What Will You Do With This Tiny Person? — Songs or Stories

Not that long ago, Dr Andrew Weatherall had the job of facilitating a discussion about neonatal anaesthesia at the annual Society of Paediatric Anaesthetists of New Zealand and Australia conference. About 15 people were there and this is a best effort at trying to collate the things those clever people said. Let’s start with the […]

via What Will You Do With This Tiny Person? — Songs or Stories


Filed under: Emergency anaesthesia, FOAMEd Tagged: anaesthesia, neonatal

ECG of the Week – 14th November 2016

The following ECG’s are from an 84 yr old male who presented following an episode of syncope in which he sustained a head injury. 
The initial ECG was taken on presentation to the Emergency Department and the second ECG was performed several hours later. The patient was asymptomatic on both occasions with a normal blood pressure. 



Click to enlarge
Initial ECG on presentation

Click to enlarge
ECG several hours later



Things to think about

  • What are the key ECG features ?
  • What are your differentials for these features ?
  • What other considerations are there in his management / investigation ?

ECG of the Week – 14th November 2016

The following ECG's are from an 84 yr old male who presented following an episode of syncope in which he sustained a head injury. 
The initial ECG was taken on presentation to the Emergency Department and the second ECG was performed several hours later. The patient was asymptomatic on both occasions with a normal blood pressure. 



Click to enlarge
Initial ECG on presentation

Click to enlarge
ECG several hours later


Things to think about

  • What are the key ECG features ?
  • What are your differentials for these features ?
  • What other considerations are there in his management / investigation ?

The widow maker

A 54 yo M smoker is brought in by EMS with acute onset substernal chest pain. He is diaphoretic. Vitals: BP 110/88, HR: 90. The rest of his physical exam is unremarkable. A stat ECG reveals the following:20161101_101345

The patient is taken straight to the cardiac cath lab. Coronary angiography before and after intervention:prox-lad-occlusion

prox-lad-occlusion-2

What are some high risk findings on this ECG?

How would you have managed this patient in the ED?

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