Everything you need to know about ECGs in the Emergency Department
Author: Rabani Bharara, MD Editor: Philippe Ayres, MD I: Case An 86-year-old female with a past medical history of diabetes mellitus, hypertension, and dyslipidemia presents to the ED for asymptomatic bradycardia identified in the geriatric clinic. The patient was transferred to the ED. She appeared well-nourished and in no acute Read more…
Author: Esteban Davila, MD and Dante Robinson, MD Editor: Esteban Davila, MD Case: A 77-year-old male with a history of hypertension and diabetes is brought into the ED by EMS after being found unresponsive. According to the patient’s daughter, the patient had been growing weak and complaining of pain on Read more…
Co-authors: Taylor Murtaugh MD, Esteban Davila MD We’re back after a short hiatus for part 2. You can find part 1 here. The Case Continued History and Physical When suspecting hypertrophic cardiomyopathy (HCM), the history should focus on overall fitness as well as adverse responses to exertion such as chest pain, Read more…
Co-authors: Taylor Murtaugh MD, Esteban Davila MDThe CaseA 59-year-old male with a past medical history of hypertension, hyperlipidemia, and gastroesophageal reflux disease was brought in by EMS to the ED with severe chest pain. EMS administered 324 mg of aspirin. The patient endorsed left-sided chest pain while ambulating with associated Read more…
Co-Authors: Esteban Davila, Hemil Chauhan This is part 2 of a 2-part series focusing on BRASH. Part 1 can be found here. Patient Presentation A 70-year-old male with a past medical history of diabetes, hypertension, and chronic kidney disease (baseline creatinine 2-3 mg/dL) is brought in by EMS after being Read more…
Co-Authors: Camilo Galeano Londono, Esteban Davila This is part 1 of a 2-part series focusing on BRASH Syndrome The little black phone in the Cardiac Care Unit (CCU) room rings. The cardiology fellow is on the other end of the line informing you of a new admission. The patient is Read more…
Co-authors: Balal Aslam MD, Esteban Davila MD Edited by: Alec Feuerbach MD Case: An 82-year-old female with a past medical history of diabetes and hypertension presented to the ED after a syncopal episode. The patient stated that she was walking to the shower when she felt weak, had a “strange Read more…
Authors: Esteban Davila, MD and Ian S. deSouza, MD Background Ketamine has many known cardiovascular properties both on the myocardium and the autonomic nervous system through central sympathetic stimulation and inhibition of catecholamine reuptake. The ketamine-induced hyperadrenergic state causes transient elevations in heart rate and blood pressure.[1] We present a Read more…
Author: Philippe Ayres, MD Editor: Esteban Davila, MD Case: A 65-year-old male with a past medical history of hypertension, insulin-dependent diabetes, hyperlipidemia, and coronary artery disease was brought to the ED by EMS as a “STEMI notification”. He reported 5 days of malaise, myalgias, fevers, chills and two days Read more…
Author: Esteban Davila Editor: Alec Feuerbach The Case An 18-year-old male without past medical history presented to the ED with one day of fever, headache, and left-sided chest pain starting 4 hours prior to arrival. The patient described the chest pain as achy, non-radiating, and worse with deep inspiration and Read more…