In This Issue:🫀 ECG of the Week: VT or SVT? What do you do next?💔 Topic Review: Cardiogenic Shock — 40–50% mortality. What does the evidence say?🚨 Case of the Week: A 68 yo collapses. BP won't come up. Your move.📋 Lit Rounds: Choosing vasoactive agents in cardiogenic shock EMCORE Melbourne 1...

Does occult VF occur and if so how does it appear on our ecgs? This week's literature review is of a  multicenter, prospective, observational trial in 28 Emergency Departments in the US and Canada. The primary outcome of the study was to determine the prevalence of VF visualised on ECHO but not ...

20% of all strokes are posterior circulation strokes.A non-contrast CT brain has a sensitivity of around 10% in picking these up in the first 24 hours.Add CTA and that sensitivity increases to 70%Add perfusion studies and it increases further to 90% The key is to think that it may look peripheral...

The PE GUIDELINES SUMMARY The new guidelines are a hefty document. The AHA change the way we classify PE, such that it gives a more detailed approach to risk and outcomes, based on 5 Categories of clinical presentation. They give guidance on all other aspects of acute management and outpatient ...

Dr Claire-Wilkin-Marshall covers specific cases, the multifactorial approach, pain scales and so much more. Paediatric Trauma Pain Relief By Dr Claire Wilkin-Marshall www.emmastery.com The OPTPRESS Trial The Efficacy of targetting high MAP for older patients with Septic Shock Shoul...

In patients presenting with Atrial Fibrillation, when we have a previous cardiac ECHO, with no known structural disease, we can offer a 'Pill in the Pocket' Approach with 200mg of Flecainide PO, to revert the patient to sinus rhythm. BEWARE: I will explain why we should probably not to do exactl...