Adrenaline use in cardiac arrest has never had a substantial evidence base. Inference from new literature suggests that its continued use in VF/VT arrest needs review. I know this is a bit controversial, I would love to see what you think. Login to comment! See http://www.ticme.com.au/electrical-storm/ and http://www.ticme.com.au/sudden-cardiac-death/ for the background to this tutorial.
Recent advances in electrophysiology can influence management of cardiac arrest – find out how in this free critical care tutorial! Electrical Storm PDF of slides
Hi all STEMI equivalents can be tricky and a source of ED-Cardiology friction. I’ve gone through my collection to find some great examples, and I thought it might be a good idea to refresh some of the new kids on the block signs of coronary artery occlusion . click on the ECGs for big pictures. ECG 1: This ECG is of a 39 year old man and clearly has STE in leadV 1-V3, although its the upsloping variety in V2-3. the TWs […]
Chronic pain is a really difficult condition to manage in Emergency departments. This is a short discussion where I talk through the conversation that I have with my patients suffering from this, or for those patients with pain where somatisation is a strong component. I hope this helps you to form a basis for your own conversations! Any feedback is welcome
This is the ONLY hyperkalaemia tutorial you’ll ever need! Pathophys, ECG signs and management all rolled together into one evidenced based entertaining and easy to understand tutorial. I am sure that you’ll love the cool graphics and explanations which help make the complex easy!
For those who like their med ed radio style, here’s a customised audio only podcast. For examples of the ECGs mentioned please look at the video sudden cardiac death
Sudden Cardiac Death is the second most common cause of death in the developed world and the biggest killer of young athletes. Knowing the conditions which lead to SCD and, most importantly, being able to recognise them on an ECG is the key to saving a life. This is a tutorial given at the amazing Developing EM conference in Sri Lanka. If you want to know more about topics introduced here, see my WPW Talk , The Wide and Narrow Complex Tachyarrhythmia […]
In this follow up to the first TiCME chat Nick and David discuss permissive hypotension and other elements of damage control resuscitation in trauma and discover that what is popularly accepted may not be evidenced based….
Trauma is a big killer, and practice has evolved to accept lower blood pressure with the concept of permissive hypotension. In this, the first TiCME Chat session, Dr David Lamond a retrieval and ED specialist and I discuss what traumatic hypotension actually means and what the evidence can tell us about current practices. What do you think? Post a comment or question below! We will cover the concepts of permissive hypotension, damage control resuscitation and haemostatic resuscitation in the next tutorial.
This short video will change the way you understand acute heart failure. It uses the ocean to visually explain how vascular failure is different from chronic heart failure with clear explanations and echo views. Its the follow on and answer to the real time and real life case . For those wanting to get into more detail, I suggest reading this brilliant article “The pathophysiology of hypertensive acute heart failure” David Viau, et al. Heart 2015. 101; 1861-7. doi: 10.1136/heartjnl-2015-307461
The ECG in toxicology. Cardiac electrophysiology is used to explain how to use the ECG to decide which poison your OD patient has taken, and how to guide treatment.
A gentleman in his 60s comes in feeling a bit rubbish. There’s no chest pain but he’s a bit presyncopal and feels washed out. Of course an ECG is done Wowsers… What is it and why? What would you check? How would you treat it? So you provide a vague vagal stimulus and this happens: a short time later this happens… So there you go, not something you see every day, Atrial Flutter with 1:1 transmission, devolving into 2:1 […]
A 69 M presents with episodes of presyncope. The first ECG is done and handed to you. You have a quick look and mutter something about 2nd degree AV Block at 2:1 and wander off to the trauma code. When you get back, you decide to have a better look and print out a longer strip of the central monitor In this rhythm strip, you can clearly see the p waves catching up to and then overtaking the QRS – […]
Adrenaline use in cardiac arrest has never had a substantial evidence base. Inference from new literature suggests that its continued use in VF/VT arrest needs review. I know this is a bit controversial, I would love to see what you think. Login to comment! See http://www.ticme.com.au/electrical-storm/ and http://www.ticme.com.au/sudden-cardiac-death/ for the background to this tutorial.
Recent advances in electrophysiology can influence management of cardiac arrest – find out how in this free critical care tutorial! Electrical Storm PDF of slides
Hi all STEMI equivalents can be tricky and a source of ED-Cardiology friction. I’ve gone through my collection to find some great examples, and I thought it might be a good idea to refresh some of the new kids on the block signs of coronary artery occlusion . click on the ECGs for big pictures. ECG 1: This ECG is of a 39 year old man and clearly has STE in leadV 1-V3, although its the upsloping variety in V2-3. the TWs […]
Chronic pain is a really difficult condition to manage in Emergency departments. This is a short discussion where I talk through the conversation that I have with my patients suffering from this, or for those patients with pain where somatisation is a strong component. I hope this helps you to form a basis for your own conversations! Any feedback is welcome
This is the ONLY hyperkalaemia tutorial you’ll ever need! Pathophys, ECG signs and management all rolled together into one evidenced based entertaining and easy to understand tutorial. I am sure that you’ll love the cool graphics and explanations which help make the complex easy!
For those who like their med ed radio style, here’s a customised audio only podcast. For examples of the ECGs mentioned please look at the video sudden cardiac death
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