J Emerg Med
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Sexual assault cases present complex medical, psychological, social, and legal challenges to emergency practitioners. Sexual Assault Nurse Examiner (SANE) programs were designed to improve and expedite this patient care. The following review describes unique requirements, objectives, and resources when developing a program based in the Emergency Department.
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We present a case of thyroid storm manifesting as supraventricular tachycardia with cardiopulmonary dysfunction. Our patient presented with severe cardiopulmonary symptoms (tachycardia, respiratory distress, and pulmonary edema) refractory to standard medical treatment. When the diagnosis of thyroid storm was made and proper treatment initiated, our patient had a prompt and appropriate response.
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Review Case Reports
Electrocardiographic manifestations: bundle branch blocks and fascicular blocks.
Intraventricular conduction block is the general name given to a varied group of electrocardiographic entities. All share a common finding of some degree of delay in ventricular activation; recognition of these blocks hinges upon analysis of the QRS complex, as well as the ST-T changes associated with them. ⋯ Causation of intraventricular conduction block may be cardiac or noncardiac; early recognition of the etiology may be of clinical importance. This article reviews the basic anatomy and physiology related to intraventricular conduction blocks, and then examines each in terms of electrocardiographic definition and clinical correlation.