Sun.Feb 18, 2024

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Are Steroids really slow to act?

FOAMfrat

We all have those drugs in our medics, squads, or helicopters that sit and collect dust, right? The usual statement is something to the effect of, “We don’t give that medication too often because it takes a long time to take effect.” I heard this story with a few specific medications, but I wanted to zero in on a specific one – Steroids. Namely, Solumedrol and Dexamethasone (Decadron).

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Acute dyspnea in an older woman, is it OMI?

Dr. Smith's ECG Blog

Written by Willy Frick A woman in her 90s with a history of end stage renal disease and complete heart block status post dual chamber pacemaker presented from home with acute onset dyspnea. ECG is shown below. What do you think? The ST and T wave abnormalities jump off the page, but let's set that aside just for a moment to review the tracing systematically.

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