Paucis Verbis: Blunt cerebrovascular injuries

CerebrovascularAnatomyIn the setting of blunt trauma, it is easily to overlook a patient’s risk for blunt cerebrovascular injuries (BCVI). These are injuries to the carotid and vertebral arteries. Often they are asymptomatic with the initial injury, but the goal is to detect them before they develop a delayed stroke.

  • Who are at risk for these injuries?
  • What kind of imaging should I order to rule these injuries out?
  • Do I really treat these patients with antithrombotic agents even in the setting of trauma to reduce the incidence of CVA?

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By |2019-01-28T22:41:59-08:00Jul 1, 2011|ALiEM Cards, Cardiovascular, Radiology, Trauma|

Paucis Verbis: Brugada syndrome

Brugada SyndromeBrugada, Brugada, Brugada

You always hear about it when working up syncope and sudden cardiac arrest in young patients, but it’s so easy to forget what it looks like on ECG. We so rarely see it… or DO we?!

This Paucis Verbis card on Brugada Syndrome is to help emblazon these ECG tracings in our mind, so that we don’t miss the subtle findings which place a patient at risk for sudden cardiac death. Pay special attention to Type 1, which is most specific for Brugada Syndrome.

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By |2019-01-28T22:40:48-08:00May 6, 2011|ALiEM Cards, Cardiovascular, ECG|

Paucis Verbis: AMI and ECG Geography

Sometimes a picture is worth MORE than a 1000 words. Such is the case of the above illustration that I saw on the Life In The Fast Lane blog. When I first saw it, I knew that I immediately had to find out who made the graphic. It turns out it is the multitalented Dr. Tor Ercleve, who is an emergency physician at Sir Charles Gairdner Hospital and an established medical illustrator.

20110408AMI_EKGgeography

This graphic demonstrates the EKG findings for the various types of acute MI’s as broken down by coronary vascular anatomy (right coronary artery, left circumflex artery, left anterior descending artery). This detailed illustration won’t be readable in print form but is great in digital format on your mobile device.

Thanks, Tor!

[PDF]

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By |2019-01-28T22:50:14-08:00Apr 8, 2011|ALiEM Cards, Cardiovascular, ECG|