ALiEM

FEBRUARY 2, 2024

An 18-year-old-female with no known past medical history presented with a lesion on her back that had been present and enlarging for five months. It was not painful unless she touched it, and then only mildly tender. She denied any known cause, wound, prior rash, or other lesions. Her review of systems and past medical history were negative. Additional Images Physical Exam Vitals : Normal Skin : An erythematous lenticular, or biconvex, lesion with distinct borders is noted at the left posterior

Emergency Department 169

Emergency Department OR 169

Pediatric EM Morsels

FEBRUARY 2, 2024

There have been many times I have encountered a triage note which states “ patient recently returned from … (insert awesome foreign country) … ” Not only does this leave me daydreaming about my future travel adventures, but has often caused me to take pause. Thoughts of what endemic illnesses could this child potentially have been exposed to in their travels?

E-9-1-1 161

E-9-1-1 ED OR Emergency Department 161

Dr. Smith's ECG Blog

FEBRUARY 2, 2024

Written by Pendell Meyers First try to interpret this ECG with no clinical context: The ECG shows an irregularly irregular rhythm, therefore almost certainly atrial fibrillation. After an initially narrow QRS, there is a very large abnormal extra wave at the end of the QRS complex. These are Osborn waves usually associated with hypothermia. There is also large T wave inversion and long QT.

ICU 132

ICU OR ALS ED 132

Paramedic Chiefs of Canada

FEBRUARY 2, 2024

Emerging EMS Leaders Invited to Submit Applications from February 1–March 15, 2024 PLATTE CITY, MO — The Jack Stout EMS Fellowship, endowed by FirstWatch, is accepting applications now through March 15, 2024. Now in its third year, the Fellowship is open to emerging EMS leaders interested in acquiring the knowledge and skills to lead EMS systems now and in the future.

EMS 59

EMS 59

Dr. Smith's ECG Blog

FEBRUARY 2, 2024

This case was sent by Dr. Jean-christophe Reiters, an interventionalist in Belgium. He has been following the blog for 4 years. He has now implemented the Queen of Hearts in his hospital. He wanted to share one of the first cases. A 55 year old with no previous cardiac history presented with 3 hours of chest pain. The pain was persistent and reportedly still present at the time of the ECG.

STEMI 101

STEMI ACS OR 101