Conference Notes 5-9-2018

Almeida/Eastvold/Tomasello     EKG's

 You only need 1 lead of concordant ST elevation/depression with bundle branch block to diagnose STEMI

You only need 1 lead of concordant ST elevation/depression with bundle branch block to diagnose STEMI

 Posterior MI

Posterior MI

 A straightened ST segment is indicative of ischemia/evolving STEMI

A straightened ST segment is indicative of ischemia/evolving STEMI

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If you don't have an old EKG, make an old EKG by getting serial EKG's.

 DeWinter's T waves anterolaterally  STEMI equivilent

DeWinter's T waves anterolaterally  STEMI equivilent

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Know your epinepherine dosing for anaphylaxis

For Adults   0.3mg-0.5mg 1:1000 IM repeat as necessary.   For anaphylactic shock 0.1mg 1:10,000 IV slow

Chest pain that radiates to both arms is highly specific for cardiac chest pain. Chest pain that radiates to left arm is non-spcific for cardiac chest pain.  Chest pain that radiates to right arm is more specific for cardiac pain than for left arm pain.