Alghabban.Ahmad
@AlghabbanA
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SBEM/Consultant/Saving lives as a career ⛑ وَمَا تَوْفِيقِي إِلَّا بِاللَّه / Disaster Medicine and EMS fellowship @BrownUniversity @Brown_Emergency
Joined September 2017
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Me taking Hx from the Pt with 4 relatives bedside and 4 different versions of Hx. 🌚
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When the Charge nurse tell you the R1 Doc doing central line alone! Me:
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اللهم لك الحمد حتى ترضى، ولك الحمد اذا رضيت، ولك الحمد بعد الرِضى...
Board certified Emergency Medicine ❤️..
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X consultant in the beginning of the round with his team ..😂
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We were delighted to host his excellency the Head of the ICRC for the Gulf Cooperation Council
@MamadouSowICRC
at the Saudi Red Crescent Volunteer Center in Medina. During his visit, we demonstrated the work of the volunteer team and highlighted the capabilities of the center. He
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R4 entering the shift saying Alslamo Alikum.. X-consultant looks like ⬇️⬇️😂😂
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Just attended and presented at the 9th SASEM Conference 2024. It was an amazing experience with experts from around the globe discussing important topics in Emergency Medicine. Huge thanks to the organisers and scientific committee for putting together such a fantastic
Prehospital Blood Administration, Are We There Yet?
By Dr. Ahmed Ghabban
“Among the various causes of shock in patients, prehospital hemorrhagic shock stands out as particularly challenging to manage.”
“In conflict zones, getting to the hospital during evacuation and transit
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X consultant and the resident when IM refusing inappropriate consultation ..😂
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A DM patient presented with 2 hours of right shoulder pain. While finishing an ECG, the patient arrested (Vfib) and was successfully defibrillated. Has a GCS of 15/15. Underwent PPCI (LMCA).
Take-home points:
- Always be suspicious of atypical chest pain, especially in diabetic
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@ecgandrhythmRoe
Bifascicular block + first degree heart block. (Previously called incomplete trifascicular block). Not an indication for pacing, usually.
If it’s true trifascicular block it should be associated with third degree AV block and Pt will require pacemaker insertion.
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@DrRazi4
@PMcardioBot
@drharikrishrau
@Eugene4463
Inferior-posterior MI, with CHB.
Right ventricular involvement.
🚨 Fill up the tank, avoid Nitro, PCI 🚨
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❤️
Last Academic Activity as a Resident.. A day to remember .. thank you everyone for everything
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@docib
@smithECGBlog
@EcgOxford
When the ST segment elevation smiles, smile back 😊. (Usually!).
+ Spodick’s sign.
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@DrRazi4
@PMcardioApp
@drharikrishrau
VT , left rabbit ear is the most specific finding in favour of VT 🐰🐰
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@ThaierT13525
Bifascicular block (RBBB+LAFB), Afib, and high suspicion of OMI of anterior leads.
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@DrRazi4
@PMcardioBot
@smithECGBlog
@drharikrishrau
******Take Home points****** :
Don’t ever forget aVL lead. ST depression in aVL can be a marker of serious problems :
- Significant mid LAD lesion.
- Evolving inferior MI and possible RV involvement.
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2023 AHA focused update on adult
#ACLS
: update to AHA guidelines for CPR & emergency cardiovascular care:
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@DrMaryam_AlAli
@MubarakAlhatemi
@EM_RESUS
@UlhasDr
@smithECGBlog
It’s seems bifascicular block+afib, and if it’s new onset it’s highly associated with proximal LAD occlusion.
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@DrRazi4
@PMcardioBot
Yes, very suspicious OMI inferior leads with subtle ST depression Avl. I will add that’s not first degree AV block but I think it’s second degree AV block 2:1.
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@IkramHaqMD
@ecgandrhythmRoe
@IrmaMDv
@DaveRichley
@The_Nanashi_O
@AThomazAndrade
@willyhfrick
@Hiren_PatelMD
@ecgrhythms
@PacingSpike
@ECGEPSCADEVICE
What i can see: Sinus tachycardia around 115, episodes of RBBB morphology ( maybe rate dependent), LAFB, and premature complexes. I would like to do a quick ECHO for him.
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@ecgandrhythmRoe
@DidlakeDW
@BrooksWalsh
@AThomazAndrade
@willyhfrick
@The_Nanashi_O
@IrmaMDv
@anais_dahoumane
@ECGEPSCADEVICE
@ecgrhythms
@MunjedSnowber
What I can see there are Non sustained VT and
AV block maybe second degree, wenckebach!
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@AbdullahFaisalH
@SchsOrg
زميلي واخي العزيز د.عبدالله، شكراً لك. والنجاح والإبداع لم يكن الا بدعمكم ومساعدتكم 🌸
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جنودنا، يودعوا و ينشدوا طلع البدر علينا للحجيج ❤️ ذكرة جميلة حتكون في قلوبهم .
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#انفلونزا_الطيور. Tell them to came in April ,there are no slots for them in March...
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@ecgandrhythmRoe
3 different P waves morphology and HR less than 100,its wandering atrial pacemaker (WAP).
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@Dr_MohammedGh
It was truly a world class event! Huge thanks to you, Dr. Mohammad ,Dr. Faisal and your team, for your dedication to reaching this level of excellence.
@Faisal_Bk
@Dr_MohammedGh
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@DrRazi4
@drharikrishrau
@PMcardioBot
Looks like sinus bradycardia, Wenckebach, and if he doesn’t take any beta-blockers, calcium channel blockers, digoxin, and amiodarone. Treatment is rarely required.
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Believe me ,, it’s worth it 💪🏻💪🏻
Wanna be trained for procedures you might never have done before?
Book your seat in
#EM3HandsOn
NOW 👇🏻
LIMITED SEATS AVAILABLE
Stay tuned for
#EM3HandsOn
(28-03)
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@ecgandrhythmRoe
Ventricular rate around 36!
RBBB with LAFB.
Right ventricular strain pattern as T-wave inversions are seen in the precordial leads (V3-V6) and inferior leads (II, III and aVF).
?? V1 looks like atrial flutter with low responding ventricular.
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And the debate still continues …🤺
Should We Be Switching to Whole Blood Instead of Component Therapy in Hemorrhagic Shock
#REBELEM
#Trauma
#WholeBlood
#MassiveTransfusionProtocol
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@alzalabani
ما شاء الله تبارك الله، الف الف مبرووك تخرجهم سعادة البروف، ومنها الى اعلى المناصب يارب.
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@ecgandrhythmRoe
@MergencyFe
@SwissHeartDoc
@andreaskardio
@DrRazi4
@MusaMayayise
Mobitz II + P mitral.
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@ecgandrhythmRoe
My analysis: heart rate around 95, incomplete RBBB, 2 premature complexes, P wave shape suspected of atrial enlargement. also there’re 3 different P wave morphology?mat.
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@saeedalsuhaimi
لافض فوك اخي سعيد ،واحتياطاً عند وجود الأعراض التالية يجب الذهاب الى قسم الطوارئ:
١- منطقة العضة تكون ساخنة عند اللمس ومنتفخة.
٢- ارتفاع في درجة حرارة الجسم.
٣- اعراض الصدمة التحسسية (ضيق في التنفس،انتفاخ اللسان او مجرى الهواء، احمرار الجلد، الدوخه، غياب الوعي…)
ولا ننسى
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@ecgandrhythmRoe
ECG: Sinus tachycardia, normal axis, likely there is Rt atrial enlargement and unifocal Trigeminy (every third beat is a PVC and they’re identical)
Holter: NSVT.
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Great job 👏, and well written protocol.
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@yasser_ballaji
@aboo0oody_4112
@omar_alorfi
الف الف الف مبرووووك ، الله ينفع بيكم ، ويجعلكم في اعلى المناصب يااارب .
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@ecgandrhythmRoe
Sinus rhythm,normal axis, kind of LAE P wave shape, T wave in inferior leads are the same size as the QRSs! Not that clear if there’s subtle ST depression in Avl. I would do more Hx, ECHO...
it looks suspicious!
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@willyhfrick
@ecgandrhythmRoe
@PacingSpike
@The_Nanashi_O
@DidlakeDW
@ecgrhythms
@ECGWeekly
@AThomazAndrade
High degree AV block + bigeminy.
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@b_beessoo
ونعم الأخ والصديق والحبيب والقدوة، ربي يرحمه ويغفر له ويسكنه فسيح جناته. ويرزق اهله الصبر والسلوان.
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@AMigelheva
@EMS12Lead
If nothing makes you jump out of the chair, finding ST depression in lead aVL should do the trick 🚶🚶
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@AhmadGreenman
Sinus bradycardia, 1st degree HB (PR 221), no clear OMI. More Hx ,Ex, Serial ECGs and Trop.
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@ecgandrhythmRoe
My analysis for this ECG: Afib with rapid ventricular response and QRS morphology of LBBB, heart rate about 116, and seems there is accessory pathway (delta wave v5,v6) , QRS voltage variable throughout the ECG maybe because of pericardial effusion?
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@EcgOxford
@ECGEPSCADEVICE
@MaruanCarlos
@yolyabreuh
@UlhasDr
@DidlakeDW
@ecgrhythms
@syamkumarmd
@IhabFathiSulima
@DocNikko
@DrPharmDMDTh
@Vadeboncoeur_Al
@EF_Cardiaca
@smithECGBlog
@EM_RESUS
@iamritu
@paomorejon
@KagawaECG
@estudiomedicina
@OrlandoRPN
@fxgodzeuss
- Wenckebach AV block.
- Poor R wave progression.
- LAFB.
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@abtan2015
@IhabFathiSulima
1- hyper acute T wave in V1-3
2-Rsr in V1 ( R bbb ) .
3- lt axis deviation.
4- S wave in inferior leads. ( LAFB )
Bifasciular block .
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@m_k_jan
ما شاء الله تبارك الله، الف الف مبروووك وربنا ينفع بك ويطرح البركة في عملك ومدينتا وجامعتنا تفخر بك وبأمثالك🌸
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@smithECGBlog
Very cool and beautiful scientific paper and its results are clear in favor of OMI.
When do you expect practice to change globally from STEMI to OMI?
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@DagestaniHatoon
@Dr_TNouh
@Abu_Mishari
ما شاء الله تبارك الله، الف الف مليون مبرووك، ومنها الى اعلى يارب.
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New clinical policy from ACEP on management of emergency
department patients presenting with severe agitation:
1- (Best): Use a combination of droperidol and midazolam.
2- (Second Best): If droperidol not available use atypical antipsychotic
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حبيبي عليه الصلاة والسلام 💕
٧ شفاعات للنبي ﷺ يوم القيامة.
فاللهم ارزقنا شفاعته
#السيرة_ النبوية_فى_نقاط
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@alhojaili997
ما شاء الله تبارك الله، تستاهل كل خير اخويا الاكبر ابو بكر، علم من اعلام الهلال الاحمر السعودي علماً وعملاً واخلاقاً.
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@NavinSharma53
@DrRazi4
@Ecgloverr
@ecgrhythms
@EcgOxford
@EkgMentor
Inferior OMI, and high degree AV block.
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