Hi Current EGC readers, This is older but interesting. When ST elevation in lead III is greater than in lead II, this is a more sensitive finding than elevation in V4R in diagnosing right ventricular MI (RVMI). We can use this as a quick screening tool for RVMI.  Furthermore, III>II is a significant predictor of…

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HOT OFF THE PRESS! In a randomized controlled trial of uncomplicated and anticoagulated ED patients experiencing A-fib for less than 48 hours; both electrical and chemical (Procainamide) cardioversion were successful BUT the electricity first group had significantly shorter LOS (median difference of 1.2 hours (95% confidence interval = 0.4 to 2.0 hours, p < 0.001). https://www.ncbi.nlm.nih.gov/pubmed/?term=31423687 For full access…

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Epinephrine in out of hospital cardiac arrest (OOHCA) has been a staple intervention for decades. Through rigorous research we have determined that it may not be as great as we once thought…at least not in the ways we typically use it. A recent thought provoking synopsis of the current pro and cons of prehospital epi in OOHCA…

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