A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Figure 1. Index ECG.
A 48-year-old male with a past medical history of SVT, atrial flutter/fibrillation, hypertension, and hyperlipidemia presents to the ED with chest pain, shortness of breath, and palpitations that started 3 hours prior to arrival. His symptoms started suddenly. He has been compliant with all of his home medications. An index ECG above was obtained in triage.
Megan Buranosky, MD
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Figure 1. Study design and outcomes.
Tube thoracostomy is generally the recommended treatment for a traumatic hemothorax. However, there is no consensus on optimal catheter size. In recent years, there has been a move from using small bore tube thoracostomy (SBTT) for pneumothorax. SBTT provide increased patient comfort and seem to be equally as effective for pneumothorax. That said, what does the literature say about SBTT for hemothorax?
Kathryn McGregor, MD; Taylor Wahrenbrock, MD; Eric Leser, MD; and William Brigode, MD
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Figure 1. Index ECG.
A 50-year-old male with past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus, and alcohol use disorder presents to the ED with chest pain. He states that his chest pain started around 6:30 PM today (it is currently 9:10 PM) and that he felt dizzy and diaphoretic upon onset of symptoms. He denies fever, chills, SOB, abdominal pain, nausea, vomiting, change in bowel habits, dysuria or any other complaints. An ECG was obtained on arrival (Figure 1).
Authored by Michael Hohl, MD; Taylor Wahrenbrock, MD; and Ari Edelheit, MD.
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