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VEGAS BROWN, MD FAAEM FACEP

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EKG Pearl: Hyperkalemia and Peaked T Waves
Pearl: One of the earliest EKG changes in hyperkalemia is tall, peaked T waves, especially prominent in the precordial leads (V2–V4). As potassium levels rise further, P waves may flatten, QRS complexes widen, and eventually sine-wave patterns can develop, leading to cardiac arrest.
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EKG Pearl: Wellens' Syndrome
Pearl: Wellens' Syndrome is a sign of critical stenosis of the left anterior descending (LAD) artery and indicates a high risk for an extensive anterior wall myocardial infarction. It is characterized by: Deeply inverted or biphasic T waves in leads V2 and V3 Minimal or no ST elevation Normal or slightly elevated cardiac enzymes
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EKG Pearl: Brugada Pattern
Pearl: Brugada Syndrome is associated with a risk of sudden cardiac death due to ventricular arrhythmias. The classic Type 1 Brugada pattern shows: Coved ST-segment elevation ≥2 mm in ≥1 of leads V1–V3 Followed by a negative T wave No structural heart disease
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EKG Pearl: Pericarditis
Pearl: Acute pericarditis classically progresses through four stages on the EKG: Stage 1: Diffuse ST elevation and PR depression (especially in leads I, II, V3–V6) Stage 2: Pseudo-normalization of the ST segments Stage 3: T wave inversion Stage 4: Resolution of EKG changes
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Bedside cardiac ultrasound evaluation of a young male with chest pain
The Evil Twin: The Case of Heterotopic Pregnancy
Diagnosis of a Traumatic Lens Subluxation with Point-of-Care Ocular Ultrasound
Vegas Asare
The Life of Vegas
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Olivia Brown APRN
The fabulous life of Liv
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Newtown Kids
We celebrate the people and history of Newtown.
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ChiChi Tycoon
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Question of the Day

What is the antidote for acute tylenol toxicity?

Answer

N-acetylcysteine
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medical jeopardy

Newtown Jeopardy

As health systems rapidly expand the use of artificial intelligence, a fundamental question emerges: How do we know whether innovation is actually improving care from the patient’s perspective? AI is now embedded across the patient journey, from scheduling to diagnostics, clinical workflows and follow-up care. These tools are becoming essential...
Published on: 2026-02-03
Source: Becker's Hospital Review
By Madeline Ashley
As the White House prepares to launch TrumpRx and advance its efforts to lower drug prices, hospital pharmacy leaders are closely watching the changes but remain cautious about how quickly they will translate into meaningful relief for patients or providers. The administration’s strategy centers on voluntary drug pricing agreements and...
Published on: 2026-02-03
Source: Becker's Hospital Review
By Ella Jeffries
Beth Allen has been named CFO of the Emory University School of Medicine in Atlanta, according to a Feb. 3 LinkedIn post. Prior to her new role, Ms. Allen served as vice president of financial operations and corporate controller for Atlanta-based Emory Healthcare, according to her LinkedIn page. She also...
Published on: 2026-02-03
Source: Becker's Hospital Review
By Madeline Ashley
Skip Gjolberg, president and CEO of WVU Medicine St. Joseph’s Hospital in Buckhannon, W.Va., will step down from his role in mid-March, My Buckhannon reported Jan. 29. John Foster, vice president of provider network services for WVU Medicine’s central market, will serve as interim president, My Buckhannon reported. Mr. Gjolberg...
Published on: 2026-02-03
Source: Becker's Hospital Review
By Kristin Kuchno
Across U.S. healthcare systems, administrative burden has become a defining workforce challenge. Nearly half of physicians report experiencing burnout, and 57% identify documentation requirements as a major contributor. Clinician turnover now exceeds 7% annually, intensifying recruitment pressure and destabilizing already strained care teams. Much of this burden is driven by...
Published on: 2026-02-03
Source: Becker's Hospital Review
By Vedant Bhosale
Have you been keeping up with the literature? The Bubble Wrap team have. The post The 98th Bubblewrap x John Radcliffe Hospital appeared first on Don't Forget the Bubbles....
Published on: 2026-02-03
Source: DONT FORGET THE BUBBLES
By Sarah Reynolds
A 7-year-old boy presents to the children’s emergency department with fever and cough. He’s alert, well-hydrated, and playful in the waiting room. To rule out UTI, a urine dipstick is performed: no nitrites, no leukocytes… but 3+ glucose. A capillary blood glucose is 5.8 mmol/L. Ketones are negative. Is this...
Published on: 2026-01-27
Source: DONT FORGET THE BUBBLES
By Meenu Pandey
You’re a few months into your first paediatrics rotation, and you’re finally finding your rhythm. Nebs? Charted. Sats probes? Miraculously working. Sticky toddlers in A&E with viral-induced wheeze? Bring them on. So, when you’re called to review a 3-year-old with a persistent cough, poor weight gain, and yet another course...
Published on: 2026-01-19
Source: DONT FORGET THE BUBBLES
By Sunil Patel
If you’ve been around long enough, you’ve watched the limbo bar for lumbar punctures (LP) in well-appearing febrile infants slowly drop. Once upon a time, we used to perform lumbar punctures for any febrile baby ≤3-months-old. When I started training, that bar had already moved down. Now babies ≤28 days with fevers get...
Published on: 2026-01-18
Source: DONT FORGET THE BUBBLES
By Dennis Ren
Time to look at what has been published in this month's Bubble Wrap Plus with Anke Raaijmakers and Prof .Jaan Toelen The post Bubble Wrap PLUS – January 2026 appeared first on Don't Forget the Bubbles....
Published on: 2026-01-12
Source: DONT FORGET THE BUBBLES
By Anke Raaijmakers
Learn how emergency physicians can protect their portfolios from market volatility with smart asset allocation and risk management strategies to weather downturns. The post Preparing For and Surviving the Next Bear Market appeared first on ACEP Now....
Published on: 2026-01-10
Source: ACEP Now
By James A. Dahle, MD, FACEP
Explore how immigration enforcement impacts patient trust and emergency department utilization. Learn strategies for physicians to protect vulnerable populations. The post The Chilling Effect of ICE Raids on Emergency Medicine appeared first on ACEP Now....
Published on: 2026-01-10
Source: ACEP Now
By Chinwe Anyanwu, DO, MPH
Stop routine incision and drainage. Explore evidence-based medical management strategies for peritonsillar abscess that prioritize patient comfort and outcomes. The post Peritonsillar Abscess Management Tip: Put Your Scalpel Down appeared first on ACEP Now....
Published on: 2026-01-10
Source: ACEP Now
By Lauren Westafer, DO, MPH, MS, FACEP
Emergency physicians share insights on practicing in resource-limited tribal health settings and the importance of cultural humility in rural EM care. The post Lessons Learned at Cheyenne River Health Center appeared first on ACEP Now....
Published on: 2026-01-09
Source: ACEP Now
By Vanya Zvonar, MD
Learn how period poverty impacts ED patients and explore actionable ways for physicians to improve health equity by providing essential menstrual products. The post Addressing Period Poverty to Promote Health Equity appeared first on ACEP Now....
Published on: 2026-01-09
Source: ACEP Now
By Jayne Kendall, MD, MBA, FACEP, CPE