Pain free and in VT?
A 62-year man who is awaiting a bed under the medics for investigation of an episode of chest pain earlier in the day. Is this Wellens?
Category Medical Specialty
Electrocardiographic Exigency
A 23 year-old man had an episode of syncope at home. He is in severe respiratory distress, extremely pale, dripping with sweat. ECG Exigency
Investigative Epidemiology
Putting your head above the parapet Part of the joys of studying at the Liverpool Tropical School of Medicine is the weekly Wednesday lunchtime lectures. This week we were treated to investigative journalist Deborah Cohen (@deb-cohen), an award winning medically…
Bedside Echo in Pulmonary Embolism
A 35 year-old female is brought to the emergency department after collapsing in a shopping centre. McConnell sign
Exogenous Calcium Embolism
Patient presentes to ED with acute shortnewss of breath post Percutaneous Vertebroplasty (PVP) with cement embolus cardiovascualr curveball
Pneumothorax Case 5
A 36 year old woman presents with sharp left sided chest pain.
What do these clips of her left chest show?
Tetraology of Fallot and BT shunts
Despite the therapeutic measures a 26 day-old boy with Tetralogy of Fallot has severe hypercyanotic spells and needs Blalock-Tausig shunt
DeBakey Dissection
A previously well 50 year old presents with sharp severe chest pain after a long haul flight from North America. DeBakey Dissection
Everything ECMO
In specialist centres, extracorporeal membrane oxygenation (ECMO) is a now a mainstay of the management of cardio/respiratory failure refractory to other measures. However, much of the clinical information required to care for ECMO patients at the bedside remains inaccessible to…
Manes Kartagener
Manes Kartagener (1897 - 1975) was an Austrian-Swiss physician. First to report the triad of situs inversus, chronic sinusitis and bronchiectasis in 1933 – Kartagener syndrome.
Intra-aortic Balloon Pump Trouble-shooting
Intra-aortic Balloon Pump Trouble-shooting QA cardiovascular curveball. Your patient has poor cardiac output after CABGx4 and starts IABP
The Paradoxical Alternative
49 year female old smoker with two weeks of increasing shortness of breath. She is treated for pneumonia on the ward but getting worse.