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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

Epic led KLAS Research’s global acute care EHR ratings with the most regions represented for a single vendor. Here are the top-rated EHRs globally, by region, according to the market intelligence firm’s Feb. 4 report, based on its surveys of over 23,000 healthcare professionals from more than 6,000 provider and...
Published on: 2026-02-04
Source: Becker's Hospital Review
By Giles Bruce
Nilay Shah, PhD, was appointed chief strategy officer at The University of Texas at Austin’s academic health system and its anchor, Dell Medical School. Dr. Shah will lead enterprise strategy, growth initiatives and long-term planning, with a focus on digital health, artificial intelligence-enabled capabilities and strategic partnerships, according to a...
Published on: 2026-02-04
Source: Becker's Hospital Review
By Kristin Kuchno
Albuquerque, N.M.-based Presbyterian Healthcare Services expanded its clinical AI platform to 200 primary care clinicians, marking the system’s first full deployment of the technology. The rollout follows a pilot that identified more than 200 patient conditions across 10,000 encounters and delivered 17,000 personalized treatment responses, according to a Feb. 3...
Published on: 2026-02-04
Source: Becker's Hospital Review
By Ella Jeffries
On Feb. 22, The Ohio State University Wexner Medical Center plans to move approximately 400 patients into its new 26-story hospital tower, making it the largest facility patient move in the U.S. this year.  In a Feb. 4 morning interview with Becker’s, Chief Clinical Officer Andrew Thomas, MD, said the...
Published on: 2026-02-04
Source: Becker's Hospital Review
By Paige Twenter
CMS released updated guidance Feb. 2 on Medicaid state-directed payment caps, clarifying which programs qualify for temporary protection and signaling that additional service categories may face similar limits. State-directed payments for inpatient and outpatient hospital services, nursing facilities, and qualified practitioners at academic medical centers have been capped at 100%...
Published on: 2026-02-04
Source: Becker's Hospital Review
By Jakob Emerson
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
Emergency physicians can lead system-wide OUD care, bridging gaps and improving outcomes beyond the ED. Learn how to drive institutional change. The post Emergency Medicine as Leaders in Care Provision for Patients with Opioid Use Disorder appeared first on ACEP Now....
Published on: 2026-01-27
Source: ACEP Now
By Terence M. Hughes, MD; Utsha G. Khatri, MD, MSHP; Jennifer S. Love, MD, MSCR; and Siri Shastry, MD, MS
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