EMergucate
DECEMBER 13, 2022
The following ECG was obtained in a 38 year old Indigenous man with a history of ischaemic cardiomyopathy at a regional hospital. He did not have a history of left bundle branch block previously.
The Skeptics' Guide to EM
DECEMBER 10, 2022
Date: November 30th, 2022 Reference: Johnson et al. One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. Bone Joint J 2022 Guest Skeptic: Dr.Matt Schmitz is an Orthopaedic Surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. […] The post SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management
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Critical Care Scenarios
DECEMBER 14, 2022
On today’s TIRBO, a couple things worth saying when a patient is struck down with unexpected critical illness: it’s going to take time, and it wasn’t anyone’s fault. Find us on Patreon here! Buy your merch here! On today’s TIRBO, a couple things worth saying when a patient is struck down with unexpected critical illness: it’s going to take time, and it wasn’t anyone’s fault.
Medgadget
DECEMBER 16, 2022
This past week, Medgadget was an official media partner with the Healthcareᐩ Expo Taiwan. This four-day annual event brings together healthcare companies from all over Taiwan and the rest of the world. It is also an opportunity for tech companies not typically associated with healthcare, such as ASUS, Intel, and BenQ, to showcase what they’re doing in medicine and healthcare.
EMergucate
DECEMBER 13, 2022
ECG of the week 7th December 2022 – Interpretation: There is a regular narrow complex tachycardia (QRS < 120ms, rate … Continue reading →
Dr. Smith's ECG Blog
DECEMBER 16, 2022
This 39 year old patient presents with syncope. What do you think? There appears to be RBBB with excessively discordant ST depression (2-2.5 mm) in V2 and V3, suggestive of RBBB with posterior OMI Whenever you see abnormal ST-T (ST elevation, ST depression, hyperacute T-waves), you MUST look at the entire ECG (rhythm, rate, P-waves, intervals, and QRS) to see if there is some abnormality among these which can explain the ST-T.
Clinical Correlations
DECEMBER 14, 2022
By: Michael Moore Peer Reviewed “Too many complex back surgeries are being performed and patients are suffering as a result” wrote National Public Radio health science journalist Joanne Silberner in her 2010 article “Surgery May Not.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
EMergucate
DECEMBER 11, 2022
The chest x-ray shows sail shaped density behind the heart with a parallel left heart border silhouetting the medial left … Continue reading →
Dr. Smith's ECG Blog
DECEMBER 14, 2022
Sent by Drew Williams, written by Pendell Meyers A man in his 50s with history of hypertension was standing at the bus stop when he developed sudden onset severe pressure-like chest pain radiating to his neck and right arm, associated with dyspnea, diaphoresis, and presyncope. EMS arrived and administered aspirin and nitroglycerin. He reported several weeks of intermittent chest pain similar to the active pain, worsening over the past 2-3 days, some of them as long as an hour, but all spontaneou
Stem EMS
DECEMBER 13, 2022
Every year around 30.000 individuals are involved in an accident on ski slopes, of which almost 1.500 need help, care, or hospitalization. Not to mention almost 20 fatalities on ski slopes every year. L'articolo Snow ambulance and snow rescue: news from the Stem world proviene da Stem Ems.
University of Maryland Department of Emergency Med
DECEMBER 15, 2022
Pseudohyperkalemia can result from the use of small bore IVs, excessive tourniquet time, fist clenching and mechanical stress during collection. These facto.
EMergucate
DECEMBER 13, 2022
The foot x-ray shows avulsion fracture of the base of the 2nd metatarsal (fleck sign) with mild widening of the … Continue reading →
Dr. Smith's ECG Blog
DECEMBER 12, 2022
Written by Pendell Meyers I was reading ECGs in a database (without any clinical information) when I came to this one: What do you think? Seeing only this ECG with no context, I thought this ECG was within normal limits. The upright and large T wave in V1 is unusual, but if it were hyperacute, I did not see reciprocal findings in V6 which would be concerning for LAD OMI pattern (we call that "precordial swirl").
EMergucate
DECEMBER 13, 2022
The following forearm x-rays are from a 9-year-old with pain around their elbow after fall on to outstretched hand.
EMergucate
DECEMBER 12, 2022
Question 1: PH = 7.349, that is mild acidaemia HCO3 = 18 mmHg. so we have metabolic acidosis. Since we have metabolic acidosis then we need to calculate the compensation and the anion gap.
EMergucate
DECEMBER 12, 2022
85-year-old man presented with recurrent syncope episodes. His blood gases (on 3 L O2) showed the following: PH = 6.
Dr. Smith's ECG Blog
DECEMBER 10, 2022
I was texted this ECG by one of my partners, with the following history: A 60-something male with diabetes and HTN presented with syncope. Per EMS report, the patient had a syncopal episode at work. On medics arrival, patient noted to be pale and diaphoretic, SBPs 60-80s, complaining of nausea and had one episode of emesis en route, possible hematemesis.
University of Maryland Department of Emergency Med
DECEMBER 10, 2022
TACTICS Transfusion 1:1:1 Whole B.
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