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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

Balavenkatesh Kanna, MD, has been appointed CEO and vice president of hospital affairs at University Hospital at Downstate in New York City. Dr. Kanna was named to the role by SUNY Downstate Health Sciences University and brings more than 20 years of healthcare leadership experience to the role, according to...
Published on: 2026-02-06
Source: Becker's Hospital Review
By Kristin Kuchno
New York City-based NYU Langone Health and New Hyde Park, N.Y.-based Northwell Health have come to a settlement agreement involving a dispute over an advertising campaign. In 2023, NYU Langone sued Northwell in federal court, asserting the competitor tried to “confuse” patients by copying some of its marketing materials, including...
Published on: 2026-02-06
Source: Becker's Hospital Review
By Giles Bruce
A number of healthcare organizations have recently closed medical departments or ended services at facilities to shore up finances, focus on more in-demand services or address staffing shortages. Here are eight department closures or services that are ending or have been announced, advanced or finalized that Becker’s reported since Jan....
Published on: 2026-02-06
Source: Becker's Hospital Review
By Andrew Cass
North Carolina’s first pediatric-only medical helicopter is ready for liftoff, Greenville, N.C.-based ECU Health said Feb. 6.  ECU Health is launching the aircraft, which is designed as an intensive care unit and equipped with specialized neonatal and pediatric equipment, according to a news release. The helicopter is dedicated solely to...
Published on: 2026-02-06
Source: Becker's Hospital Review
By Paige Twenter
Health systems are increasing their expectations for nurse managers without proper support, which risks workforce stability, according to a Feb. 5 article from Vizient and Kaufman Hall.  The position “has become increasingly unsustainable” because of elevated turnover and growing scopes of control, with 1 in 4 nurse managers overseeing more...
Published on: 2026-02-06
Source: Becker's Hospital Review
By Paige Twenter
Case: A 71-year-old man is the restrained driver in a 25-mph front-end motor-vehicle crash (MVC). He self-extricates... The post C-U Later C-Collar? appeared first on ACEP Now....
Published on: 2026-02-06
Source: ACEP Now
By Ken Milne, MD
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 – February 2026 appeared first on Don't Forget the Bubbles....
Published on: 2026-02-04
Source: DONT FORGET THE BUBBLES
By Anke Raaijmakers
Freedom House, the first U.S. EMS, proved that excellence and equity are linked. See why its legacy is a vital call to action for doctors. The post The Historic Freedom House and the Future of Equity in Medicine appeared first on ACEP Now....
Published on: 2026-02-03
Source: ACEP Now
By Adeola Kosoko, MD FACEP, FAAP, FAAEM
Hospital systems are cutting physician on-call services due to rising costs and declining revenues. Explore how these financial shifts impact care. The post Are Hospital On-Call Services Still Sustainable? appeared first on ACEP Now....
Published on: 2026-02-03
Source: ACEP Now
By Harry W Severance, MD, FACEP
Lower mortality by 76%. Access free modules to empower your PECC and prep for the 2026 Pediatric Readiness Assessment. The post Strengthen Pediatric Emergency Care With New Free Modules appeared first on ACEP Now....
Published on: 2026-02-03
Source: ACEP Now
By Mohsen Saidinejad, MD, MBA, FACEP, and Robin Goodman, MSN, RN, CPEN
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
Click through to see the latest happenings at and news from the American College of Emergency Physicians. The post February 2026 News from the College appeared first on ACEP Now....
Published on: 2026-01-27
Source: ACEP Now
By ACEP Now
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