Dr. Smith's ECG Blog

JANUARY 27, 2024

Written by Jesse McLaren, comments by Smith A 55 year old with a history of NSTEMI presented with two hours of exertional chest pain, with normal vitals. Below is the triage ECG, with a computer interpretation (Marquette 12 SL) of “normal” which was confirmed by the over-reading cardiologist. What do you think? Should this patient continue to stay in the waiting room, without interruption of the physician to interpret the ECG, because the computer interpretation is normal?

STEMI 101

STEMI Coronary ACS ED 101

EM Literature of Note

JANUARY 27, 2024

A brief post collating a few bits of my various work published across the interwebs … The Annals of Emergency Medicine Podcast continues to summarise the meatiest articles from each month, featuring a cycle of new co-hosts, as well: Apple Podcasts Google Podcasts Soundcloud Naturally, there are continuing Journal Club features, covering the following articles: Zone 1 endovascular balloon occlusion of the aorta vs resuscitative thoracotomy for patient resuscitation after severe hemorrha

Emergency Department 94

Emergency Department 94

EMDocs

JANUARY 27, 2024

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Do Febrile Neonates with COVID-19 Need a Full Workup? Spoon Feed This systematic review and meta-analysis of almost 4,000 febrile infants ≤ 90 days old diagnosed with COVID-19 indicated that these patients have a lo

OR 72

OR 72

EMCrit Project

JANUARY 27, 2024

a ton of hemodynamic stuff. EMCrit Project by Scott Weingart, MD FCCM.

110

110

SSCOR

JANUARY 27, 2024

The quality of care you can provide patients is inseparable from the quality of the devices you have available. After all, it doesn’t matter how knowledgeable you are about choking if you can’t clear a patient’s airway.

EMT 59

EMT EMT 59

Peter Canning

JANUARY 27, 2024

The FDA this week approved extending the expiration date of all future manufactured Narcan (the 4mg Nasal spray) from 3 years to 4 years. They note that this only applies to Narcan manufactured going forward and not to previously manufactured Narcan, although there is no indication that there is any change in the way Narcan is going to be manufactured in all future Narcan products to give it more shelf life other than simply adding a year to the expiration date.

NARCAN 59

NARCAN Naloxone Overdose OR 59

The Skeptics' Guide to EM

JANUARY 27, 2024

Reference: Wilkinson-Stokes M, Betson J, Sawyer S. Adverse events from nitrate administration during right ventricular myocardial infarction: a systematic review and meta-analysis. Emerg Med J. February 2023 Date: January 24, 2024 Guest Skeptic: Dr. Rupinder Sahsi is a fellow EBM enthusiast with academic appointments at McMaster University and Wright State University who works as an emergency physician […] The post SGEM#428: Don’t Worry, Be Happy – The Safety of Nitroglycerin Administration in R

Paramedic 289

Paramedic ALS EMS OR 289