ECG of the Week 25th May 2022 Answer
EMergucate
MAY 25, 2022
A 79 year old male presents to ED after a syncope. The patient has had diarrhoea and vomiting over the past week. He has a background of hypertension, atrial fibrillation and CCF.
May, 2022
130 
ECG Cases 31 Is a 15 lead ECG better than 12? Diagnosing Posterior MI and RVMI
Emergency Medicine Cases
MAY 24, 2022
Is 15 lead ECG better than 12 lead for diagnosing posterior MI or right ventricular infarction? When do you need a 15 lead ECG? Jesse McLaren guides us through 8 cases to highlight the steps and pitfalls in diagnosing posterior MI and RVMI in light of recent ECG literature. The post ECG Cases 31 Is a 15 lead ECG better than 12? Diagnosing Posterior MI and RVMI appeared first on Emergency Medicine Cases.
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Hypertrophic Cardiomyopathy
EMS 12-Lead
MAY 20, 2022
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review and commentary by Dr. Steve Smith [link] @SmithECGblog It is early-summer, approximately 1330 hours, no cloud cover overhead, and 86 degrees with high humidity. A 59 y/o Female calls 911 for crushing chest discomfort and difficulty breathing. Fire/EMS personnel find her laying supine on the kitchen floor, awake and verbal, although acutely ill.
SGEM#366: Relax, Don’t Do It – Skeletal Muscle Relaxants for Low Back Pain
The Skeptics' Guide to EM
MAY 14, 2022
Date: May 13th, 2022 Reference: Abril et al. The Relative Efficacy of Seven Skeletal Muscle Relaxants. An Analysis of Data From Randomized Studies. J Emerg Med 2022 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading […] The post SGEM#366: Relax, Don’t Do It – Skeletal Muscle Relaxants for Low Back Pain first appeared on The Skeptics Guide to Emergency Medicine.
Episode 47: ICU triage with Eddy Gutierrez
Critical Care Scenarios
MAY 22, 2022
Discussing ICU triage, risk stratification, and patient disposition with intensivist Eddy Joe Gutierrez (@eddyjoemd) of the Saving Lives Podcast. For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), listen to the show for a promo code for CCS listeners! Takeaway lessons When a patient has borderline indications for requiring the ICU, generally, … Continue reading "Episode 47: ICU triage with Eddy Gutierrez" Discussing ICU triage, risk stratification, and patient dispositio
How is Your EMSWeek?
High Performance EMS
MAY 19, 2022
Elsewhere on social media this week I have seen a call to “protest EMS Week 2023” The logic suggests that the free meals and cheap trinkets are far less than the long-suffering and under-paid providers deserve. While I whole-heartedly agree, “we” have made EMS Week what it has become, not what it was intended. The EMS Week 2022 proclamation reads “I call upon public officials, doctors, nurses, paramedics, EMS providers, and all the people of the United States to obs
Imaging Case of the Week 504 Answer
EMergucate
MAY 7, 2022
The knee x-rays show: There is a lipohaemarthrosis on the HBL view with AP knee x-ray showing compression type injury … Continue reading →
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Hyperkalemia
EMS 12-Lead
MAY 8, 2022
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGBlog An adult female called 911 for chest discomfort and difficulty breathing. EMS found her acutely ill, mottled, dry mucous membranes, modestly hypotensive, and lethargic. She reported a history of IDDM, but denied any known ischemic heart disease.
NeuroEMCrit – IVIG ?? PLEX
EMCrit Project
MAY 3, 2022
Which would you want?? The evidence may change your mind. EMCrit Project by Casey Albin.
Lightning rounds #15: Night shifts
Critical Care Scenarios
MAY 8, 2022
Bryan and Brand talk about night shifts, how to handle them, managing the disruption of your circadian rhythm, and more. For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), listen to the show for a promo code for CCS listeners! Bryan and Brand talk about night shifts, how to handle them, managing the disruption of your circadian rhythm, and more.
Tasty Morsels of Critical Care 062 | Diuretics
Emergency Medicine Ireland
MAY 30, 2022
Welcome back to the tasty morsels of critical care podcast. Today we’re going to talk about some of the basics of some of our favorite drugs intensive care – the diuretics. As always this is planned to be a brief overview of the essentials rather than the deep dive. Click for source As a starter pretty much all diuresis is conducted by convincing the kidney to lose more Na.
Imaging Case of the Week 508
EMergucate
MAY 29, 2022
The following elbow x-rays are from a 5 year old with elbow pain & swelling after a fall on outstretched … Continue reading →
EM Quick Hits 38 ACS in Older Patients, Rural Neonatal Resuscitation, Hemophilia, Hiccups, ECG Computer Interpretation
Emergency Medicine Cases
MAY 10, 2022
On this month's EM Quick Hits: Christina Shenvi on ACS in older people, Nour Khatib on rural NRP, Jess McLaren on how not to get fooled by ECG computer interpretation, Brit Long on hemophilia recognition and workup, Maria Ivankovic on persistent and intractable hiccups from EM Cases Summit 2021. The post EM Quick Hits 38 ACS in Older Patients, Rural Neonatal Resuscitation, Hemophilia, Hiccups, ECG Computer Interpretation appeared first on Emergency Medicine Cases.
Outback Obstetric Anaesthesia
Broome Docs
MAY 27, 2022
Hey all. This week I am making a guest appearance on the excellent ABCS of Anaesthesia podcast with Dr Lahiru Amaratunge. Specifically we are discussing the way that we can approach Obstetric Anaesthesia in rural hospitals. We discuss how we can manage risk, a lot about our paranoia and pessimism when it comes to higher risk Obstetric scenarios. It is a great topic that illustrates the way that GPAs need to balance the medical, social and logistical considerations in discussion with our team and
IBNCC – Movement disorder emergencies
EMCrit Project
MAY 30, 2022
Movement disorders are encountered more frequently in the critical care unit than one might realize. For example Parkinson's disease alone affects ~1% of patients over sixty years old (often requiring careful consideration in medication management, to avoid either psychosis or Parkinsonism-hyperpyrexia syndrome). Other disorders are less common, but their recognition may be critical (e.g., propofol […].
TIRBO #8: What does skin really tell you about hemodynamics?
Critical Care Scenarios
MAY 1, 2022
The relationship between skin warmth and color, cardiac output, and systemic vascular resistance. For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), listen to the show for a promo code for CCS listeners! The relationship between skin warmth and color, cardiac output, and systemic vascular resistance. For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), listen to the show for a promo code for CCS listeners!
Tokens! A Quick Guide to EM Preference Signaling
The Vocal CORD
MAY 25, 2022
Image by Mohamed Hassan Knowing our audience of advisors well, we here at ASC-EM won’t bother hunting for citations to adorn this sentence: We are all suffering from burnout of historic proportions. Whatever one’s politics, beliefs, position and physical capacity, the last two and a half years have been hard in a way that might (if one were prone to such thoughts) seem almost specifically targeted to make life difficult for ER doctors and educators.
Lab case 364 interpretation
EMergucate
MAY 29, 2022
Question 1: PH = 7.299 that is moderate acidaemia (less than 7.3), however we can argue that is mild as it is just 0.
NCOAE’s EMT Training Opens the Doors to Jobs Across the U.S.
NCOAE
MAY 25, 2022
Applicants to our nationally renowned EMT training courses often ask us if they can take their new EMT credentials to the state where they live, and the answer is mostly yes. The National Center for Outdoor and Adventure Education’s (NCOAE) campus is located in North Carolina, where we offer 21-day “Intensive” EMT-Basic and 23-day “Intensive” Advanced EMT training courses among others.
A 30-something with Chest pain, elevated troponin, with Subtle ST Elevation and hyperacute T-waves.
Dr. Smith's ECG Blog
MAY 24, 2022
A 30-something male presented in the middle of the night with several hours of sharp, non-radiating, left sided chest pain. It was there earlier, went away, and then returned approximately 1 hour prior to arrival. He is a smoker and has some family history of early MI. Exam and vital signs were normal. Here was the triage ECG: There appears to be diffuse ST Elevation (II, III, aVF with reciprocal STD in aVL, V3-V6, and lead I, with T-waves that appear to be hyperacute (broad and fat, but on the
Prehospital Emergency Care Podcast Ep. 114: Rising to the Challenge
Prehospital Emergency Care Podcast
MAY 20, 2022
EMS Week: Rising to the challenge As EMS week comes to a close, NAEMSP, the PEC podcast , and the But Why EMS podcast would like to highlight a NAEMSP member who has Risen to the Challenge of the war in Ukraine. Dr. Kasia Hampton ( @kasiahamptonmd ) & her medical student daughter Livia Van Humbeeck ( @doclivia ) have been helping their home country Poland and their neighbor Ukraine during this horrendous time in history.
TIRBO #9: Some quotes about why
Critical Care Scenarios
MAY 15, 2022
A selection of lesser-known quotes relevant to the practice of medicine. A selection of lesser-known quotes relevant to the practice of medicine.
Introduction to Tactical Combat Casualty Care (TCCC)
NHCPS Save a Life
MAY 19, 2022
History Behind Tactical Combat Casualty Care (TCCC) Tactical Combat Casualty Care (TCCC) is a combat lifesaver course that outlines the priorities of medical care for casualties in combat-related situations as faced in military and law enforcement applications. Initially, it was developed developed for U.S. Special Operations Forces in 1996 but has become an international standard […] The post Introduction to Tactical Combat Casualty Care (TCCC) appeared first on SaveaLife.com.
Imaging Case of the Week 507
EMergucate
MAY 21, 2022
The lateral neck x-ray is from a young adult with neck pain and shortness of breath. What can be visualised?
Double Date: Kris and Sara
Medic Mindset
MAY 19, 2022
I don’t have favorite episodes but if I did, this would be one of them. With my girlfriend Cassi by my side, I caught up with Kris and Sara Kaull at a conference. It’s the first ever double-date on Medic Mindset! Cassi & Kris are both paramedics. Sara and I have the perspective of the significant-other to a paramedic. We swap stories while Cassi and Kris offer ideas about what medics need from their spouses/partners.
IBNCC – Cervical artery dissection
EMCrit Project
MAY 19, 2022
Carotid or vertebral artery dissection are important considerations in trauma and also common causes of ischemic stroke among younger patients. Variable presentations and a plethora of different diagnostic modalities can make this tricky. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes. EMCrit Project by Josh Farkas.
Prehospital Emergency Care Podcast Ep. 113
Prehospital Emergency Care Podcast
MAY 18, 2022
Ouch-less Pediatrics For CAPCE Credit click here! Happy EMS Week: Pediatrics Day! The PEC Podcast team would like to highlight NAEMSP's newest podcast to our family The Pediatric EMS Podcast In their first episode, hosts Dr. Joseph Finney and Dr. Joelle Donofrio Odmann talk about Safely and effectively managing pain in our pediatric patients. Medical directors and prehospital clinicians must be able to identify gaps in pediatric pain management and provide the necessary QA/QI to close those gap
TIRBO #10: Put the I back in Team
Critical Care Scenarios
MAY 29, 2022
When it’s a bad idea to help out others with their work. When it’s a bad idea to help out others with their work.
Episode 86: Hilary Gates and the future of EMS education
The Overrun Podcast
MAY 16, 2022
Hilary gates is a real life educator at American University who happened to join EMS and fall in love with it. The program she works with, Prodigy EMS , is at the forefront of EMS education. As we move forward out of our collective nightmare that has been the past two years, Ed and Anna discuss how EMS education can grow from here. Hilary speaks with focus and passion about expanding the role of EMTs and medics moving forward and what we can do as educators and providers in the classroom to take
ECG of the Week 18th May 2022 Answer
EMergucate
MAY 18, 2022
A 22 year old female presents to ED with palpitations and chest discomfort 2 weeks post contracting COVID19.
Pediatric Pain
Medic Mindset
MAY 18, 2022
This is a special cross-post with the brand new pediatric podcast from NAEMSP: The Pediatric EMS Podcast created by Drs. Joelle Donofrio-Odmann and Dr. Joseph Finney. Dr. Donofrio-Odmann has been a guest on the show previously in Thinking: Pediatric Respiratory. Other guests in this episode are Drs. Maia Dorsett , Jeff Jarvis and Jeremiah Escajeda They’ve created these show notes.
A 30-something with palpitations and lightheadedness
Dr. Smith's ECG Blog
MAY 14, 2022
A 30-something male without any significant past medical history presented with palpitations and presyncope. Here is his ED ECG: Regular Wide Complex Tachycardia at a rate of 229 First : What do you want to do? Next : What do you think is the ECG diagnosis? First. Before getting into analysis, a regular wide complex tachycardia could be 1. ventricular tachycardia ( VT ) or 2.
IBNCC – Neurologic emergencies in pregnancy
EMCrit Project
MAY 10, 2022
Neurologic emergencies in pregnancy are challenging as there is very little high-quality evidence regarding them. This chapter attempts to review available information, but large gaps remain. Ideally, such gaps may be filled by using multidisciplinary teams which personalize care for each individual patient. The IBCC chapter is located 👉 here.
IN DEFENSE OF MARY JANE
The Overrun
MAY 3, 2022
Should EMS clinicians be allowed to purchase and use recreational marijuana? If you haven’t been aware of this controversy, it will probably be coming to your area sooner than you think. Here in the home state of The Overrun, New Jersey, marijuana has been legalized for the last year or so after an election referendum showed a clear majority of voters agreed that it should be.
Understanding mental clarity in recovery
First Responder Wellness
MAY 1, 2022
Choosing a life of recovery comes with personal growth, self-reflection, and reparation to relieve the weight of guilt and shame. Yes, the path forward can be painful yet fulfilling. Working towards a sober lifestyle requires sacrifice but can yield moments of clarity that reaffirm the decision to live free of all substances. First responders who have stayed sober for extended periods are privy to the mental health benefits of experiencing peace of mind.
Imaging Case of the Week 504
EMergucate
MAY 3, 2022
The following knee x-rays are from a 30 year old with knee pain & swelling after fall from a height.
Race Multiplier in the eGFR Equation: What’s the impact for African-Americans?
Silk City Blog
MAY 31, 2022
Written by Amanda Russo, DO This post first appeared on REBEL EM Background: Race is a sociological construct that affects how clinicians deliver health care to various racial/ethnic groups. This in turn affects clinical outcomes. Thus, African Americans with chronic kidney disease have worse outcomes with respect to hypertension control, timely nephrology referral, dialysis fistula/graft placement, adequate dialysis treatment, and access to transplantation.
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