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SGEM#460: Why Do I Feel Like, Somebody’s Watching Me – CHARTWatch to Predict Clinical Deterioration

The Skeptics' Guide to EM

Their hospital has struggled with a growing number of adverse events that often occur without warning. Clinical Question: Can the implementation of a real-time, machine learning-based early warning system (CHARTWatch) reduce adverse events and mortality in patients in the emergency department? Reference: Verma et al.

ICU 275
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SGEM#428: Don’t Worry, Be Happy – The Safety of Nitroglycerin Administration in RVMI

The Skeptics' Guide to EM

Adverse events from nitrate administration during right ventricular myocardial infarction: a systematic review and meta-analysis. Adverse events from nitrate administration during right ventricular myocardial infarction: a systematic review and meta-analysis. Reference: Wilkinson-Stokes M, Betson J, Sawyer S. Emerg Med J. Emerg Med J.

Paramedic 314
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VT? Or Supraventricular tachycardic rhythm with aberrancy?

Dr. Smith's ECG Blog

Here is a subsequent rhythm strip: This confirms sinus rhythm == MY Comment , by K EN G RAUER, MD ( 10/21 /2023 ): == It is often challenging to review the charts of complex cases when you lack a detailed sequential account of events that transpired. From a purely ECG interpretation standpoint — How would you interpret today's rhythm ?

OR 139
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Cath Lab occupied. Which patient should go now (or does only one need it? Or neither?)

Dr. Smith's ECG Blog

Patient # 1: Assessment of the Initial ECG in the ED … The History for Patient #1 — is clearly concerning for a higher -risk likelihood of having an acute event. Patient # 2: Assessment of the Initial ECG in the ED … While still of concern — I found the history for Patient #2 of a lower likelihood for an acute event.

OR 116
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The Modified Valsalva Maneuver: Practical Treatment or Pointless Trick?

REBEL EM

What they did: Prospective randomized controlled trial, unblinded, multicenter study Conducted from January 2017 to December 2022 Patients with confirmed PSVT were randomly assigned to receive MVM, IV Adenosine, or combined therapy. This absence of detail leaves the study open to bias. Evidence suggests that a weight-based dosing approach (0.1

OR 137
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How to Become an Event Medical Services EMT

Unitek EMT

Event Medical Services Emergency Medical Technicians (EMTs) play a crucial role in ensuring the safety and well-being of attendees at various events and gatherings. Your comprehensive guide: roles, responsibilities, and pathways to success.

EMT 75
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Elder Male with Syncope

EMS 12-Lead

He denied any specific prodrome of gross palpitations, however did endorse feeling quite dizzy just before the event. Given no clinical prelude of anginal (or equivalent) descriptors, prior to the acute event, risk stratification of the ECG and Troponin was pursued via Echo and nuclear Myocardial Perfusion Imaging (MPI).

Coronary 290