storm coming

Sometimes things are subtle. Other times they're not. Storm approaching Tiscornia Beach, April 2023 And what could an approaching electric storm have to do with today's EKG? 30's y.o. man with palpitations Rate is ... fast. Fast and irregular so we're going to resort to counting the complexes. There's just under 30, 30x6=180 so this … Continue reading storm coming

Sometime’s it’s exotic

We all know what we're supposed to do when we hear hoofbeats. Look for a horse, right? Not a zebra? Or when we hear screeching. In that case the most likely answer for most of us is a psyche patient heading off the rails, and not a pair of blue-and-gold macaws. Except every now and … Continue reading Sometime’s it’s exotic

who wants to mow my grass

I've managed to swell an arm to nearly double size the last 2 times I've cut mine since there's a yellow jacket nest I can't find and apparently local reactions to stings increase as you get older.  It's also a good year for massasauga rattlesnakes; they're in the peak of their 3 year population cycle.  … Continue reading who wants to mow my grass

Zebras in the ED

There's a lot of little tidbits of knowledge that you learn in EM that may (or hopefully) may not manifest themselves in your practice; exceptions to the mass casualty rules for lightning victims, what to do WHEN JELLYFISH ATTACK, etc etc.  But every now and then one of those will walk into your ED.  (But … Continue reading Zebras in the ED