Dr. Smith's ECG Blog

FEBRUARY 9, 2024

Written by Jesse McLaren A 65 year old with a history of atrial flutter, CABG and end-stage renal disease on dialysis presented with 3 days of fluctuating chest pain, which was ongoing at triage. What do you think? Do you need posterior leads? There’s atrial flutter with controlled ventricular response, a non-specific intra-ventricular conduction delay, borderline right axis, normal R wave progression and normal voltages.

STEMI 112

STEMI ACS Coronary OR 112

The EMS Educator

FEBRUARY 9, 2024

Could your next work partner be… Australian? If some folks in California have their way, the answer is yes. Working to solve the ongoing staffing shortage, a group of innovative EMS leaders in California and Australia are thinking differently: bringing well-trained EMS clinicians from Australia to join the U.S. ranks. How do they do it? Hosts Rob Lawrence and Hilary Gates interview the impressive cast of characters.

Organ Donor 98

Organ Donor EMS EMT EMT 98

EMCrit Project

FEBRUARY 9, 2024

The acute crit care med rec EMCrit Project by Scott Weingart, MD FCCM.

Critical Care 114

Critical Care 114

FirstNet Authority

FEBRUARY 9, 2024

Super-sizing safety communications for the Big Game Blog michelle.fordi… Fri, 02/09/2024 - 17:51 By Margaret Harding McGill, NTIA Senior Advisor for Public Affairs, Michael Varney, FirstNet Authority Director of Stakeholder Collaboration Learn more about how FirstNet is transforming public safety communications — contact your local FirstNet Authority Public Safety Advisor and sign up for our discipline newsletters.

Public Safety 69

Public Safety OR 69

ALiEM

FEBRUARY 9, 2024

How do we best use high-sensitivity cardiac troponin (hs-cTn) to risk stratify patients with symptoms concerning for an acute myocardial infarction (AMI)? The 2022 American College of Cardiology (ACC) pathway provides timely guidance [1]. We help you translate this to your clinical practice, by illustrating with a case. Time to know your hs-cTn better.

E-9-1-1 276

E-9-1-1 ED Coronary ALS 276

EMDocs

FEBRUARY 9, 2024

Authors: Adam Roussas, MD, MBA, MSE // Reviewed by: Jamie Santistevan, MD ( @jamie_rae_EMdoc, EM Physician, Presbyterian Hospital, Albuquerque, NM); Manpreet Singh, MD ( @MPrizzleER ); and Brit Long, MD ( @long_brit ) Case A 40-year-old female presents to the emergency department for palpitations and lightheadedness. She has a history of depression on citalopram, migraines on amitriptyline, and was recently prescribed tramadol after she broke her wrist.

Defibrillator 71

Defibrillator OR ED ALS 71

Core EM

FEBRUARY 9, 2024

Early adjunctive methylene blue in patients with septic shock: a randomized controlled trial. PubMed, 2023 Background Methylene blue is a potential last-line treatment for patients experiencing refractory septic shock. Limited evidence is available regarding its use as a supplementary treatment in early septic shock, the most effective timing for administration, the ideal dosage, and its safety profile.

ICU 100

ICU EMS OR 100