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Matt Astin
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123 followers
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Matt's posts

Lots of great pearls coming out of the Teaching Course, currently underway in Baltimore. Twitter hashtag is #ttcoct14. Videos of lectures will be posted to Livestream. 

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My return to ALiEM after a one year hiatus.

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61 yo WM with PMH of CAD with one previous stent many years ago presents after collapsing outside front door of ED. Pt is hypotensive and altered, but is able to communicate he is having chest pain and sob. Here is the first ECG followed by the second obtained 30 minutes later. Thoughts?
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2013-09-20
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Scott-the last two podcasts (the Wee on lactate and podcast 100) are not coming through on iTunes. Any idea?

Puzzling case. 42 yo male with h/o hypothyroidism presents with altered mental status. Complained of headache initially, then vomited several times. Completely normal vital signs. Physical exam shows he is uncooperative, but moving all extremities. Remainder of exam, including neuro, is normal. Head CT negative per radiology (and the neurosurgeon who was a family friend). WBC 13k, K 2.7. Remainder of labs negative, including TSH, alcohol and drug screen. ABG performed and I have never seen a more normal reading other than in text books. I intubated him initially just so I could do the above work-up. CXR negative. Lumbar puncture with 1 WBC, 3 RBC, normal glucose and protein, negative gram stain.

Any ideas?

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I am totally in agreement. Thanks for putting a voice to what I have been struggling with on the inside.

Antero-lateral STEMI last night. Rolled into the trauma bay at 1437. Headed to the cath lab at 1447. Gotta love pre-hospital ECG transmission.
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