why this blog?

Likelihood Ratio (LR) in Emergency Medicine


Useless ECG?

Clinical Scenario

A 67 y/o man arrives to the ED by ambulance because of precordial pain since half an hour, during the transport, paramedics perform an ECG that shows a left bundle branch block (LBBB), that patient refers in his history.

They find it unuseful and so they do not transmit it to the cardiologist, is it correct?



Is it broken?

Clinical Scenario

Anthony, a 15 y/o student, slipped and fell while playng soccer. The next morning he refers continue pain on the right elbow. “Is it broken?” ask Anthony and his father at the triage desktop?
There is pain and edema near the elbow, no radial pulse deficit, he can fully extend and flex the articulation, there aren’t problem about prono-supination.

The doctor smiles and reassures Anthony and his father, “it’s not broken, RICE is enough!!!”.