Grialen Jalcovar🇨🇿

Cordi antiquitus, hereditatem magis quam modos aestimo, subtilitatem quam ostentationem, secretum quam clamorem. Elegeo ea quae diuturna, aeterna et vera sunt.

[Grialen Jalcovar🇨🇿 @offenton72800]

@hemo_shk One of the most dangerous human diseases in hx - Small pox! Tell tale sign of vaccination against - starburst pitted scar mark upper arm. Said to have live samples stored only by Russia/USA. Conspiracy theory say - rare strains BSL-4 stored on space station to limit access. 🤔

[Grialen Jalcovar🇨🇿 @offenton72800]

@DrMedica_13 Flutter. 3:1 ratio, aka saw tooth. Hold tracing upside still looks same!

[Grialen Jalcovar🇨🇿 @offenton72800]

@kh505043 Friedrich Trendelenburg - used > blood flow to heart, shock, hypotension

[Grialen Jalcovar🇨🇿 @offenton72800]

@TrackYourHeart Pneumo. Why? Because you are passing a needle through the chest wall into the pleural space for this procedure so don't be surprised.

[Grialen Jalcovar🇨🇿 @offenton72800]

@chess_feed 1. Rd8+ check
- Qxd8
2. Qe6+ cgeck
- Kf8
3. Qf7+ mate

[Grialen Jalcovar🇨🇿 @offenton72800]

@thecigarrook @HoltsCigar I first saw him on Holt's. Seemed down to Earth. So I tired his products - luv'em. I am Davidoff go-to, and Cubans. But Perdomo are clearly score >90.

[Grialen Jalcovar🇨🇿 @offenton72800]

@DrMedica_13 Used to speed up brady. Funny considering "Atropos" ,among the 3 fates, cut the thread of life - or death for us mortals. Might wanna swipe right on her profile.

[Grialen Jalcovar🇨🇿 @offenton72800]

@3DMedico1 AKA - Adrenaline for a reason. Speeds up thus tachycardia.

[Grialen Jalcovar🇨🇿 @offenton72800]

@DialedMedics 1. Regular
2. Rate - >100
3. P? Inverted Lead II, in frt of each QRS
4. PRI? <0.12
5. QRS? Normal 0.04-0.12
Conclusion - Junctional tachy

[Grialen Jalcovar🇨🇿 @offenton72800]

@FirstDoctor Skin. Largest and most exposed organ. Lung likely in smoker, prostate likely in men, breast likely in female

[Grialen Jalcovar🇨🇿 @offenton72800]

@ricky_moura @albertoortegana How so?

[Grialen Jalcovar🇨🇿 @offenton72800]

@albertoortegana Clearly VT. No P, rate, QRS r/o ST. No A-Flutter no flutter wave noted. No SSS lack pause. This very regular, no P, wide QRS - VT

[Grialen Jalcovar🇨🇿 @offenton72800]

@jwittstein @albertoortegana ST? Yes regular but rate too fast, clearly no P. Thus r/o Sinus in origin. Clearly VT.

[Grialen Jalcovar🇨🇿 @offenton72800]

@DrsansariOrd For most humans - C. Others it is totally missing.

[Grialen Jalcovar🇨🇿 @offenton72800]

@TrackYourHeart B. Vasovagal response. Should have person supine anyway and Lord don't miss.

[Grialen Jalcovar🇨🇿 @offenton72800]

@CigarManors "Don't like cigars..." Then seems counter intuitive. I don't like champagne so you recommend one anyway.

[Grialen Jalcovar🇨🇿 @offenton72800]

@kh505043 Rx - Fluconazole. OTC - Clotrimazole cream if mild.

[Grialen Jalcovar🇨🇿 @offenton72800]

@DrsansariOrd Hypoglycemia = Coma. Based on glucose reading and Pt condition
1. Have Pt eat a quik sugar - Coke (no sugar free), candy bar f/u w/meal.
2. Oral glucose
3. Glucagon
4. Amp D50W SIVP large bore in the AC w/truck line of 0.9% NS to flush. Reassess. Pay attention to IV site

[Grialen Jalcovar🇨🇿 @offenton72800]

@smithECGBlog Those are "pacer" spikes. Dual chamber. Cath lab? No not knee jerk. I see no STEMI, no >ST, Cath lab is a clinical decision not one based on 1 EKG reading. Why is Pt in ED? Can u tell more?

[Grialen Jalcovar🇨🇿 @offenton72800]

@kh505043 LAD