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One of the most common complaints in the Emergency Department is chest pain. Is it something serious? How do I risk-stratify patients with potential acute coronary syndrome? What should I...
Michelle Lin, MD |
Bottom Line1 In asymptomatic black patients who presented to the ED with elevated blood pressure, subclinical hypertensive heart disease was detected in 9 of every 10 patients.
Michelle Lin, MD |
Bottom Line 1 Chest pain free MI is a very real phenomenon and it is associated with higher mortality – especially in younger women (NRMI study).
Michelle Lin, MD |
Bottom Line 1 ROMICAT-II study: Coronary CT angiography (CCTA) is a safe and faster diagnostic strategy than the standard evaluation of low-to-intermediate risk chest pain patients. CCTA, however, results in...
Michelle Lin, MD |
Bottom Line 1 For ED patients presenting with undifferentiated chest pain, a TIMI score of 0, together with a non-ischemic EKG, and a negative cTnI at 0 hours and 2 hours,...
Michelle Lin, MD |
The ACLS-recommended dosing strategy of 6 mg, 12 mg, and 12 mg for adenosine may not be appropriate in every situation. There are a few instances when lower or higher dosing...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Do you send some of your low-risk patients with pulmonary embolism home? This is a controversial issue which warrants a look at risk stratification tools. The primary one used is...
Michelle Lin, MD |
Identify the antihypertensive agent: 1. Rapid acting systemic and coronary artery vasodilator with minimal effects on cardiac conductivity or inotropy. Well studied in pregnancy. Caution in patients with left ventricular...
Javier Benitez, MD |
Where's the best place to suffer cardiac arrest? Seattle? Las Vegas? Who's going to give me mouth-to-mouth resuscitation? Will someone know how to use an automatic external defibrillator (AED)? Where...
Fred Wu, MHS, PA-C |
A 50 y/o man with a history of CHF and COPD is brought in by ambulance in severe respiratory distress. He is sitting upright with a RR 30 and O2...
Michelle Lin, MD |
D-Dimer: To order or not to order? That's the question when it comes to risk stratifying a patient for a pulmonary embolism with a low pretest probability. One should consider...
Michelle Lin, MD |
Do you always get a troponin for patients who sustain blunt chest trauma? Hopefully your answer is no. Of note, it is also NOT indicated as a screening test for...
Michelle Lin, MD |
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