Archive

Medical Category: Cardiovascular

Critical Care Fundamentals: The Basics of Shock

Shock is one of the most important problems with which physicians will contend with.  The magnitude of the problem is illustrated by the high mortality associated with shock.  Assessment of perfusion is independent of arterial pressure, in that hypotension does ...

Read More
CardiovascularResuscitation

Duration of Electrocardiographic Monitoring of Emergency Department Patients with Syncope

Background Information: Syncope is defined as a sudden transient loss of consciousness (LOC) followed by complete resolution. It represents 1-3% of all emergency department (ED) visits. 1 1% of all hospitalizations are due to syncope as it may have resulted ...

Read More
Cardiovascular

Is There a Benefit to Hospitalization in Syncope?

Background: Syncope, defined as a transient loss of consciousness with spontaneous and complete recovery to pre-event status, is a common emergency department (ED) presentation. Recently, we have discussed the lack of clinical utility in distinguishing syncope from near-syncope in terms ...

Read More
Cardiovascular

DISCO Pilot Feasibility Study: Direct or Subacute Coronary Angiography in OHCA

Background: The clinical importance of immediate coronary angiography, with subsequent percutaneous coronary intervention (PCI) in OHCA patients without STEMI is a matter of debate.  We have already covered the COACT trial on REBEL EM, but this is a second study, the pilot ...

Read More
CardiovascularResuscitation

AFib: Wait-and-See or Early Cardioversion to Obtain Normal Sinus Rhythm?

Background: Atrial fibrillation (AF) is a common cardiac dysrhythmia encountered in the emergency department (ED), affecting 2.7 million – 6.1 million Americans annually. Hospitalizations with AF as the primary diagnosis total >467,000 annually. AF is associated with a 5-fold increased risk ...

Read More
Cardiovascular

Sponsored