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    Articles

    ECG Pointers: Posterior MI

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    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 week we discuss how to identify a posterior STEMI, which can commonly be mistaken as a NSTEMI.
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    • EM MINDSET, perspectives

    Emergency Medicine Collective Wisdom: W. Richard Bukata

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    What do you get when you ask some of the most influential emergency physicians about their careers in emergency medicine, including their successes, failures, and impact on EM?...Welcome to emDocs' new EM Collective Wisdom Series!
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    emDocs Cases: ED Approach to Agitation

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    Welcome to this edition of emDocs Cases. This will be a case-based discussion of EM topics, ranging from core to cutting edge and controversial. This post evaluates something all-too-common in emergency medicine: the agitated patient.
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    • em@3am

    EM@3AM: Henoch-Schonlein Purpura (HSP)

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    A 6-year-old male presents with rash, joint pain, and abdominal pain. VS are normal, and exam reveals palpable purpura in the lower extremities. His abdomen is not tender to palpation, and his testicles are normal. Platelets and coagulation panel are normal. What is the diagnosis?
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    EM Cases: Disaster Medicine

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    Disaster medicine is the “universal subspecialty”. Why? Because all physicians could be called upon to help their communities in times of crisis, and because disaster medicine is the ultimate team sport. Emergency Medicine is particularly well suited to take a lead in disaster medicine. We own this.
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    • perspectives, Wellness

    emDOCs Wellness: Sleep and Shift Work

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    Sleep can be a battle with the constant change in shift schedule in emergency medicine. How do you improve sleep and your wellness? This post from Jennifer Robertson provides key points on sleep in emergency medicine.
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    SVT Treatment Options

    If unstable -> cardioversion; may attempt modified Valsalva while prepping for cardioversion

     

    Stable -> modified Valsalva while prepping meds: adenosine, CCB, or BB

     

    CCB has similar efficacy and fewer side effects compared to adenosine

     

    If using adenosine, go with 12 mg; tell patient about expected symptoms (and that means it’s working!)

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