Today’s Morning Report is presented by Dr. Freedman! Troponin-emia 101 Background Compromised of three subunits: T, I, and C Both T and I subunits are highly-specific for cardiac tissue Since 1995, has emerged as the cardiac biomarker of choice Cardiac Specificity Predictable time course Rises above 99th percentile Read more…
EM-Critical Care Conference: August 2013 PULMONARY EMBOLISM Summary by Dr. Eugene Kang Diagnosis and EKG: -Most common EKG finding: non-specific ST-T changes (at least for our boards) -Other findings: sinus tachycardia, complete or incomplete RBBB, RAD, right atrial enlargement, dominant R in V1, atrial tachyarrhythmias -Some likelihood ratios (see Read more…
Thanks to Dr. Grock for today’s Morning Report! The case: 20 yo male no pmhx, presents with pleuritic chest pain, dizziness, and worsening DOE x 3 days (class IV). No fevers, no toxic habits, no travel/sx/immobilizations/hx dvt or pe. VS: tachycardic to 110s (up to 130s with minimal exertion), Read more…
Today’s Morning Report is courtesy of Dr. Reisman! This morning report we are reviewing a paper from a cardiology journal that proposes modification of the criteria for emergent cath lab activation. The goal is to recognize ECG patterns associated with acute coronary artery occlusion that do not present as Read more…
Here’s Dr. Alsup with today’s Morning Report! Wolf Parkinson White Syndrome Pre-excitation syndrome. Accessory electrical conduction pathway between atria and ventricle (most common tract name is “Bundle of Kent”) The incidence of WPW is between 0.1% and 0.3% in the general population ECG Findings • Normal P waves Read more…
Here’s Dr. DiMare with today’s Morning Report! WTF? = What the …fanny-pack? What is an LVAD? – Left ventricular assist device – Basically an extracardiac pump – The LV goes from being a pumping device to just a filling chamber – Cannula Read more…
Thanks to Dr. Regan for preparing this edition of ICU Conference Wrap-up! The Case: Syncope and Polymorphic Ventricular Tachycardia San Francisco Syncope Rule -CHESS (history of CHF, Hct<30%, EKG other than sinus or change from prior, c/o SOB, SBP<90) -If ANY of these are present, pt is high risk Read more…