Ultimate SMACC is coming!

LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog The very last SMACC will be held in Sydney from 25-29 March 2019. The ticket ballot registration opens tomorrow, Monday 20 August 2018. The programme is fresh and

A Simplified Formula Discriminating Subtle Anterior Wall Myocardial Infarction from Normal Variant ST-Segment Elevation

Dr. Emre Aslanger has published a simpler formula for differentiating electrocardiographically subtle LAD occlusion from normal variant ST elevation. Here is the paper:Aslanger E et al.  A Simplified Formula Discriminating Subtle Anterior Wall Myocardial Infarction from Normal Variant ST-Segment Elevation. American Journal of Cardiology.  https://doi.org/10.1016/j.amjcard.2018.06.053https://www.sciencedirect.com/science/article/pii/S0002914918314206 Here is the simplified 4-variable formula:(R-wave amplitude in lead V4 + QRS amplitude in

A Middle-Aged Man with Blunt Trauma and Hemopericardium

A Middle-Aged man had a single vehicle motor vehicle collision with significant energy. He was hypotensive upon arrival. A bedside ultrasound was done immediately.  Here are 3 clips. There is pericardial fluid with echogenic material, diagnostic of hemopericardium with thrombus. An ECG was recorded: What do you think? Sinus tachycardia.  There are Q-waves in II,

Podcast #108 – Dogmalysis of Dry Drowning

Every year, we see drownings.  In some cases people survive, but unfortunately sometimes they do not.  However, there is confusion in both the medical community and the public regarding what is considered to be a drowning event.  Dogma and myths are everywhere and one of the most common is “dry drowning”  which is why we

LITFL Review 343

LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog Welcome to the 343nd LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine

“Are these hyperacute T-waves?” – what is your recommendation for the team in these two cases?

Written by Pendell Meyers, edits by Steve Smith When practitioners are learning a new ECG concept for the first time, they very appropriately must go through a stage where they titrate their mind to the new finding, going through stages of over and under-recognizing. In my experience this is a normal phenomenon in all of