Month: December 2018

Digoxin toxicity: Management

Dr Betty Chan, emergency physician and clinical toxicologist, discusses the DORA trial and digoxin toxicity – 1 or 2 amps of immune fab only, no maths required – and explains why less is more. The post Digoxin toxicity: Management appeared first on Life in the Fast Lane. Go to Source Author: Neil Long Powered by

Misplacement of V1 and V2

Misplacement of V1 and V2: Don’t let this mistake mess up your ECG interpretation! Manifesting with P wave, Q wave, T wave changes and Brugada II pattern The post Misplacement of V1 and V2 appeared first on Life in the Fast Lane. Go to Source Author: Brooks Walsh, MD Powered by WPeMatico

CXR Essentials: The Failing Heart

Medmastery video helps identify the features of cardiac failure on the chest X-ray. Evaluation of the three stages of failure including vascular redistribution; interstitial oedema and alveolar oedema The post CXR Essentials: The Failing Heart appeared first on Life in the Fast Lane. Go to Source Author: Sabrine Elkhodr Powered by WPeMatico

Dynamic, Reversible, Ischemic T-wave inversion mimics Wellens’. All trops negative.

A middle-aged man presented with 7-8/10 non-radiating chest tightness to the left chest wall, associated with nausea but no diaphoresis, that began while walking approximately 40 minutes prior to arrival at the ED. The pain resolved as he arrived to the emergency department. He had 2 episodes over the past 2 days of similar chest tightness.

Pulmonary Oedema Case 1

It is 8am and a 72 year old male is brought to ED. He is sitting upright, sweaty, and in severe respiratory distress. What do the ultrasound clips show? The post Pulmonary Oedema Case 1 appeared first on Life in the Fast Lane. Go to Source Author: Dr James Rippey Powered by WPeMatico