Annals of EMCongratulations to Dr. Allison Loynd, PGY-1 Emergency Medicine Resident at Detroit Receiving Hospital. Over the course of 5-months, Dr. Loynd’s perseverance kept her at the top of the leader board. After falling to second place mid-contest, Dr. Loynd stayed focused and swept the final six weeks with a string of correct answers. Dr. Loynd answered [...]
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Winners Allison Loynd Marjan Siadat Richard Gordon David Mishkin Brian Kern Case ECG Interpertation anterolateral wall STEMI ST-elevation in leads I, AVL and precordial leads V2-V6. Evolving Q waves are seen in several leads. There is, in addition, complete heart block (CHB). The atrial rate is 125 bpm, while the ventricles are beating at 52 [...]
Filed under: Tracings | Tagged: cardiovascular, chest pain, conduction disorder, coronary syndromes, myocardial infarction | Leave a Comment »
A 79-year-old Bangladeshi man arrived in the ED via private car. He describes having chest pain for 4 hours that is worse on the left side than the right. He speaks no English and it is impossible to immediately obtain a more detailed recent history. His past medical history includes Type 2 diabetes and a [...]
Filed under: Tracings | Tagged: cardiovascular, chest pain, conduction disorder, coronary syndromes, ischemic heart disease, myocardial infarction | 12 Comments »
quizzER Winners: Eric Tosh Allison Loynd Marjan Siadat Julie Nguyen Maria Pak Gloria Kuhn Brian Kern Richard Gordon Rob Klever Last Week’s Question The answer is d. The most useful diagnostic test obtainable in a suspected CO poisoning is a COHb level. Normal levels range from 0 to 5%, as CO is [...]
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A 43-year-old woman presents to the ED in the state of Michigan with a 1-week history of intermittent headache, nausea, and fatigue. She was seen at her private doctor’s office 1-week ago along with her husband and children, who also have similar symptoms. They were diagnosed with a viral syndrome and told to increase their [...]
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Welcome to the my inaugural posting of pediatric EM potpouri. This blog will eventually take better shape (hopefully with your feedback), but for now it is just an amorphous blob of my thoughts from the smaller gentler side of the ER. Ok, I admit that chest pain in a 40-year-old makes me want to vomit, [...]
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Dr. Goldfrank is Professor and Chair of the Emergency Department at NYU/Bellevue Hospital Center and Director of the New York City Poison Control Center. Dr. Goldfrank is a dedicated phyisican who has spent most of his career caring for the underserved population of New York City. He is a civil rights activist and is committed [...]
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