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practice updates

ECG Pointers: AV Blocks – Part I

Welcome to this week's ECG Pointers, an EMDocs series designed to give you high yield tips about ECGs to keep your interpretation skills sharp. This post is one of two looking at atrioventricular blocks.

practice updates

ECG Pointers: RBBB in ACS

Often, when we see a RBBB in a chest pain patient, looking for ischemic changes may seem difficult as secondary repolarization abnormalities may be normal findings in V1-V3. So what can we do to help us in picking up ACS changes on the EKG in the setting of a RBBB?

R.E.B.E.L. EM

R.E.B.E.L. EM – Is Amiodarone Dead?

This post dives into the three most common places amiodarone is employed in the ED: cardioversion of atrial fibrillation, cardioversion of VT and in refractory VF/VT cardiac arrest and demonstrates that superior evidence points to better options for management.

em@3am

EM@3AM: Endocarditis

A 26-year-old female presents with fevers and chills. She is febrile and tachycardic, with normal BP. You think you hear a murmur on exam, and on further questioning, she says she regularly uses IV drugs. What should you consider, and what are your next steps?