Medical myths debunked No 1: LBBB and ST elevation
“Once you see LBBB on an ECG, you cannot comment further on the ST segments.” Actually, if you see LBBB on an ECG, you should look very carefully at the…
Tag: medicine
Has anyone ever lured the on-call surgeon out of the mess?
Apologies for the delay. A mixture of on-calls, time off and working on other medical education projects got in the way. Also, I couldn’t find the ? ST Elevation patient’s…
[Poll 2] STEMI or not? You make the call.
ECG at admission ECG at 12 hours
Prescribe the damn aspirin. Then think about it.
ACS is not just about sorting out the meds and organise the PCI ASAP, then moving on. If the patient is still alive and sitting front of you following an…
Your first patient has an INR of 10
“Was the INR really 10?” asked the CT2 as we left the handover meeting. “Yeah. It actually said >10 which means its probably 20.” “Or 100” “Or she’s just a…
Hypoxia kills. Hypercapnia happens.
“Steady on his O2 there. He’s a COPD patient; we don’t want him to stop breathing.” A 73 year old man with COPD not on home oxygen and usually well-controlled…
Bloody alcohol
Today, a patient had a macrocytic anaemia, low platelets and an oddly low neutrophil count despite having clear signs and a chest xray suggestive of a lobar pneumonia. To my…
On Call Week: Liverpool Care Pathway, STAT
Apologies for the delay since my last post. It was busy. There were many learning experiences I want to share. Perhaps the most poignant one was writing up the Liverpool…
Probably one of the 10 most unusual ABGs I will ever see
I love MAU so much. I actually wake up looking forward to work. Every request from the radiologist or discussion with microbiology is a learning experience. It’s more like working…