Take Home Points:
- Patients with recent onset atrial fibrillation can safely be cardioverted if they are 1) on anticoagulation 2) Low risk based on CHADS-VASC with onset < 48 hours or 3) High risk based on CHADS-VASC with onset < 12 hours.
- In anaphylaxis, think, “If A, B or C, give E.” If the patient has compromise to airway, breathing or circulation, they should get immediate epinephrine.
- D-dimer can effectively rule out a larger portion of low risk patients if age adjustment or the YEARS criteria are employed.
- When reviewing a syncope ECG, scour it for WPW, Brugada, Hypertrophic Cardiomyopathy, Prolonged/Short QTc and ARVC.
REBEL Core Cast 110.0 – On Shift Learning Pearls
- EM: RAP: Atrial Fibrillation Update
- REBEL EM: The Pragmatic Combination of YEARS Score and Age-Adjusted D-Dimer
- Core EM: Age-Adjusted D-dimer (Using DDU)
- REBEL EM: Anaphylactic Shock
- REBEL EM: Core Cast 21.0 – ECG in Syncope
Post Created By: Anand Swaminathan MD, MPH
Post Peer Reviewed By: Salim Rezaie MD (Twitter @SRRezaie)