Mon.Feb 17, 2025

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ECG Cases 54 The Art of Occlusion MI: Scale and Proportionality

Emergency Medicine Cases

On this month's ECG Cases, Dr. Jesse McLaren explains how STEMI criteria can be false positive with large scale QRS and proportional ST elevation, or false negative with low/normal scale QRS and disproportionate ST elevation and hyperacute T waves, and that rules for subtle occlusion using proportionality can help differentiate LBBB with or without Occlusion MI, or LV aneurysm vs anterior STEMI with Q waves.

STEMI 195
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Venous Congestion in Pediatric Critical Care

Don't Forget the Bubbles

Two-liner A look at the evolving concept of venous congestion and the haemodynamic assessment in critically ill children and adults. The literature exploring its nuances continues to grow in adults but remains poorly understood in paediatric populations.[1] Fred is a 3-year-old boy who presents to the emergency department. He was previously healthy and presented with a 3-day history of cough, fevers, low appetite, and decreased energy.

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On the Other Site …

EM Literature of Note

Ive taken the opportunity of reboot to try and make smaller, more digestible chunks to highlight what Im reading and to post more often. So, check out: The Journavx Hype Predicting Heart Failure from ECGs Whats the Best Fluid for Pancreatitis? A Nice Win for Radiology AI Where Endovascular Treatment Fails Even the Best Make Terrible Alerts The Future of AI is FUTURE-AI?

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PEERLESS: Interventional therapies for pulmonary embolism

First 10 EM

The decision between mechanical thrombectomy and catheter directed thrombolysis for pulmonary embolism is not one that most emergency physicians are making. Most (like me) probably dont even have access to such therapies, which might be a good thing, as both therapies remain completely unproven. However, I thought I would share the PEERLESS trial as a […] The post PEERLESS: Interventional therapies for pulmonary embolism appeared first on First10EM.

EMS 52
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Liver Service Transfer / Referral

Life in the Fastlane

John Currie Liver Service Transfer / Referral Remember the 3s and EncephalopaTHREE (ph 7.3, INR>3, BSL of 3.

ICU 52
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Physical Signs of Aging: Symptoms Seniors Shouldn’t Ignore

Paramedics World

Aging is a natural part of life, bringing physical and mental changes that are often expected. Some symptoms may indicate more serious health concerns that require attention. Ignoring these signs… The post Physical Signs of Aging: Symptoms Seniors Shouldn’t Ignore appeared first on Paramedics World.

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What is The Role of Social Work in Healthcare Settings?

Paramedics World

In the healthcare ecosystem, social work plays a significant and diverse role in patient treatment. For social workers, patient support is more than recovery; its reconnection, reintegration, and reimagination rolled… The post What is The Role of Social Work in Healthcare Settings? appeared first on Paramedics World.