55 year old male with chief complaint of palpitations. Denies any chest pain, shortness of breath, diaphoresis, or syncope. His past medical history is significant for diastolic congestive heart failure, type 2 diabetes mellitus, hypertension, and hyperlipidemia. Per patient he ...
The recognition of ST-segment elevation myocardial infarction (STEMI) in the presence of left bundle-branch block (LBBB) remains difficult and frustrating to both emergency medicine physicians and cardiologists. According to the 2004 STEMI guidelines, emergent reperfusion therapy was recommended to patients ...
62 year old male with chief complaint of weakness. Patient had a complicated hospital course including necrotizing fasciitis which required surgical debridement and IV antibiotics. Patient was discharged home with oral antibiotics and returned to the ED with a chief ...
Differentiating between SVT with aberrancy versus VT can be very difficult. It is crucial to be able to make this distinction as therapeutic decisions are anchored to this differentiation. Brugada et al prospectively analyzed 384 patients with VT and 170 patients ...
Gallbladder cancer (GBC) incidence ranges from 12 – 62% when porcelain gallbladder (PGB) is seen. You ever wonder where these numbers come from? Well, these are the quoted numbers from two studies done in 1959 and 1966. These studies also ...
In 2011, Azithromycin was the 7th most prescribed (55.3 million prescriptions) medication according to IMS Health. There have been several publications indicating that the use of macrolide antibiotics, increase risk of serious ventricular arrhythmias and sudden cardiac death (FDA Adverse ...
The subject of this ECG of the Week is a 47 y/o hispanic female with a past medical history of type 2 diabetes mellitus, hypertension, hyperlipidemia, and morbid obesity with a chief complaint of weakness. Per the patient she cleans ...
58 year old female with chief complaint of chest pain x2hours with PMH of type 2 diabetes mellitus, Hyperlipidemia, and hypertension. She is brought in via EMS still having active chest pain. BP: 102/88 HR: 82 RR: 24 O2 ...
68 year old hispanic female with a chief complaint of weakness/syncope. PMH of type 2 diabetes mellitus and hypertension. She was brought in via EMS due to the family calling 911 as she had an episode of syncope while at ...
Pauses in chest compressions are known to be detrimental to survival in cardiac arrest, so much so that the 2010 American Heart Association (AHA) emphasize high-quality compressions while minimizing interruptions. There have been some studies that now advocate for continuous ...
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