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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

Atlantic General Hospital in Berlin, Md., has been renamed TidalHealth Atlantic following its integration into the TidalHealth system last year. The name change also applies to the former Atlantic General Health System campuses, physician offices and diagnostic locations, which have adopted branding aligned with the Salisbury, Md.-based health system, according...
Published on: 2026-03-04
Source: Becker's Hospital Review
By Naomi Diaz
Although 11% of the U.S. population has multiple chronic conditions, these patients consume a majority of inpatient care, Vizient said in a March 3 report. “The center of gravity has shifted,” the report said, as many healthcare organizations are defining access issues as a throughput equation, rather than a changing...
Published on: 2026-03-04
Source: Becker's Hospital Review
By Paige Twenter
Durham, N.C.-based Duke University and Duke University Health System will raise the minimum wage for eligible employees to $20 per hour, effective July 1. More than 4,000 employees will receive a direct pay increase under the change, according to a March 4 university news release. In addition, approximately 9,000 employees...
Published on: 2026-03-04
Source: Becker's Hospital Review
By Kristin Kuchno
Antelope Valley Medical Center in Lancaster, Calif., recently opened a new outpatient pharmacy, according to a March 3 news release.  Antelope Valley said the outpatient pharmacy will enhance continuity of care after hospital visits. The pharmacy offers same-day prescription fulfillment for most medications and administration of long-acting injectables, according to...
Published on: 2026-03-04
Source: Becker's Hospital Review
By Paige Twenter
The Patient Advocate Foundation and the Patient Access Network Foundation merged March 3, creating the nation’s largest portfolio of financial assistance programs for low- and middle-income patients.  Before combining, the two organizations were the two biggest patient-assistance charities in the U.S., The Wall Street Journal reported. Together, they offer 130...
Published on: 2026-03-04
Source: Becker's Hospital Review
By Paige Twenter
It’s a busy afternoon in the emergency department when a 3-month-old boy is brought in by his parents.He’s had three days of fever, cough, and coryzal symptoms. He’s feeding well, alert, and smiling at you — but something doesn’t look right. His lips are tinged blue. You pop on the...
Published on: 2026-03-04
Source: DONT FORGET THE BUBBLES
By Ethan Kelsall
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 – March 2026 appeared first on Don't Forget the Bubbles....
Published on: 2026-03-03
Source: DONT FORGET THE BUBBLES
By Anke Raaijmakers
Learn how to master shared-visit billing under new CPT and CMS guidelines for physician-led teams using medical decision making or time-based criteria. The post Coding Wizard: The Emergency Department Shared Visit appeared first on ACEP Now....
Published on: 2026-02-26
Source: ACEP Now
By Jason Adler, MD, on behalf of the ACEP Reimbursement Committee
When Houston opened a dozen warming centers during back-to-back freezes in January 2026, the city’s new health... The post Creative Careers: Theresa Tran Carapucci, MD, MBA, FACEP appeared first on ACEP Now....
Published on: 2026-02-26
Source: ACEP Now
By Leah Enser
Eli, a nine-year-old, presents with mild asthma. Most days she’s fine, managing her wheeze with her blue inhaler as needed, but every so often a cough or sniffle turns into a flare that worries her parents about a looming attack. You want to prevent her next severe asthma attack, but...
Published on: 2026-02-23
Source: DONT FORGET THE BUBBLES
By Meenu Pandey
Master the anatomy and management of tracheostomy emergencies, from early dislodgement and cannula obstruction to rare tracheoesophageal fistulas. The post Tracheostomy Complications and the Emergency Setting appeared first on ACEP Now....
Published on: 2026-02-19
Source: ACEP Now
By Nicole Weis, MD, and Jonathan Glauser, MD, MBA, FACEP
Rising fatal accidents in unregulated hyperbaric chambers highlight risks such as arterial gas embolism and burns. Learn how to manage these ED emergencies now. The post Poorly Regulated Hyperbaric Chambers Sound Safety Alarms appeared first on ACEP Now....
Published on: 2026-02-19
Source: ACEP Now
By Chris Allen, MD
Have you been keeping up with the literature? The Bubble Wrap team have. The post The 99th Bubblewrap x Sheffield Children’s ED appeared first on Don't Forget the Bubbles....
Published on: 2026-02-19
Source: DONT FORGET THE BUBBLES
By Dr Andrew Seggie
Children with differences in sex development (DSD) may present at various stages of life, but most commonly during the neonatal period or at puberty. In newborns, the most frequent physical sign is atypical genitalia. If you work in a neonatal unit, you’re likely to encounter this presentation. Atypical genitalia may...
Published on: 2026-02-16
Source: DONT FORGET THE BUBBLES
By Lily Wray
Dr. Kendall Donohue matches into the same pediatric EM fellowship as her 12-year mentor Dr. Eric Fleegler. The post Full Circle: The Power of Long-Term Mentorship in Emergency Medicine appeared first on ACEP Now....
Published on: 2026-02-10
Source: ACEP Now
By Leah Enser