This was exceptionally fun to work on, combining two things we all love - ECGs and #POCUS, how they work together to help you make decisions at the bedside

Thanks to Jesse for inviting me on for this one! Go follow the blog!

emergencymedicinecases.com/ecg-pocus-dy...

I know many moved away from topical TXA for epistaxis after NOPAC trial (reservations about their standard care group notwithstanding), tho my experience has been that it still seems p effective?

onlinelibrary.wiley.com/doi/10.1111/...

Initial ECG a bit tough, shows very long QTc, possible STE inferiorly. Repeat less inferior STE, but clear STD anterior max V2-4 with R-wave - is this diffuse subendo isch? This is crucial pattern to know- in fact diagnostic posterior OMI.

What's the cause -
Dissection?
OMI/ACS?
PE?
Arrhythmogenic?

POCUS:
Difficult views- No PCE, reasonable LV Fxn (had epi/norepi), initially thought maybe ?inferolateral RWMA but couldn’t convince myself of it, ++pulmonary edema, IVC small/collapsing, Abdo aorta no AAA/flap, no DVT

Can't have sepsis if you have zero suspicion for infection