EM-Rōnin 2-07-25

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Literature Review

You're running a code on a patient in refractory ventricular fibrillation. After multiple shocks, epinephrine, and amiodarone, the VF persists. Someone suggests, "Should we try double sequential defibrillation?" Before you can reach for the second defibrillator, a nurse responds, "Won’t that damage the machines?" You pause and think—does this sh*t actually work and am I about to cause a hospital fire?

Read more about Double Sequential External Defibrillation and the available evidence on its use.

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ECG Exercises

There are no new exercises this week but there are 17 exercises already on the website, most of them designed for individuals with short attention spans.

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This week in FOAMed

1. Core Review: Systemic Lupus Erythematosus Review at emDocs

2. Core Review: Tumor Lysis Syndrome at Taming the Sru

3. Lit Review: AI in STEMI diagnosis at RebelEM

4. Lit Review: PECARN C-spine rule in Pediatrics at Skeptics Guide to EM

5. ECG: More Cases at Dr. Smith’s ECG Blog: Case 1, Case 2, Case 3, Case 4

6. ECG: Artifact or hyperkalemia? at emDocs

7. Tox Review: Snake related injuries at AliEM: Case 1, Case 2 

8. Visual Dx: What’s the cause of this exophytic tumor? at ALiEM

Have a great weekend,

Eric Tang MD