thebluntdissection

pulling apart cases from the ED...

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shrouded shock…

February 28, 2017 By Christopher Partyka Leave a Comment

the case.

46 year old male is bought into your resuscitation bay by local ambulance following a three metre fall from a work platform onto a horizontal metal railing below.

[Read more…]

Filed Under: #FOAM, Cardiology, Critical care, ECG, ECHO, Evidence, Interesting, Trauma, Ultrasound Tagged With: BCI, blunt cardiac injury, cardiac contusion, chest trauma, ECG, ECHO, myocardial contusion, RBBB, shock, thoracic trauma, Trauma, troponin

the long way round…

June 17, 2014 By Christopher Partyka Leave a Comment

the case.

a 52 year old male presents to your Emergency Department with more than 24 hours of typical sounding, retrosternal chest pain. [Read more…]

Filed Under: Cardiology, ECG Tagged With: angiography, anterior STEMI, ECG, Inferior STEMI, wrap around LAD

to the bedside…

November 23, 2013 By Christopher Partyka Leave a Comment

the case.

a 34 year old female presents to ED with palpitations and chest pain.

You are handed her ECG prior to reviewing or speaking to the patient…. [Read more…]

Filed Under: Cardiology, ECG Tagged With: ECG, flutter, mustard procedure, RBBB, right ventricular hypertrophy, right ventricular strain pattern, RVH, TGV, transposition of the great vessels

shock and awe…

November 18, 2013 By Christopher Partyka Leave a Comment

the case.

Previously well 64 year male presents to ED with 90 minutes of retrosternal chest pain after riding his bike.

This is his ECG…. [Read more…]

Filed Under: #FOAM, Cardiology, ECG, ECHO Tagged With: complete heart block, ECG, ECHO, Inferior AMI, Inferior STEMI, Inferior STEMI with RV extension, Right ventricular infarct, third degree AV block

Quick Case #05

November 2, 2013 By Christopher Partyka Leave a Comment

the case.

a 42 year old male presents via ambulance with chest pain following an motor vehicle accident.
[Read more…]

Filed Under: #FOAM, Cardiology, ECG Tagged With: AMI, chest pain, ECG, first diagonal occlusion, high lateral AMI, high lateral STEMI, lead I and aVL, STEMI

catching the culprit…

October 5, 2013 By Christopher Partyka Leave a Comment

the case.

a 32 year old male presents to ED with a 4 hour history of retrosternal chest pain. He has had the pain since midnight and it “just isn’t going away”.

This is his ECG… [Read more…]

Filed Under: #FOAM, Cardiology, ECG Tagged With: acute myocardial infarction, Cardiology, ECG, Inferior ST elevation, left circumflex lesion, RCA lesion, RCA stent occlusion, RCA thrombosis, right coronary artery stent

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