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ECG Pointers: STEMI Case Conference

ECG Pointers walks through a STEMI case conference with angiographies.

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    Articles

    • practice updates

    Tumor Lysis Syndrome – Diagnosis and Treatment

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    Tumor Lysis Syndrome: a condition associated with significant morbidity and mortality. These patients often present with vague symptoms. How do you make the diagnosis, and what are the keys in management? This post answers these questions and more.
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    Preeclampsia and Eclampsia: Common Pitfalls in Diagnosis and Management

    • 3 Comments
    The pregnant patient can be challenging to manage in the ED, as we must manage two patients, not just one. Hypertensive disorders in pregnancy affect about 5% to 10% of all pregnancies in the USA. Conditions with hypertension include gestational hypertension, chronic hypertension, preeclampsia, and eclampsia. This post focuses on
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    Current ED Management of Non-ST Segment Elevation MI (NSTEMI): A Practice Update

    • 2 Comments
    Treatment of STEMI is straightforward, but the treatment of NSTEMI is not as clear-cut! This post will review the risk stratification and treatment of patients with NSTEMI.
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    • In the Literature, practice updates

    Penetrating Trauma: What We Miss and How We Can Improve

    • One Comment
    The patient with penetrating trauma can present with many different injuries. The majority of injuries are easily diagnosed. What about the patient with pneumothorax, diaphragmatic injury, ureteral injury, and hollow viscus injury? These are not so easy to diagnose, and delay in management can cause significant morbidity and mortality. This
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    • practice updates

    Blunt Trauma: what do we miss/how can we improve?

    • 3 Comments
    For all the rising trauma seniors out there about to take on heavier roles in their departments, tune in to read what you should keep in mind and hope to avoid for the blunt trauma patient.
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    Occult Sepsis in Traumatic Injuries

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    Trauma patients require systematic resuscitation and definitive treatment. However, there are sometimes underlying reasons for the injury, such as syncope prior to the injury or even an underlying infection that made him or her prone to injury. Not all trauma patients will be unstable from their injury and they may
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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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