Emergency Medicine Cases
MAY 7, 2019
The post EM Quick Hits 4 Acetaminophen Overdose & Warfarin Interaction, Dental Infections, MTP RABT Score, Statins for STEMI, Cricothyrotomy Tips appeared first on Emergency Medicine Cases.
Dr. Smith's ECG Blog
JULY 25, 2024
Cardiac arrest #3: ST depression, Is it STEMI? In this case, the cath lab was activated and the patient had a normal angiogram. See these related cases: Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR.
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Dr. Smith's ECG Blog
JUNE 15, 2013
The cath lab was activated for STEMI. Hyperkalemia alone can cause inferior-posterior pseudo-STEMI: Notice that in both cases, the ST elevation is downsloping and the T-wave is inverted. So, in retrospect, the first patient probably did not have STEMI at all. He took potassium pills and overdosed. There was no MI.
Dr. Smith's ECG Blog
NOVEMBER 1, 2022
Discharge Diagnosis was STEMI (The STE did not meet "criteria," so "OMI" would be better, but "STEMI" is far better than what this could have been called: NonSTEMI) Quotes from a note written by a really fine and knowledgable physician: "12-lead EKG was obtained initial 1 at time zero.
EMDocs
JANUARY 8, 2024
Calcium is associated with harm but is still necessary in certain situations (hyperkalemia, calcium channel blocker overdose) (Level 3 recommendation: no benefit). Editorial Comment : Yes to PCI after arrest with STEMI on ECG. Major Updates Avoid routine use of calcium in patients with cardiac arrest. COR 3, No benefit, LOE B-R.
Dr. Smith's ECG Blog
JULY 21, 2024
The ECG shows obvious STEMI(+) OMI due to probable proximal LAD occlusion. These are also the most commonly reported findings in toxic overdoses with ventricular arrhythmias being reported as the leading cause of death. The pain was 10/10 in intensity radiating bilaterally to the shoulders and also to the left arm and neck.
Dr. Smith's ECG Blog
OCTOBER 25, 2023
A New Seizure in a Healthy 20-something More cases of long QT not measured correctly by computer (these are all fascinating ECGs/cases): Bupropion Overdose Followed by Cardiac Arrest and, Later, ST Elevation. Is it STEMI? Chest pain in high risk patient. Are these Hyperacute T-waves? What is going on here?
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