Month: August 2018

Gutenberg 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 There is no denying it: Gutenberg is coming… What is it? Gutenberg is the new content editing environment in WordPress, named after the inventor of the movable type

LITFL Review 344

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 344th 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 and

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,