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ECG Pointers: STEMI Case Conference

ECG Pointers walks through a STEMI case conference with angiographies.

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    Articles

    EM@3AM: Metacarpal Base Fractures

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    A 22-year old male presents to the ED after landing on his right thumb while playing football with some friends. The pain and swelling became progressively worse as he notes pain with any movement of his thumb. He is right hand dominant. On exam, the right MCP joint is edematous
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    R.E.B.E.L. EM – Peripheral Pressors: 6 Pearls to Not F*#k Up the Arm

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    Traditionally, vasopressor infusions have been done through central venous catheters (CVCs) due to the hypothetical risk of extravasation injury to extremities when given through peripheral IVs.
    Peripheral pressors header REBEL EM
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    • practice updates

    Life-threatening complications with tPA – what emergency physicians should know

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    What complications can occur with tPA administration?
    tPA complications header
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    History of EM Series: Judd Hollander

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    Emergency Medicine is an amazing specialty, but how did it develop, and where do we go from here? This new series looks at these questions and more with write-ups from the masters of our field. Today Judd Hollander gives his thoughts.
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    CT Imaging in Pyelonephritis: Pearls & Pitfalls

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    What role does CT imaging have in suspected pyelonephritis?
    CT imaging in pyelonephritis header
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    • In the Literature

    Journal Feed Weekly Wrap-Up

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    Journal Feed looks at pediatric bradycardia - poor perfusion vs. PEA, a score for evaluating cerebral venous thrombosis, ketamine vs. etomidate for induction, and the mighty GI cocktail.
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    Acute heart failure exacerbation disposition

    Not all patients require admission

     

    Consider patient hemodynamics, respiratory status, ECG, labs (Cr, troponin, sodium/electrolytes), ability to ambulate, follow up

     

    Elevated troponin and serum Cr associated with worse outcomes

     

    Don’t use risk tools alone for DC, but Ottawa Heart Failure Risk Scale may assist in admission (ACEP Level B)

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    Jika aspal mudah terkelupas saat terkena genangan air, paving block justru tetap kokoh dan air akan meresap melalui celah antar blok yang diisi pasir halus (joint filler). If the vehicle is going to a dealership or collision center, confirm where the vehicle should be left and whether keys are needed.