Funtabulously Frivolous Friday Five 110
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old-fashioned medical trivia…introducing Funtabulously Frivolous Friday Five 110
Question 1
A young fit male is out surfing, as he moves through the white water at waist depth another surfer hits in his chest and he goes into cardiac arrest. The life guards successfully defibrillate the surfer after one shock and he comes to your department sat up on the bed talking. What condition has he suffered from?
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Commotio Cordis
Effectively ventricular fibrillation triggered by a blunt, non penetrating, and often innocent appearing unintentional blow to the chest without damage to the ribs, sternum or heart.
The latin translation is “agitation of the heart“.
A blow of approximately 30-50mph lands on the T wave creating an ‘R’ on ‘T’ phenomenon and VF. See our LITFL post on Commotio Cordis
Question 2
What causes a Sardonic Smile?
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Derived from the Hemlock induced wry smiles peri-euthanasia…
Among the pre-Roman people of Sardinia they would euthanize their elderly. While doing so they would laugh loudly which is the origin of the sardonic laughter
Ho...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five cephalosporin Commotio Cordis digoxin FFFF Sardinia Sardonic smile Sister Mary Joseph nodule strychnine Van Gogh Source Type: blogs
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