Archive for category: Cardiovascular

The Role of TEE in Cardiac Arrest

04 Jan
January 4, 2016

Background: Sudden cardiac arrest has very poor outcomes; less than 11% of patients in cardiac arrest in the Emergency Department survive to discharge from the hospital. The management of cardiac arrest is algorithmic because providers have limited tools at their disposal and limited knowledge of the patient’s past medical history. EKG is limited in its […]

December 2015 All Cardiology REBELCast

10 Dec
December 10, 2015

Welcome to the December 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of topics in the world of Cardiology and Critical Care. First of all, we all know that the optimal treatment for STEMI is getting the patient to the cardiac catheterization lab, and time is muscle, but does it help […]

Is This an Inferior STEMI or Pericarditis?

30 Nov
November 30, 2015

Background: As emergency providers we must be smarter than our ECG machines. Many times subtle findings on ECGs are not read by the machine, but we must be the experts at making the distinction between findings that require emergent treatment versus more benign etiologies. One specific set of diagnoses that can be very difficult to […]

Does My Patient with Chest Pain Have Acute Coronary Syndrome?

23 Nov
November 23, 2015

Background: We have already discussed the value of a good history in assessing patients with chest pain on REBEL EM. What is known about chest pain is that it is a common complaint presenting to EDs all over the world, but only a small percentage of these patients will be ultimately diagnosed with Acute Coronary […]

Why You Should More Than Consider a Vasopressin, Steroid, and Epinephrine (VSE) Cocktail

29 Oct
October 29, 2015

The newly published 2015 AHA guidelines recommend that: “In IHCA, the combination of Vasopressin, Epinephrine, and Methylprednisolone and post-arrest Hydrocortisone as described by Mentzelopoulos et al. maybe considered; however, further studies are needed before recommending the routine use of this strategy (Class IIb, LOE C-LD)” Mentzelopoulos et al. [2][3] have published two separate randomized, double-blind, placebo-controlled […]

Optimization WordPress Plugins & Solutions by W3 EDGE