23 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
The triquetrum ... Discharge with orthopedic ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... Diagnosis #Management #Orthopedics
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
#Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Loperamide and QT Prolongation #Clinical #EM #Cardiology #EKG #QT #Prolongation #QTProlongation #Loperamide #ALiEM
Prolongation #Clinical #EM ... #Cardiology #EKG ... QTProlongation #Loperamide #ALiEM
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (RV), right atrium ... (LV) and left atrium ... septum #Clinical #EM ... #Cardiology #POCUS ... #FourChamber #ALiEM
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... leads indicates atrial ... patients) stage 4 - ECG ... inverted #Diagnosis #EM ... #IM #Cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
trapezium, capitate, triquetrum ... Disposition: Pending orthopedic ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... Diagnosis #Management #Orthopedics
Right sided ECG leads (V1R-V6R) are positioned in a mirror image fashion to the standard 12-lead
Right sided ECG ... (RV) infarcts #EM ... #Cardiology #RightSided ... #EKG #Lead #Placement ... #ALiEM
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic atrial ... Control rate (e.g ... Control rate (e.g ... Treatment #management #cardiology ... #algorithm
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
Posterior ECG leads ... lateral wall AMI #EM ... #Cardiology #Posterior ... #EKG #Lead #Placement ... #ALiEM
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Hyperflexion injury with axial ... Discharge with orthpedic ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... Management #Hand #Orthopedics