Archive

Tag: ACS

Safety and Efficacy of an Accelerated Troponin Protocol For Evaluation of ACS

Does primary sedation with dexmedetomidine or clonidine reduce the time to successful extubation in mechanically ventilated critically ill patients compared to propofol-based sedation?

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Cardiovascular

MDCalc Wars: HEART Score Vs. EDACS

Chest pain is one of the most common—and anxiety-inducing—presentations in the Emergency Department. With millions of visits each year, clinicians face the constant challenge of identifying who is having a major cardiac event and who can safely go home. While ...

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Cardiovascular

REBEL Core Cast 113.0 – ACS Therapies and Management

Take Home Points: All STEMIs should be loaded with dual antiplatelet therapy. Prasugrel (Effient) is avoided as there is an increase in bleeding complications if the patient requires a CABG. NSTEMI cases can be challenging to manage. Consult Cardiology early ...

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Cardiovascular

REBEL Cast Ep114: High Flow O2, Suspected ACS, and Mortality?

Background: Historically, we have treated acute coronary syndrome with supplemental oxygen regardless of the patient’s oxygen saturation.  This intervention was based on the belief that pushing the patient’s PaO2 to supra therapeutic levels would increase O2 delivery to ischemic myocardium ...

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Cardiovascular

Retrospective Validation of High-Sensitivity Troponin with 5 Clinical Decision Instruments

Background: Chest pain is the second most common reason for presentation to the emergency department (ED) and accounts for nearly 6.5 million visits each year. Management often requires the utilization of clinical gestalt, laboratory analysis, diagnostic imaging, and clinical prediction ...

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Cardiovascular

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