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Diagnosing Hidden Atrial Flutter
Introduction: Ever given a patient adenosine to cure their SVT with a flourish, Click image for source. ©Charles Gomersall, June 2007 *PUSH* – *FLUSH* – “You’re gonna feel funny,” ¹ Click image for...
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Where to Put That Gravid Uterus
It’s classic teaching that in supine patients who are pregnant, the weight of the gravid uterus will compress the descending aorta and inferior vena cava. Respectively, this will increase afterload and...
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Forearm Rolling Test for Stroke
Testing for arm drift is a standard part of the simplified three-part neurological exam we all perform, technically called the Cincinnati Prehospital Stroke Scale. It’s a fairly crude examination, but...
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The “Chest Pain and…” Syndrome
Aortic dissection is a disease that commands a lot of respect. Thankfully, it’s also quite rare, and as a result, we don’t cross its path very often. While the scarcity of this disease is good for the...
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This Heart is Blocked Not
People still make Borat references, right? Anyway, I’ve got a quick one for you today. This patient was being evaluated for possible pericarditis. What’s the rhythm? Click to enlarge. Here’s another...
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Don’t Let Your Bradycardic Patient D.I.E.
I’m not that great with mnemonics. I can never remember all the terms involved, often I screw up the mnemonic itself, and I’m always scared that I’m going to substitute something that isn’t actually...
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Seeking the Esoteric, Missing the Apparent
I was doing some light reading the other day and stumbled upon this article by R. Shinde et al, entitled Occurrence of “J Waves” in 12-Lead ECG as a Marker of Acute Ischemia and Their Cellular Basis. I...
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Posterior MI Part I – The Abnormal V6 Sign
So here’s the case: You’ve just run an 12-lead on a patient experiencing chest pain and recognized ST-depression in leads V2-V4. Being some manner of an astute provider, your next move is to set up...
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The ECG+ Community
A couple of weeks ago Google+ introduced the concept of “communities,” where like-minded individuals can meet up to discuss their common interests. So, with great fanfare, I’d like to formally announce...
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The Ultrasound+ Community
Hey there folks! I’ve been away from this particular blog for a while, but I’ve been far from quiet in the #FOAMed and social media world. In fact, my electrocardiography discussion forum ECG+ has been...
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Examples of Rapid Atrial Flutter
My first post on 2:1 atrial flutter turned out to be one of my most popular and successful contributions to the FOAM world over the past few years, so I thought I’d go ahead and build on that a bit....
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My Ultrasonic Hearing Beats Your X-Ray Vision – Part 1
The official title for this is “Case Report of a Radiologically Occult Avulsion Fracture of the Fifth Metatarsal Diagnosed Using Bedside Ultrasound,” but that’s no fun and I think I just nodded-off...
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The EMS 12-Lead Blog
It seems like all I do these days on this, my personal emergency medicine and critical care blog, is announce other projects that I’m working on. It’s no different today as I’ve started a whole new...
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The Lit Whisperers
As a blogger (first time I’ve ever called myself that, weird…), one of the best things about the EM/EMS/CC blog-o-sphere is that the opportunities for new projects and collaborations are endless. Given...
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EMS 12-Lead: The 12 Rhythms of Christmas – Sinus Bradycardia
This article is the second in our latest series, The 12 Rhythms of Christmas, where each day we examine a new rhythm disorder. It’s a continuation of the theme behind last year’s 12 Leads of Christmas....
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EMS 12-Lead: The 12 Rhythms of Christmas – Atrial Flutter
This article is the third in our latest series, The 12 Rhythms of Christmas, where each day we examine a new rhythm disorder. It’s a continuation of the theme behind last year’s 12 Leads of Christmas....
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EMS 12-Lead: The 12 Rhythms of Christmas – First Degree AV-Block
This article is the fourth in our latest series, The 12 Rhythms of Christmas, where each day we examine a new rhythm disorder. It’s a continuation of the theme behind last year’s 12 Leads of Christmas....
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EMS 12-Lead: The 12 Rhythms of Christmas – Type I AV-Block
This article is the fifth in our latest series, The 12 Rhythms of Christmas, where each day we examine a new rhythm disorder. It’s a continuation of the theme behind last year’s 12 Leads of Christmas....
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EMS 12-Lead: The 12 Rhythms of Christmas – Type II AV-Block
This article is the sixth in our latest series, The 12 Rhythms of Christmas, where each day we examine a new rhythm disorder. It’s a continuation of the theme behind last year’s 12 Leads of Christmas....
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EMS 12-Lead: The 12 Rhythms of Christmas – 2:1 AV-Block
This article is the seventh in our latest series, The 12 Rhythms of Christmas, where each day we examine a new rhythm disorder. It’s a continuation of the theme behind last year’s 12 Leads of...
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