51 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... line; upsloping ST ... have no pain - LAD ... avR - proximal LAD
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... posterior fat pad ... can't make A-OK sign ... syndrome • ED Management ... Type l, DC with ortho
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... STE: "Pardee's sign ... Opposing leads ST ... ventricle pacing lead ... (Eiffel Tower sign
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... posterior fat pad ... fracture • ED Management ... Splint: Sling • Ortho ... Type I, DC with ortho
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... fractures • ED Management ... Splint: Volar • Ortho ... XRay #Diagnosis #Management
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... dislocation • ED Management ... Thumb spica • Ortho ... XRay #Diagnosis #Management
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
associated with ST ... • Transient ST ... tests in cath lab ... cardiology #diagnosis #management
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
the tip of the ST ... contact of the ST ... the anatomy - PAD ... to angulate the ST ... gastroenterology #management
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... fracture • ED Management ... Posterior long arm • Ortho ... Simple, DC with ortho ... XRay #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... primarily include: • ST ... Obtain a 12-lead ... If persistent ST ... Checklist #Diagnosis #Management