Sepsis

The patient who becomes “septic” / El paciente séptico. Quick tips: This patient looks ill and has a “toxic appearance”, mental status may be altered, looks pale or cyanotic, is hypotensive (SBP < 100), cold or feverish, breathing heavily and with very weak pulses. Skin may present livedo reticularis and capillary refill time is prolonged….

STEMI vs NSTEMI

Myocardial infarction / Infarto agudo de miocardio: The following illustration reviews the pathological and ECG differences between a myocardial infarction without and with ST segment elevation. Patients will visit the ED with chest pain compatible with angina pectoris, and will require assessment of atherosclerotic and cardiovascular disease risk. This will be reviewed in future posts….