27 results
IDSA - Antimicrobial Therapy for Staphylococcal and Streptococcal Skin and Soft Tissue Infections
 • Impetigo (Staphylococcus
Streptococcus) • MSSA SSTI ... • MRSA SSTI ... • Non-purulent SSTI ... SoftTissue #Infections #SSTIs
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... have no pain - LAD ... avR - proximal LAD ... infarct, get a 15 lead
SSRI Initiation
How long before increasing dose?
 • 4 wks. Initial response in 2-4 wks, max response
SSRI Initiation ... 50% reduction in GAD ... BrighamChiefs #SSRI
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... RBBB normally has ST ... an isolectric ST ... STEMI Criteria misses ... @EM_RESUS #LAD
IDSA Algorithm for the Management of Purulent skin and soft tissue infections (SSTIs). 
Mild infection: for
tissue infections (SSTIs ... : for purulent SSTI ... Nonpurulent SSTIs ... effective agents in SSTIs ... #SSTIs #Algorithm
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... Criteria - Suspect STEMI ... > 1 mm in any lead ... V1-V3 c) STE ... wave > 25% in any lead
Procalcitonin Limitations - Situations where PCT can be misinterpreted:
- Single value testing
- AKI/CKD
- Pancreatitis
- Cancers/Neoplasms
- Trauma
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SSTI, UTI) - Atypical
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... Opposing leads ST ... ventricle pacing lead ... #STEMI #Segment
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... no contiguous lead ... V1 & V2 sit over ... leads, V3 & V4 sit ... Electrocardiogram #STEMI