The Osborn wave (J wave) is a positive deflection at the J point (negative in aVR and V1). It is usually most prominent in the precordial leads and most commonly associated with hypothermia.
Variceal bleeds can lead to terrifyingly messy resuscitations; this talk reviews tricks and tips for rescuing your patient from massive GI bleeding disasters.
There are multiple learning tools used as an adjunctive aide memoire. Herewith a collection of Toxicological related mnemonics used with varying frequency throughout the conundrums. Let us know if you have any more to add...
44 year old male with a history of non-complaint Type 1 diabetes. He has been found at home in a semi-conscious state. Describe and interpret this ECG. LITFL Top 100 ECG
Hypothermia Post Cardiac Surgery. multi-factorial: residual hypothermia post CPB, failure to rewarm, open thoracic cavity, cold OT, administration of cold fluids
Paediatric Hypothermia predisposition: radiation (large surface area to volume ratio, large head); convective (repeated examinations with exposure to atmosphere); conductive (loss of heat into bed); thermoregulatory response altered (sedation or paralysis, neurological injury)
Temperature and TBI. Induced hypothermia has been used for years to reduced cerebral metabolic rate; manipulation of temperature has been shown to effect certain types of brain injury (therapeutic hypothermia in out-of-hospital cardiac arrest).