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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

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Question of the Day

What is the antidote for acute tylenol toxicity?

Answer

N-acetylcysteine
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What's behind the rise in wearable health tracking devices
NPR's Ailsa Chang talks with Adam Clark Estes of Vox about his new story out titled: "I Covered my body in health trackers for 6 months. It ruined my life."... Read more
Published on: 2025-06-15
Source: NPR
Ancient miasma theory may help explain Health Secretary Robert F. Kennedy Jr.'s vaccine moves
Health Secretary Robert F. Kennedy Jr. apparently embraces the outdated "miasma theory" of disease instead of the widely accept "germ theory" of disease, which may help explain some of the actions he's been taking.... Read more
Published on: 2025-06-15
Source: NPR
More than 400 CDC staff may be called back to work after being laid off in April
Laid off workers were told their notices of an upcoming reduction in force were "revoked." Officials didn't explain why HHS appeared to be restoring hundreds of jobs it previously called duplicative.... Read more
Published on: 2025-06-15
Source: NPR
Could humans' unique nasal 'fingerprints' give us information about our health?
Take a big inhale through your nose. Now, exhale. Breathing may seem simple, but it's controlled by a complex brain network. Each inhale gives the human brain information about the external world. And now, a new research paper in the journal Current Biology suggests that humans have unique breathing patterns,... Read more
Published on: 2025-06-15
Source: NPR
A doctor fired by RFK Jr. from the national vaccine advisory board speaks out
Health Secretary Robert F. Kennedy Jr. fired all the people serving on a national vaccine advisory board. NPR's Ayesha Rascoe speaks to Edwin Asturias, one of the doctors who was sacked.... Read more
Published on: 2025-06-15
Source: NPR
People told my dad not to bother educating his 4 daughters. He didn't listen
On Father's Day, Esther Ngumbi thinks of the sacrifices her Kenyan dad made to ensure that not only his son but his four daughters got an education. He'd say, "I choose to educate you, my girls."... Read more
Published on: 2025-06-15
Source: NPR
Advice for trying GLP-1 drugs for weight loss from a doctor who's been there
Former FDA chief Dr. David Kessler says the new weight-loss drugs are a powerful tool to fight obesity. But they come with pitfalls. Here's his tips for how to use them successfully.... Read more
Published on: 2025-06-15
Source: NPR
RFK Jr. sent Congress 'medical disinformation' to defend COVID vaccine schedule change
A document circulated to members of Congress misinterprets studies and cites debunked research, scientists say. It could influence congressional perceptions of vaccine safety.... Read more
Published on: 2025-06-14
Source: NPR
An AIDS orphan, a pastor and his frantic search for the meds that keep her alive
In the wake of U.S. aid cuts, Pastor Billy is reminded of his twin sister's death from AIDS. He doesn't want 9-year-old Diana, who's HIV-positive, to meet the same fate.... Read more
Published on: 2025-06-14
Source: NPR
RFK Jr. replaced everyone on the CDC's vaccine panel. Here's why that matters
It plays a big role in deciding which vaccines kids and adults get routinely, what's covered by insurance and which shots are made available free to low-income kids.... Read more
Published on: 2025-06-14
Source: NPR
Case Report: Rapid Diagnosis of Acute Aortic Dissection with POCUS
A 55-year-old woman with medical history of well-controlled hypertension and renal cell carcinoma, status post-partial nephrectomy, presented... The post Case Report: Rapid Diagnosis of Acute Aortic Dissection with POCUS appeared first on ACEP Now.... Read more
Published on: 2025-06-11
Source: ACEP Now
Dr. Joe Sachs and “The Pitt” Are Redefining Public Health Education Through Storytelling
When a viewer sent a message saying they sought help for post-traumatic stress disorder (PTSD) after watching... The post Dr. Joe Sachs and “The Pitt” Are Redefining Public Health Education Through Storytelling appeared first on ACEP Now.... Read more
Published on: 2025-06-11
Source: ACEP Now
Pros and Cons: A Mandated Four-Year Residency
PRO: Move to Mandated Four-Year Residency a Crucial Step by Andrew Garrett Little, DO, FACEP The recent... The post Pros and Cons: A Mandated Four-Year Residency appeared first on ACEP Now.... Read more
Published on: 2025-06-11
Source: ACEP Now
ACEP4U: Reinventing Research Education
ACEP leaders and emergency medicine researchers knew in the late 1990s that the specialty lacked the respect... The post ACEP4U: Reinventing Research Education appeared first on ACEP Now.... Read more
Published on: 2025-06-11
Source: ACEP Now
The tuition bill For NYU Grossman School of Medicine’s three-year program is $0. Here’s why
Spring is always a momentous time at the NYU Grossman School of Medicine, as we honor graduating medical students and celebrate a remarkable milestone—earned through years of dedication, hard work, and sacrifice. And yet, this season also reminds us that the path to a career in medicine is steep and... Read more
Published on: 2025-06-06
Source: Becker's Hospital Review
ECU Health proposes $220M in capital projects 
Greenville, N.C.-based ECU Health outlined a $220 million capital proposal during a June 4 public hearing, which includes plans to reopen a shuttered facility as North Carolina’s first rural emergency hospital and expand its Beaufort campus. The health system signed a nonbinding proposal with Martin County (N.C.) in mid-May to... Read more
Published on: 2025-06-06
Source: Becker's Hospital Review
FDA urges lawmakers to reauthorize OTC drug program
The FDA is urging lawmakers to reauthorize a key user fee program that could expand access to over the counter medications, reducing barriers to treatment.  At a recent hearing before the Senate Health, Education, Labor and Pensions Committee, FDA officials highlighted the success of the over-the-counter Monograph Drug User Fee... Read more
Published on: 2025-06-06
Source: Becker's Hospital Review
What IT overhauls cost health systems
Health systems across the U.S. are investing heavily in IT overhauls, with some spending hundreds of millions to modernize infrastructure, integrate acquisitions and streamline operations. According to 2023 data from Definitive Healthcare based on more than 5,000 U.S. hospitals, hospitals spent an average of $9.51 million on IT operating expenses,... Read more
Published on: 2025-06-06
Source: Becker's Hospital Review
Semaglutide tied to increased risk of eye disease: 4 study takeaways
A new study has found a significant association between the use of GLP-1s such as Ozempic and Wegovy with a higher risk of developing a serious eye condition in patients with diabetes.  Here are four takeaways:  The post Semaglutide tied to increased risk of eye disease: 4 study takeaways appeared... Read more
Published on: 2025-06-06
Source: Becker's Hospital Review
ACEP 2025 Leadership & Advocacy Conference— Showing Up on Behalf of EM!
The quote “90 percent of life is just showing up” has been attributed to various people. In... The post ACEP 2025 Leadership & Advocacy Conference— Showing Up on Behalf of EM! appeared first on ACEP Now.... Read more
Published on: 2025-06-05
Source: ACEP Now