FOAM Supplement 8/14/2017

EM Foundations: EKGs

• Links courtesy of John Schneider!

• http://www.wikilectures.eu/index.php/ECG_Leads

• Inferior MI

  • https://lifeinthefastlane.com/ecg-library/basics/inferior-stemi/

  • http://hqmeded-ecg.blogspot.com/search?q=inferior

• Posterior MI

  • https://lifeinthefastlane.com/ecg-library/pmi/

  • http://hqmeded-ecg.blogspot.com/2013/01/precordial-st-depression-what-is.html

• Sgarbossa / LBBB and MI

  • https://lifeinthefastlane.com/ecg-library/basics/sgarbossa/

  • https://hqmeded-ecg.blogspot.com.au/2011/03/lbbb-with-acute-stemi-due-to-ruptured.html

  • http://epmonthly.com/article/stemi-in-the-presence-of-lbbb/

CPC - I can't breathe

• EM:RAP in November 2015 covered posterior sterno-clavicular dislocations in detail. It's a tough diagnosis to make, but a true orthopedic emergency. 
  • https://www.emrap.org/episode/nov/annalsof

Pediatric Case

• http://dontforgetthebubbles.com/stridor-drooling/
• http://dontforgetthebubbles.com/picu-qa-stridor/

Pediatric Sickle Cell

• http://www.emdocs.net/sickle-cell-disease-fever/
• We see only the tip of the iceberg among sickle cell patients. It's important to remember that the factors that lead to some patients being "non-compliant", "fired from clinic" or labeled as drug seeking are the same factors that make this small portion of patients more likely to present to the emergency department. EM:RAP's Jess Mason recorded a great piece a few months about an adult man with sickle cell disease that really drives home the point that shouldn't have to be made: patients with sickle cell disease have a severe life-limiting disease that involves pain beyond what most people can imagine. 
  • https://www.emrap.org/episode/sugaruppehomeo2/jonathansstory

Alcoholic Ambushes

• https://emcrit.org/pulmcrit/osmolal-gap/
• https://emcrit.org/emcrit/delirium-tremens/
• http://rebelem.com/benzodiazepine-refractory-alcohol-withdrawal/
• This is an interesting look at the medical-legal consequences of intoxication in the emergency department
  • https://www.ahcmedia.com/articles/30324-intoxicated-patient-in-the-ed-can-be-a-sobering-experience

Suicidality in EMS Providers

• Mental health is finally getting some traction in our field. If you're feeling depressed or having thoughts of suicide please reach out before it's too late. Talk to a trusted colleague, PD, or Chair. If you're a friend to a physician colleague who seems to be struggling, say something. You don't have to be on shift to save a life. 
• https://www.emrap.org/episode/suicideriskin/suicideriskin