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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DAVI Parte I: Introducción
Los dispositivos de asistencia ventricular izquierda (DAVI) han pasado de ser un puente a un trasplante de corazón a una terapia de destino para pacientes con insuficiencia cardíaca grave. Aunque...
Gage Stuntz |
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Caso de un dedo azul y doloroso
Una mujer de 37 años acudió al departamento de urgencias para una evaluación de entumecimiento y decoloración del cuarto dedo izquierdo, que había comenzado el día anterior. La paciente afirmó...
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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Truco del oficio: combinar adenosina con color
¡Actualización de la literatura de 2019 de esta publicación original de Trick of the Trade de 2012! El éxito de la adenosina depende tanto de la técnica de administración como...
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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Serie de imágenes clínicas de SAEM: ¿Otro infarto?
[Figura 1: Haga clic para ver más grande] Queja principal: dolor en el pecho Historia de la enfermedad actual: Mujer de 89 años con antecedentes médicos de enfermedad arterial coronaria...
Andrew Ortega, MD |
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TRAPID-AMI: Síntomas predictivos del infarto agudo de miocardio (IAM)
Antecedentes: El dolor torácico es una queja comúnmente vista en el departamento de emergencias. Obtener una buena historia es una parte esencial del estudio de los pacientes con dolor en...
Marco Torres |
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¿No más heparina para el NSTEMI?
Antecedentes: Las pautas de la AHA de 2014 para el tratamiento del NSTEMI recomiendan heparina no fraccionada con una dosis de carga inicial de 60 UI/KG (máximo 4000 UI) con...
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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Resultados a 30 días en el síncope frente al casi síncope
Antecedentes: el síncope, definido como una pérdida transitoria del conocimiento con recuperación espontánea y completa al estado previo al evento, es una presentación común en el departamento de emergencias (SU)....
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 |