Dr. Rolston-Cregler presents today’s Morning Report!
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Jay Khadpe MD
- Editor in Chief of "The Original Kings of County"
- Assistant Professor of Emergency Medicine
- Assistant Residency Director
- SUNY Downstate / Kings County Hospital
Latest posts by Jay Khadpe MD (see all)
- Save of the Month! December 2015 - December 23, 2015
- Morning Report: Unprovoked First Seizure in Adults - September 11, 2015
- Morning Report: Extramural Deliveries in the Emergency Room - September 10, 2015
2 Comments
Ian deSouza · February 19, 2015 at 11:29 am
1) When worried about a patient, strongly consider repeating the ECG (much quicker and more useful in terms of changing acute management than sending repeat trop). (I personally have had a few cases similar to the one above, only discovered upon repeating the ECG.)
2) Finding Wellens criteria in an ECG in the right clinical context should compel one to activate their interventional cardiology service in the interest of providing urgent PCI.
A paper discussing some other non-traditional indications for cath lab activation:
Appropriate Cardiac Cath Lab activation: Optimizing
electrocardiogram interpretation and clinical decisionmaking
for acute ST-elevation myocardial infarction.
doi:10.1016/j.ahj.2010.08.011
Nathan Reisman · February 20, 2015 at 5:15 pm
We reviewed that paper in morning report in 2013
http://blog.clinicalmonster.com/2013/08/morning-report-8162013/
The images don’t work anymore though.