Dr. Smith’s ECG Blog

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Among Scott Weingart’s ED Critical Care Dirty Dozen for 2010 was Dr Smith’s ECG blog. The LITFL team thought it was about time we gave this great blog a shout out too. Dr. Stephen Smith is a faculty emergency physician at Hennepin County Medical Center and an Associate Professor of Emergency Medicine at the University [...]

Dangerous Love

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Love is dangerous. If you don’t believe me, read on to learn about all the ways amorous acts can threaten life, limb and… other body parts.

Microwave Meltdown

Microwave meltdown – trauma tribulation 011

Emergency Musical Interlude XXV

What’s like to be team leader at a code? It’s kinda hard to explain. Perhaps this Emergency MEdical Interlude will help explain?

A Motorcyclist’s Irreparable Injury

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aka Trauma Tribulation 008 A 26 year-old male was BIBA after falling off his stationary motorbike at a set of traffic lights. C-spine precautions were removed following palpation of his neck and assessment of his sphincter tone. Initially, his only complaint was pain to his right thumb, presumably from a hyperextension injury. However a detailed [...]

FACEM SCE 2011 066

FACEM SCE

It is 1600hrs at your tertiary ED. You are asked to review a 22 year-old woman who presents with lower pelvic pain and PV bleeding. Her vital signs are:

Troubling Tachycardia

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Another crazy night in the ED… One of the nurses hands you this ECG. “Will you take a look at this guy? He doesn’t look so well…” Can you recognize and treat this life-threatening tachyarrhythmia?

FACEM SCE 2010 060

FACEM SCE

It is 1600hrs at your tertiary ED. You are asked to review a 22 year-old woman who presents with lower pelvic pain and PV bleeding

FACEM SCE 2010 059

FACEM SCE

As duty consultant in a tertiary ED, you have just arrived for handover to a late shift on Monday evening. The department is full. There are no monitored or general cubicles available. More than 1/3 of the patients in cubicles are awaiting ward beds. Your medical staff are currently occupied with several high-acuity cases.

FACEM SCE 2010 058

FACEM SCE

A 3 year-old boy is brought to your ED by his concerned mother. He complained of progressive pain in his right groin after playing in the back garden. The boy is a usually healthy, developmentally normal child. On initial assessment he is in obvious discomfort, with noticeable sweating of his right leg.