About Michelle Lin, MD

ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco

PV Card: Brugada Criteria for SVT with Aberrancy vs Ventricular Tachycardia

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Due to the overwhelming popularity of Dr. Salim Rezaie‘s recent post discussing the Brugada criteria for  SVT with aberrancy vs VT, Dr. Jason West (@JWestEM, an EM resident from Jacobi/Montefiore) kindly helped to co-author and package this information into a PV card for quick reference. To use this sequential, four-question approach, if at any time you answer YES to the question, it is ventricular tachycardia.

PV Card: SVT vs VT – Brugada Criteria


Adapted from [1]
Go to ALiEM (PV) Cards for more resources.

Reference

  1. Brugada P, Brugada J, Mont L, Smeets J, Andries E. A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex. Circulation. 1991;83(5):1649-1659. [PubMed]

New Quality Improvement Series: Be a detective to avoid errors

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When you attend Morbidity & Mortality or Quality Improvement (QI) Conferences, the cases presented often have teaching points, which revolve around potentially avoidable errors. Subtle and not-too-subtle clues often reveal themselves along the way, which could have been detected sooner. This ALiEM QI Series, hosted by Dr. Steven Polevoi (UCSF EM Medical and QI Director), was created to help you become a better detective in finding these clues early in the patient’s course.

“Learn from the mistakes of others. You can’t live long enough to make them all yourself.” – Eleanor Roosevelt

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By |2017-03-05T14:14:14-08:00Aug 26, 2013|Emergency Medicine|

Patwari Academy videos: EBM Treatment Studies (part 2)

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Dr. Rahul Patwari continues with the fourth and fifth videos in this series on Evidence Based Medicine (EBM) and Treatment Studies (see first three videos). These two videos are about the concept of Confidence Intervals and Patient Applicability. The second video below makes great points about whether a published study is applicable to YOUR patient. Don’t fall into common traps.

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By |2019-01-28T21:56:37-08:00Aug 25, 2013|Patwari Videos|

Patwari Academy videos: EBM Treatment Studies

Screen Shot 2013-08-16 at 12.40.56 PMDr. Rahul Patwari reviews evidence-based medicine (EBM) concepts specifically regarding treatment studies, as guided by the JAMA Users Guide to the Medical Literature manual. In these first three videos, Rahul provides a brief introduction to the concept of treatment studies and then discusses (1) how to assess whether the results are valid and (2) calculating the risks/benefits of treatment based on the IST-3 trial?

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By |2019-01-28T21:56:47-08:00Aug 18, 2013|Patwari Videos|

Hero spotlight: Dr.Todd Raine

ToddRaineThere are incredible people doing incredibly inspiring work in Emergency Medicine. I wanted to restart the hero series, which had fallen off the radar a few years ago, featuring amazing people in our specialty. Today’s hero spotlight is on Dr. Todd Raine (@RaineDoc). He is a Staff Physician and IT Coordinator at the Providence Healthcare Department of EM and Clinical Assistant Professor at the University of British Columbia’s Department of EM. Despite these notable accomplishments, he is famous in the social media world for his innovative creation of a Google-based EM search engine GoogleFOAM.com, which many of us use to perform social media site searches online in the field of EM. His search engine is a “unified search of all FOAM sources on the Web.”

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By |2017-03-05T14:18:36-08:00Aug 15, 2013|Medical Education, Social Media & Tech|

Patwari Academy videos: Snake bites!

Screen Shot 2013-08-02 at 4.28.07 PMThere are about 8,000 snakebites per year in the United States and 10% are fatal (see comments)! If this doesn’t scare you enough to view these videos, watch these videos to see Dr. Rahul’s Patwari’s amazing digital drawing skills. In addition to a brief 4-minute overview on snake bites, Rahul also goes more in depth about crotalids (rattlesnakes) and elapids (coral snakes) specifically.

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By |2019-01-28T21:57:12-08:00Aug 4, 2013|Patwari Videos|
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