LVAD Part II: Diagnostic Evaluation
Left ventricular assist devices (LVADs) have moved from being a bridge to a heart transplant to destination therapy for patients with severe heart failure. Although their use in the general...
Gage Stuntz |
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LVAD Part I: Introduction
Left ventricular assist devices (LVADs) have moved from being a bridge to a heart transplant to destination therapy for patients with severe heart failure. Although their use in the general...
Gage Stuntz |
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Case of a Blue, Painful Finger
A 37-year-old female presented to the emergency department for evaluation of numbness and discoloration to her left fourth finger, which had started the day before. The patient stated that she...
Julia Hutchison, DO |
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Syncope as Easy as 1-2-3
A 66-year-old otherwise healthy man presents by Emergency Medical Services (EMS) after being found unconscious on the ground. On arrival to your emergency department, he is back to his baseline...
Andrew Grock, MD |
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Trick of the Trade: Combine Adenosine with the Flush
2019 literature update from this original 2012 Trick of the Trade post! The success of adenosine depends as much on the administration technique as it does the mechanism of action....
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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Comparison of Chemical vs Electrical Cardioversion of Acute Uncomplicated Atrial Fibrillation
Background Information: Atrial fibrillation is the most commonly encountered dysrhythmia in the emergency department (ED) and is associated with an increased long-term risk of stroke, heart-failure and all-cause mortality.1,2 In fact,...
Marco Torres |
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Differentiating pericardial effusion from pericardial tamponade on ultrasound
Tamponade physiology, in which a pericardial effusion impedes cardiac output, is a medical emergency and requires prompt diagnosis and intervention before cardiovascular collapse ensues. However, not every fluid collection in...
Leen Alblaihed, MBBS, MHA |
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SAEM Clinical Image Series: Another Heart Attack?
[Figure 1: Click for larger view] Chief Complaint: Chest pain History of Present Illness: An 89-year-old female with a past medical history of coronary artery disease and with recent admission...
Andrew Ortega, MD |
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TRAPID-AMI: Predictive Symptoms of Acute Myocardial Infarction (AMI)
Background: Chest pain is a complaint commonly seen in the emergency department. Getting a good history is an essential part of working up patients with chest pain, as the history may...
Marco Torres |
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No More Heparin for NSTEMI?
Background: The 2014 AHA guidelines for the management of NSTEMI, recommend unfractionated heparin with an initial loading dose of 60IU/KG (maximum 4,000 IU) with an initial infusion of 12 IU/kg/hr (maximum...
Marco Torres |
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ALiEM AIR Non-ACS Cardiovascular Module
Welcome to the Non-ACS Cardiovascular Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the AIR Team is proud to present the highest quality online content related...
Chris Belcher, MD |
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30-Day Outcomes in Syncope vs Near-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. Near-syncope is frequently seen as well. Unlike...
Marco Torres |
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2018 ACEP Clinical Policy for Patients with Suspected Non-ST Elevation ACS
A patient presents to your ED with an all too common complaint – chest pain. After a focused history and physical exam, you have an extremely low clinical suspicion for...
Andrew Grock, MD |