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Dynamic OMI ECG. Negative trops and negative angiogram does not rule out coronary ischemia or ACS.

Dr. Smith's ECG Blog

By Smith, peer-reviewed by Interventional Cardiologist Emre Aslanger Submitted by anonymous A 53 y.o. male presents to the ED at 6:45 AM with left sided chest dull pressure that woke him up from sleep at 3am. The pain radiated to both shoulders. He arrived to the ED at around 6:45am, and stated the pain has persisted.

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SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

He is interested and experienced in healthcare informatics, previously worked with ED-directed EMR design, and is involved in the New York City Health and Hospitals Healthcare Administration Scholars Program (HASP). Five Rules of the SGEM Journal Club Case: A 70-year-old woman is found unresponsive and apneic at home by her partner.

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SGEM Xtra: On the Edge of Burnout ACEM18

The Skeptics' Guide to EM

One of the most common reasons cited for burnout is the electronic medical record (EMR) (Shanafelt et al 2016). Michelle Johnston ( Dustfall ) did a fantastic job the during the ACEM18 opening presentation highlighting what we do everyday. The word burnout was coined by Burnout was a term coined by Herbert Freudenberger in 1974.

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Alzheimer’s and Ambulance Drivers

Peter Canning

Volunteer ambulances may have an EMT and an EMR (emergency medical responder), but there is no “ambulance driver” category of certification. Novel theory, but not enough to make me forget about the driver dis. Ambulance drivers. Paramedics and EMTs are trained medical professionals who assess and treat sick and injured patients.

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SGEM#346: Sepsis – You Were Always on My Mind

The Skeptics' Guide to EM

Despite the lack of high-quality evidence to support these sepsis bundles, many hospitals incorporated them into their electronic medical record (EMR). He has a heart rate of 93 beats per minute, a blood pressure of 145/90 mm Hg, respiratory rate of 24 breaths per minute, and an oxygen saturation of 92% on room air. mg/dl or 107 umol/L).

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The Concomitant Use of Calcium and Diltiazem for Rapid Atrial Fibrillation

REBEL EM

They utilized EMR to gather comprehensive data on patients who received IV calcium and IV diltiazem, or IV diltiazem monotherapy for the treatment of patients with AF/AFL with RVR. The study was dependent on EMR documentation which is prone to error. Hypotension in these patients can complicate management.

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Proportionality is a major element in the ECG Diagnosis of OMI.

Dr. Smith's ECG Blog

I published, and Emre Aslanger externally validated, the 4-Variable formula for differentiating the ST Elevation of LAD OMI from Normal ST Elevation. Let's stretch out the QRS vertically so it is not so tiny: On upper left is the original. On the right are the precordial leads stretched vertically, so that the QRS is not tiny.

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