Sat.Jan 28, 2023 - Fri.Feb 03, 2023

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ECG Blog #360 — The Patient has Cancer.

Ken Grauer, MD

The ECG in Figure-1 was obtained from an older woman. She presented with shortness of breath. The patient was known to have cancer. QUESTIONS: How would YOU interpret this ECG? Why is every-other-beat changing? Figure-1: ECG obtained from an older woman with shortness of breath. ( To improve visualization — I've digitized the original ECG using PMcardio ).

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Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion?

Dr. Smith's ECG Blog

Written by Jesse McLaren, with edits from Smith A 30 year old with a history of diabetes presented with two days of intermittent chest pain and diaphoresis, which recurred two hours prior to presentation. Below is ECG #1 at triage. Are there any signs of occlusion or reperfusion? There’s normal sinus rhythm, normal conduction, normal axis, normal R wave progression and normal voltages.

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CHECKLIST: Everything You Need for a Successful Imaging System Installation

Cassling

When you invest in medical imaging equipment from Cassling and Siemens Healthineers, we work closely with you to ensure your purchase helps you make a positive impact on patient outcomes in your community. Part of that commitment involves making sure your systems are delivered on time and within scope of your construction project, with no surprises that could delay or impede your ability to deliver exceptional care.

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How to wean off Beta-blockers

Dr. Sanjay Gupta

A lot of people have contacted me and asked me as to how to safely stop Beta blockers and therefore I thought I would do a quick blog on this subject. I would like to stress that you should only alter the dosage or stop Beta-blocker usage with the explicit consent of your usual healthcare provider as they will know about your unique clinical situation and all I am doing in this vlog is just giving general information.

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Returning to COVID19

Dr. Malcolm Kendrick

31st January 2023 With the resignation of Jacinda Ardern, my thoughts were dragged back to Covid once more. Jacinda, as Prime Minster of New Zealand was the ultimate lockdown enforcer. She was feted round the world for her iron will, but I was not a fan, to put it mildly. Whenever I heard her speak, it brought to mind one of my most favourite quotes: ‘Of all tyrannies, a tyranny sincerely exercised for the good of its victims may be the most oppressive.

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Ep 178 Hand Injuries – Pitfalls in Assessment and Management

ECG Cases

The hand is anatomically complex. Having an anatomical-based approach to the assessment of patients who present to the Emergency Department is important to preserve quality of life following a hand injury. Hand injuries are the second most common injury leading to days without work. It is no surprise then that open finger injuries land in the top 10 most common diagnoses that end up in court.

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QS-wave in V2: 2 cases, different paradigms lead to different treatment times (STEMI - NSTEMI vs. OMI - NOMI)

Dr. Smith's ECG Blog

Submitted by anonymous, written by Pendell Meyers. Additional case by Smith. Case 1 A middle aged woman presented with acute chest pain and shortness of breath, unclear time since onset, and likely with episodic symptoms off and on throughout the day. Her vitals were within normal limits. ED1 @1512 What do you think? Meyers : Very clear and specific for acute LAD OMI, with hyperacute T waves in the LAD distribution including leads V2-V6, II, III and aVF.

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