Category Archives: FOAMEd

Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG.

A completely healthy 39 year old woman with no cardiac risk factors had sudden onset of bilateral trapezius pain that radiated around to her throat.  It resolved after about 5 minutes, but then recurred and was sustained for over an hour.  She called 911. EMS recorded these ECGs:Time 0:In V2-V4, there is ST elevation that…Continue reading “Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG.”

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”