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The 12 Rhythms of Christmas: Sinus Tachycardia

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This article is the first in our latest series, The 12 Rhythms of Christmas, where each day we examine a new rhythm disorder. It’s a continuation of the theme behind last year’s 12 Leads of Christmas. Sinus Tachycardia It’s one of the first arrhythmias we all learn and it seems so simple. Sinus tachycardia is […]

Spot the STEMI #1

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You have a 50/50 shot at getting this one right. Are you feeling smart… or lucky? Two 50-year-old men present complaining of chest pain x 1 hour. One patient is suffering from a very subtle acute STEMI while the other has a non-cardiac cause for his chest pain. Which patient is experiencing the subtle STEMI? […]

Nitro paste is NOT an emergency medicine drug – The Evidence

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Many paramedics argue strongly for including nitroglycerin paste as an arrow in their pharmacologic quiver when treating acute congestive heart failure. Baffles me. True, you don’t need to break the seal of the CPAP to give it, and you don’t need to use an IV. But this medication hardly belongs in the emergency department, let […]

Snapshot Case: What Happened?

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Snapshot cases are tracings where we do not have good patient follow-up—or sometimes even clinical information—but still feel there are points worth discussing.   This is a patient who required emergent cardioversion for unstable rapid atrial fibrillation. What happened?   Tracing shared by Rob McDonald, and emergency department nurse in Queensland, Australia.

The 12 Leads of Christmas: V3

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This is the eleventh and penultimate article in our latest series, The 12 Leads of Christmas, where each day we examine an individual electrocardiographic lead. Lead V3 Today we’re going to discuss V3, and there’s no way I can do that without talking about isolated posterior myocardial infarction. Of all twelve, fifteen, eighteen, or even […]

The 12 Leads of Christmas: V2

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This article is the tenth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead V2 I love V2. It’s probably been my favorite lead to examine and ponder this past year. The cool thing is that it doesn’t seem all […]

The 12 Leads of Christmas: V5

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This article is the ninth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead V5 We’re getting into the home-stretch in our little series. I wasn’t entirely sure if we were going to make it through since a few of […]

The 12 Leads of Christmas: V4

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This article is the eighth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead V4 Like aVF, V4 is a tough lead to discuss on its own. It’s part of the natural flow of the complexes across the precordium and […]

The 12 Leads of Christmas: V1

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This article is the seventh in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead V1 Happy New Year everyone! Today’s post is going to be a bit of a hodge-podge as I recover from yesterday’s post on ST-elevation in aVR. […]

The 12 Leads of Christmas: aVR

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This article is the fifth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead aVR I have a love-hate relationship with aVR. There is one big question that always looms around it: Is ST-elevation in aVR a STEMI-equivalent? Like most […]

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