Zombies get out from T.V. by Jose Sesmero

Colloquially and figuratively, "Zombie" has been used traditionally in addition to the revived "dead" to refer to that task or entity that carries out its work in a mechanical way as if you were deprived of your will. 

In the health sector, we recognize three types of events that we quickly identified as harmful to bring to fruition the process of health-disease, whose correction, we know it saves us time and money. 

1. Patients who live their disease passively, carried away by the system. 

 2. Those employees who, by circumstances, have cornered his vocation that although latent remains hidden and make its tasks with apparent "non-involvement". 

3. The procedures that we do because have always been done in the same way and they continue to be made without assessing the results that produce or design improvement plans. 


Excellent wake-up call in this regard is that Abraham Palmbach performs in his post There May be Zombies in Your Hospital

I think that the vaccine to prevent the spread of this 'virus' is already present in the enthusiasm and commitment that shows every day the healthcare profession, of which our work centers and internet are littered with examples. 

And if someday in a aisle of your hospital, you find someone faltering, lost eyes, who growls and stammering as he extends his arms to you... Remember, do not attack him/her!! 

It is not more than one person that need your help ;) 
Jose Sesmero

Let’s Get This Party Started. Starting at St.Emlyn’s

St Emlyns - Meducation in Virchester #FOAMed

It’s that time of year in the UK again, when the last strawberry at Wimbledon has been consumed, village fetes offer cream teas to a brass band accompaniment and children discard school uniforms for six weeks of holiday bliss. But for those of us who work in healthcare it’s even more exciting. A new team […]

The post Let’s Get This Party Started. Starting at St.Emlyn’s appeared first on St Emlyns.

ECG of the Week – 21st July 2014 – Interpretation

This ECG is from a 50 yr old male who presented complaining of productive cough and fever for 2 days.
Check out the comments on this case in our original post here.





Click to enlarge
Rate:
  • 67 bpm
Rhythm:
  • Regular
  • Sinus Rhythm
Axis:
  • Normal
Intervals:
  • PR - Short (~100ms)
  • QRS - Prolonged (140-160ms)
  • QT - 400ms (QTc Bazette 410 ms)
Segments:
  • ST elevation leads aVR, V1-3
  • ST depression leads I, II, III, V4-6
Additional:
  • Delta wave 
    • Best seen leads I, II, III, aVF, V4-6
  • T wave inversion lead aVL
  • Broad P wave lead II with notching of peak
Interpretation:
  • Wolff-Parkinson-White
    • Anteroseptal pathway
For the variety of ways WPW can influence the ECG please check out this excellent post from Dr Steve Smith here:



References / Further Reading

Life in the Fast Lane

Textbook
  • Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.