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Risk stratification of the undifferentiated chest pain patients in the Emergency Department continues to plague emergency physicians. It’s partly the reason why I created a TIMI risk score card for...
Michelle Lin, MD |
Case # 4: Palpitations A 25 year old woman presents with palpitations, sweating, and shortness of breath since this morning. 6 days ago she had syncopized, was shocked out of...
Timothy Peck, MD |
What lead is the most overlooked on the EKG? Answer: aVR Lead aVR can provide some unique insight into 5 different conditions: Acute MI Pericarditis Tricyclic antidepressant (TCA) and TCA-like...
Michelle Lin, MD |
Tachycardia is a common clinical occurrence in the ED. Most of the time the etiology can be discerned through the history and physical exam, but sometimes it cannot. This is...
Michelle Lin, MD |
When would you give fibrinolytics for a Pulmonary Embolism? This Paucis Verbis card summarizes recommendations found in Circulation’s recently published Scientific Statement from the American Heart Association. Although it is rare to give...
Hans Rosenberg, MD |
What is a cardiac tamponade? It is a clinical state where pericardial fluid causes hemodynamic compromise. With bedside ultrasonography in most Emergency Departments now, it’s relatively easy to detect a...
Michelle Lin, MD |
In the setting of blunt trauma, it is easily to overlook a patient’s risk for blunt cerebrovascular injuries (BCVI). These are injuries to the carotid and vertebral arteries. Often they...
Michelle Lin, MD |
What do these three people have in common? Lucille Ball (comedienne) Jonathan Larson (wrote the musical “Rent”) John Ritter (comedian)
Michelle Lin, MD |
Brugada, Brugada, Brugada You always hear about it when working up syncope and sudden cardiac arrest in young patients, but it’s so easy to forget what it looks like on...
Michelle Lin, MD |
Sometimes a picture is worth MORE than a 1000 words. Such is the case of the above illustration that I saw on the Life In The Fast Lane blog. When...
Michelle Lin, MD |
Last month the AHA, ERC, and ILCOR released the 2010 Resuscitation Guidelines. They build on the 2005 and previous guidelines and continue the trend towards more, higher quality, uninterrupted CPR....
Demian Szyld, MD EdM |
It is difficult to determine if a patient with a left bundle branch block (LBBB) has an acute myocardial infarction (AMI) because ST segments are “appropriately discordant” with the terminal...
Michelle Lin, MD |
Have you been in a situation where you are the first to detect a cardiac murmur in a patient? If you are hearing it in a busy, loud Emergency Department,...
Michelle Lin, MD |
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