Dr. Smith's ECG Blog

APRIL 6, 2024

This case came from a friend whose sister was the patient. She knew I was interested in ECGs, so she took a photo of this one. A young woman presented with acute chest pain. This was her presenting ECG: What do you think? This is clearly Brugada phenotype. There is downsloping ST Elevation in V1 and V2. To an experienced interpreter, it is clearly not due to OMI.

STEMI 105

STEMI 105

SSCOR

APRIL 6, 2024

Routine suctioning at birth has been the standard of care for newborns for decades. However, evidence calls this practice into question , and many hospitals are moving away from it. But this doesn’t mean that suctioning is obsolete. Newborns in respiratory distress, those with low Apgar scores, and those struggling with the transition from fetus to newborn may still need bulb suctioning, or occasionally, suctioning with a machine.

OR 105

OR 105

EMDocs

APRIL 6, 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: Phoenix Criteria – New Pediatric Sepsis Score Spoon Feed The Phoenix Sepsis Score, which is a novel clinical criterion for pediatric sepsis and septic shock developed using measures of organ dysfunction, outperforms

OR 76

OR 76

The Skeptics' Guide to EM

APRIL 6, 2024

Reference: Drysdale SB et al. Nirsevimab for Prevention of Hospitalizations due to RSV in Infants. N Engl J Med. 2023 Date: March 29, 2024 Guest Skeptic: Dr. Michael Cosimini is a pediatrician in Portland Oregon. He is the designer of Empiric Game, a medical editor and contributor to Pediatrics Reviews and Perspectives (PedsRAP) and the […] The post SGEM #435: Don’t Stop Believing…A Vaccine can Work for RSV first appeared on The Skeptics Guide to Emergency Medicine.

ALS 129

ALS Emergency Department ED 129