A 40-year-old male with a past medical history of paraplegia presents with four days of right thigh swelling. He initially noticed a small ulcer on his thigh and tried home treatments with alcohol swabs and peroxide rinses. He reports worsening swelling and pain from the area and also notes hematuria, Read more…
Last month Academic Emergency Medicine published the article “Can emergency physician gestalt ‘rule in’ or ‘rule out’ acute coronary syndrome: validation in a multi-center prospective diagnostic cohort study”. The following is a critique by Dr. deSouza and Dr. Sinert: In this large multi-center, prospective diagnostic accuracy study, the investigators conclude Read more…
Jellyfish belong to the phylum Cnidaria, which is defined by a unique venom delivery system. Cnidae (nematocysts) are small cells that are attached via tentacles in jellyfish and when triggered, either mechanically or chemically fire a small barb loaded with venom that embeds into victims. Nematocysts, and the venom they Read more…
Original post available here Answer: This patient is suffering from a posteroinferior MI. The best way to approach ECGs is, like anything else in medicine, systematically. Breaking down each component (rate, rhythm, axis, interval, morphology), we see the following findings on the ECG: Rate: 90/min Rhythm: irregularly irregular, no discernible Read more…
The Case Your notification phone rings, telling you the disaster response team is bringing in an unconscious 25-year-old male. They provide no other information. When he arrives, you get a full story. It turns out that earlier this morning, in a small town nearby, there was no radio response to Read more…
After a long hiatus, Rhythm Nation is back with our first post of 2019! Thanks to Dr. Angarita-Jones for submitting this ECG for the post. The patient is a 50-year-old man with hypertension, diabetes, hyperlipidemia who presents after syncope. His wife states that they were watching Game of Thrones when Read more…
By Dr Haney Mallemat. Dr Haney Mallemat is an EM/IM Kings County/SUNY Downstate Graduate of the Class of 2008. He served as Chief Resident in his final year and subsequently pursued a critical care fellowship at Dartmouth. He is currently an associate professor at Cooper Medical Center in Camden, NJ Read more…
In last week’s post, we reviewed Pluymaekers et al (1), a randomized control trial from the Netherlands on early or delayed cardioversion for recent-onset atrial fibrillation (AF). In this post, we will analyze our practice in the U.S. and discuss some of the arguments for and against cardioversion in the Read more…
Scorpionfish are a family of fish that sting victims with sharp spines covered in venom. Venom glands, located at the base of the spine, inject venom once the spines are embedded in the victim. While the location and composition of venom vary by species, all scorpionfish envenomations cause extremely painful Read more…
Kudos to Dr. Beth Hanson. One of our recently graduated fourth-year residents, who will be an attending in Colorado, went above and beyond the call of duty just a few weeks ago. Dr. Aleksandr Gleyzer nominated Dr. Hanson for acknowledgment. It was a relatively busy CCT shift when Dr. Hanson Read more…