Month: April 2018

Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations — A Case from Salim Rezaie (R.E.B.E.L. EM)

This case is posted by Salim Rezaie (@srrezaie) Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations It has some peer review by me at the end, so we’re co-posting!! Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equationsby Salim Rezaie I was working a busy shift in the ED, like many of us do,

LITFL Review 329

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 329th 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

Everything ECMO!

LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog In specialist centres, extracorporeal membrane oxygenation (ECMO) is a now a mainstay of the management of cardio/respiratory failure refractory to other measures. However, much of the clinical information required

Part One

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 astute LITFLer will have already noticed that a new header link titled “PART ONE” has been appearing at the top of every LITFL page for the past few

ECG of the Week – 30th April 2018

The following ECG is from a 76 yr old male who presented after experiencing a period of tachyarrhythmia at home. He has a past history of paroxysmal atrial fibrillation, CABG, diabetes and has undergone a MAZE procedure in the last 12 months. Click to enlarge Things to think about What are the key ECG features

Cardiac Arrest — Is it STEMI?

A late middle aged male collapsed while walking and had immediate bystander CPR.  He achieved ROSC at the door of the ED, 30 minutes after arrest. The CPR provided had been so effective that the patient began to follow commands upon arrival.  Why was it so effective?  Because they used the inspiratory threshold device, ITD