Category Archives: Emergency medicine and critical care

Forget ACLS guidelines if you are dealing with Pulseless Electric Activity. Part 1.

ACLS Guidelines are misleading about diagnosis and treatment of pulseless electric activity (PEA) This takes to conceptual and clinical errors when treating patients in cardiac arrest. Let’s see why and if there is a better way to follow when dealing with this kind of patients. First part is about diagnosis and diagnostic tools. Live yourContinue reading “Forget ACLS guidelines if you are dealing with Pulseless Electric Activity. Part 1.”

Reports from the Top End – The TriClinicians Cup

Recently the Aeromedical Society of Australia had their annual conference up in Darwin. This is the first of a few posts arising from people who got there – Dr Sam Bendall with a report from sim land.  I love the way simulation brings people together. All aeromedical services use simulation as a training tool and thatContinue reading “Reports from the Top End – The TriClinicians Cup”

STEMI and STEMI Equivalents, i.e. Who Needs the Cath Lab Now!

1. The ACC/AHA Criteria (1) (2)  ST-elevation in 2 contiguous leads that is: * Men 40: 2.0 mm ST-elevation in V2 or V3, 1 mm in any other lead * Women: >1.5 mm ST-elevation in V2 or V3, 1 mm in any other lead STEMI’s have a 90-minute door-to-balloon time mandate from the Center forContinue reading “STEMI and STEMI Equivalents, i.e. Who Needs the Cath Lab Now!”

JC The REVERT trial: Dip or doom for SVT in the Emergency Department?

St.Emlyn’s – Meducation in Virchester #FOAMed SVT (supraventricular tachycardia) is something we see a lot of in Emergency Medicine.  Any emergency physician will tell you exactly how satisfying it is to treat a patient with SVT.  There must be close to a 100% successful cardioversion rate, one way or another, and after cardioversion patients can usually…Continue reading “JC The REVERT trial: Dip or doom for SVT in the Emergency Department?”