By: John Riggins Jr MD, Taylor Douglas MD Answer to Rhythm Nation June 2020… You look at the ECG handed to you and interpret it. ECG interpretation: Rate: 144/min Rhythm: sinus tachycardia; then regular, monomorphic wide-complex tachycardia Axis: normal; then Read more…
Answer from Rhythm Nation- February 2020 Answer: Spontaneous coronary artery dissection (SCAD) Interpretation: Rate: 60/min Rhythm: sinus Axis: Normal Intervals: Normal ST-T-Q: STE in lead III, aVF. STD I, aVL; Wellens type A pattern in V1 and V3, short/symmetric T Read more…
Clinical Case A 25-year-old, Yemeni Arabic-speaking man is brought in by NYPD in custody to the ED for the chief complaint of “needs taser removal from the back.” Vital signs are stable. On exam, you notice multiple areas of swelling Read more…
Case: EMS brings in a 26-year-old male who reports he was stabbed in the back. He is speaking short phrases and complaining of a lot of pain on his right chest. Primary Survey: Airway intact, tachypnea with equal breath sounds Read more…
Adapted from Morning Report by Chief Resident Rushabh Shah. Public fear regarding COVID-19 has caused the unexpected consequence of decreased ED volume in hospitals around the country. The much-needed breath of fresh air is appreciated, but fewer patients means fewer Read more…
You hear the red phone ring as you are about to take a bite out of your sandwich in CCT. The notification is for a patient being brought in for “VT.” You ask the dispatcher if EMS is performing CPR, Read more…
This article is reposted from The American Journal of Emergency Medicine. Introduction The coronavirus disease 2019 (COVID-19) pandemic has caused a total of nearly 300,000 deaths worldwide [1]. Pediatric patients PCR-postive for SARS-CoV-2 present differently than adults with 40% either Read more…
Ted Segarra, MD & Nicole Anthony, MD The New 2020 GINA Asthma treatment guidelines[1] are out! Our focus will be on Adults & Adolescents 12+ years. The biggest change to our practice in the ED is that we will no longer Read more…
Note: The cases discussed in this post happened before COVID-19. Given that D-Dimer may be elevated in patients with COVID-19, the pretest probability of PE in your patient population may be elevated at this time. Thus, the assumptions derived from Read more…
A 58-year-old male is rolled into the critical care area of your ED with the complaint of crushing, midsternal chest pain that began one hour before presentation. The nurse tells you he has a history of hypertension and hyperlipidemia but Read more…
