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ECG Pointers: STEMI Case Conference

ECG Pointers walks through a STEMI case conference with angiographies.

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    Articles

    A Case of Severe Brown Recluse Envenomation

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    The brown recluse spider, Loxosceles reclusa, is a spider known for the potential to cause serious wounds. The spider is found in North America primarily, often hiding in man-made structures. The poison contains a myriad of toxins including metalloproteinases, hyaluronidases, insecticidal peptides, deoxyribonucleases, and alkaline phosphatase. Most bites heal without
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    Intraabdominal Catastrophes in the Pregnant Patient

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    Though many obstetric complications occur during pregnancy, the pregnant woman is still a woman with all her other organs that can be at risk, regardless of her pregnancy status. Typically, patients with obstetric complications will complain of uterine tenderness, vaginal bleeding and may have abnormal fetal heart tones on monitoring.
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    Chest Pain Controversies: Coronary CTA Use (Part 2)

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    Coronary CTA has risen to the forefront of chest pain evaluation, providing an anatomical evaluation of coronary artery vasculature. When negative, it improves negative predictive value of ACS. Additionally, CCTA allows for a better means to diagnose CAD when compared to history, physical exam, ECG, and biomarkers. But, is CCTA
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    • practice updates

    The Dialysis Patient: Managing Fistula Complications in the Emergency Department

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    All dialysis patients require some form of vascular access and unfortunately, complications such as bleeding may occur. This is a brief overview of the bleeding complications that may occur in the dialysis patient. Patient evaluation, workup and treatment regimens are discussed.
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    FOAMed Resource Series Part IV: Toxicology

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    "Poison is in everything, and no thing is without poison. The dosage makes it either a poison or a remedy." - Paracelsus Toxicology is an ever-growing field. Staying up to date can be difficult, but FOAMed comes to the rescue again! Welcome to Part IV of the FOAMed Resource Series.
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    • practice updates

    Chest Pain Controversies: Risk Stratification and Stress Test Utility (Part 1)

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    Chest pain accounts for approximately 8-10 million healthcare visits in the U.S. per year and can be associated with a variety of benign to life-threatening diseases. Acute coronary syndrome is one of the major considerations in the ED. Approximately 20% of lawsuits are due to misdiagnosis and mismanagement of ACS
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    Acute heart failure exacerbation disposition

    Not all patients require admission

     

    Consider patient hemodynamics, respiratory status, ECG, labs (Cr, troponin, sodium/electrolytes), ability to ambulate, follow up

     

    Elevated troponin and serum Cr associated with worse outcomes

     

    Don’t use risk tools alone for DC, but Ottawa Heart Failure Risk Scale may assist in admission (ACEP Level B)

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