Cardiovascular Archives - Page 7 of 13

Cardiovascular EM-Critical Care Pharmacology

The PROCAMIO Study – Procainamide or Amiodarone for Stable Wide QRS Tachycardia

Background 2017 AHA/ACC guidelines for the treatment of hemodynamically stable patients with ventricular tachycardia (VT) include the following recommendations:1 Intravenous procainamide can be useful to terminate VT. (Class IIa) Intravenous amiodarone or sotalol may be considered to terminate VT. (Class IIb) In 2013, deSouza et al conducted a systematic literature Read more…

By Stacey Frisch, 6 yearsJanuary 2, 2019 ago

Cardiovascular Immune/Inflammatory Toxicology

Wednesday Wrap-up 11/28 – Anaphylaxis, AV Node Blocks and Cardiotoxic Drugs

For those who were not in conference yesterday: Dr. Rushabh Shah discussed AV nodal blocks: For all AV blocks consider: beta blocker or calcium channel blocker overdose, hyperkalemia, inferior MI, cardiomyopathy, and myocarditis 1st degree and 2nd degree Mobitz type 1 AV block: typically benign 2nd degree Mobitz type 2: Read more…

By Charles Murchison, 6 yearsNovember 29, 2018 ago

Cardiovascular EM Principles Toxicology

“Seeing little people”… and tachycardia – An intentional ingestion

Faculty Reviewer: Sage Wiener, MD The Case It’s Saturday at 11:30 pm. You are just beginning your shift, when EMS rolls in accompanied by the NYPD. Their 24-year-old patient looks extremely sick and is moaning to you that he wants to die. He is asking about “little people” and Read more…

By Noah Berland, 6 yearsOctober 9, 2018 ago

Cardiovascular EM-Critical Care Evidence-Based Medicine

Sodium Bicarbonate Does Not Work in Cardiac Arrest

This article will not attempt to wade into the pathophysiology of acid-base disorders. From reading the nephrology literature, it seems that this topic is more closely akin to theoretical physics than the sturdy biochemistry I learned in college. Researchers can’t even agree on how to define acidosis, much less what Read more…

By Charles Murchison, 6 yearsSeptember 12, 2018 ago

Cardiovascular EM-Critical Care

What are the options for treating refractory ventricular fibrillation in the ED?

We are all going to get this notification at some point. You’ll be wandering around the ED doing lunges out of boredom, and the phone will ring …. “61-year-old male found down in VF, shocked x 3 without ROSC, intubated, IV access, epi x 3, amio. ETA 5 minutes.” …You’ll Read more…

By pgtepler, 6 yearsAugust 22, 2018 ago

Cardiovascular EM Principles Rhythm Nation - ECG

LBBB: Not just a typo from your cat sitting on your keyboard (Left Bundle Branch Block)

Smruti Desai, DO/MPH It is one of your last shifts as an intern, and after a year of wondering if you will get any taller, you finally have the elusive factor known as a linear thought process. You confidently sit back in your chair with this thought, and take Read more…

By smrutidesai, 6 yearsJuly 14, 2018 ago

Cardiovascular EM-Critical Care

Cardiogenic Shock: Inotropes, Vasopressors, and Adjuvant Therapies in the ED

It’s 2:00 am in the Main ED and you’re racing to get caught up on the board when a nurse comes to notify you about a patient who is still waiting to be seen. A quick glance at the triage chief complaint reads “Cough and fevers x 2 days.” The Read more…

By Charles Murchison, 6 yearsJuly 10, 2018 ago

Cardiovascular EM-Critical Care

First-Line Treatment for Ventricular Tachycardia? What the Guidelines and Evidence Say

by Sana Kathawala, MD MBA It’s a quiet day in the ED. You’re twiddling your thumbs wondering whether you should get a second cup of coffee to keep awake when the notification phone rings. “68-year-old male with history of diabetes, hypertension, and ESRD with witnessed syncope after hemodialysis earlier today. Read more…

By Rithvik Balakrishnan, 6 yearsJune 6, 2018 ago

Cardiovascular Toxicology

Digoxin Toxicity – And Other Cardioactive Steroids

It’s intern year and you’re on nights in the MICU. You’re always a little bit out of your element when not in the ED. Tonight you get sign out on an older lady with afib and CHF presenting for AMS, being followed by neuro and on BiPAP and critically ill Read more…

By Noah Berland, 7 yearsMay 1, 2018 ago

Cardiovascular EM Principles

Atrial Fibrillation in WPW Syndrome – Pearls and Pitfalls

A 37-year-old male with no past medical history comes into the ED complaining of palpitations and weakness. He has felt intermittent palpitations in the past, but they usually self resolve within a few minutes. The symptoms started when he first woke up, and this has been ongoing for the past Read more…

By Delna, 7 yearsFebruary 22, 2018 ago