10 results
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
identified but anterior ... distal radioulnar joint ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
x-ray review alignment ... Splint: Posterior long ... #Humerus #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
, neuropraxia (anterior ... Splint: Posterior long ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... segment at (or 40-60 ms ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... Pulmonary #Embolism #ECG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... infarct STEMI - J point ... in avL - early inferior ... #Ischemia #ECG ... #EKG #diagnosis
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Short QT <300-360 ms ... : ↑ca - Long QT ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
MI • PAPi < 1.85 ... RV dysfunction. e.g ... forward flow. e.g ... Ahmed Ghoneem, MD MSc ... artery #catheter #diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... risk Chest X-ray ... unless prior heart/lung ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
There is point tenderness ... over the left anterior ... of breath and point ... #Radiology #CTChest ... #Lung #Pulmonary