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New LBBB or Presumed New LBBB to be treated as STEMI?? 23 Jul 2013 | 09:12 pm
The dictum of "New LBBB or 'PRESUMED' (dangerous!) new LBBB should be treated as a STEMI" in many clinical practice guidelines (CPGs) including the Malaysian STEMI are simply NOT true! I hope that fut...
ECG changes are more prominent in right-sided stroke lesions 21 Jun 2013 | 03:53 pm
Neurological events such as stroke or bleed can result in ECG changes include prolonged QTc predisposing to arrhythmias, T-wave changes, non-specific ST changes, Q waves. These neurocardiac changes u...
The use of SSD in burns 21 Jun 2013 | 03:15 pm
1. Cochrane review shows that is a paucity of high-quality evidence regarding the effect of different dressings on the healing of superficial and partial thickness burn injuries.2. Although it is diff...
Random Pearls 1 21 Jun 2013 | 03:13 pm
Two important diagnosis to consider in tall T in ECG: hyperkalemia and hyperacute phase of AMI Myocarditis does not just present with sinus tachycardia although this is the most common ECG finding. My...
Spinal shock 16 Jun 2013 | 07:29 pm
Spinal shock is not really "shock" in the sense of circulatory collapse but rather a transient or temporary (physiologic rather than anatomical) complete loss of all neurologic function, including ref...
Priapism in acute spinal cord injury 16 Jun 2013 | 10:44 am
Why priapism in acute spinal cord injury? The pathophysiology It is assumed that the mechanism of priapism in most patients with SCI is that abrupt loss of sympathetic input to the pelvic vasculature...
Bradycardia or paradoxical bradycardia can be a sign in ruptured ectopic pregnancy 10 Mar 2013 | 01:55 pm
Picture showing a Tubal Pregnancy with a human embryo in 7th week pregnancy Courtesy of Ed Uthman, MD (released into public domain) We often think that in cases of intra-abdominal hemorrhage, tachyc...
Bradycardia or paradoxical bradycardia can be a sign in ruptured ectopic pregnancy 10 Mar 2013 | 01:55 pm
Picture showing a Tubal Pregnancy with a human embryo in 7th week pregnancy Courtesy of Ed Uthman, MD (released into public domain) We often think that in cases of intra-abdominal hemorrhage, tachyc...
New 2012 Berlin Definition for ARDS 15 Aug 2012 | 12:44 am
The new 2012 definition for Acute Respiratory Distress Syndrome (ARDS) (published in JAMA June 2012) According to the previous definition published in 1994 by the American-European Consensus Conferen...
New 2012 Berlin Definition for ARDS 14 Aug 2012 | 09:44 pm
The new 2012 definition for Acute Respiratory Distress Syndrome (ARDS) (published in JAMA June 2012) According to the previous definition published in 1994 by the American-European Consensus Conferen...
