Sun.Nov 17, 2024

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ECG of the Week 20 Nov 24

EMergucate

A 60yr old female presents to ED with 3hrs of pleuritic chest pain radiating to the back associated with diaphoresis.

ED 130
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Acute chest pain and an abnormal ECG. Do precordial leads show benign T-wave inversion or ischemia?

Dr. Smith's ECG Blog

Written by Willy Frick A 51 year old man with hypertension presented with three hours of acute onset, severe midsternal chest pain associated with two episodes of nausea and vomiting. ECG 1 What do you think? Smith : Inferior leads have subtle ST Elevation with reciprocal STD in aVL. The end of the T-wave in all of II, III, aVF has a rapid downturn, suggesting early T-wave inversion.

OR 72
professionals

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First10EM Journal Club: November 2024

Broome Docs

Palatinus HN, Johnson MA, Wang HE, Hoareau GL, Youngquist ST. Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. Resuscitation. 2024 Aug;201:110266. doi: 10.1016/j.resuscitation.2024.110266. Epub 2024 Jun 9. PMID: 38857847 Bottom line: This before and after study demonstrates an association between early IM epinephrine and survival from cardiac arrest.

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Suspicion

Peter Canning

There have been a lot of changes in EMS over the years that I have chronicled. New meds, new equipment, new procedures, new trends, etc. One distinct change is the patient or their family’s level of suspicion over giving out their information. Name, date of birth and social security number. We try to get this information from each of our patients. We provide life-saving care (and band-aid and hand holding care) and we get patient demographics.