi-titratable. They have an awkward half-life of roughly ~0.5-3 hours. Other medications in this group might include diltiazem, labetalol, and perhaps nicardipine. These drugs can be given as a continuous infusion, but they're not easy […] EMCrit Project by Josh Farkas.
Episode 106- Pulse Check: Methemoglobin
The Curious Clinicians
MARCH 23, 2025
Why do patients with methemoglobinemia have an oxygen saturation fixed at 85%? Here’s a case for you: an older patient with lung cancer undergoes an awake intubation with benzocaine. They then experience hypoxemia which stays fixed at 85% despite receiving 100% FiO2 oxygen. The care team does an ABG, which yields chocolate-colored blood with a PO2 of 284.
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