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ECG Pointers: STEMI Case Conference

ECG Pointers walks through a STEMI case conference with angiographies.

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    Articles

    Teaching When There is No Time

    • 4 Comments
    Is it possible to teach in the ED? What about all of the critically ill patients and full waiting room? It is possible to balance great education and patient care: this post contains keys to success for teaching in the busy ED.
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    CORE EM: Aortic Dissection

    • One Comment
    Aortic dissection may occur in any location along the aorta and therefore the range of presentations is broad. Many AD patients do not fit the textbook presentation.
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    • practice updates

    Interpreting Waveform Capnography: Pearls and Pitfalls

    • 10 Comments
    How do you interpret quantitative capnography waveforms? We own the resuscitation of critically ill patients, and with boarding increasing in EDs, we need to know how to interpret waveforms. This instrument can provide a great deal of important information if properly understood.
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    Controversies of Thrombolytics for Pulmonary Embolism

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    Pulmonary embolism (PE) is a disease process associated with significant morbidity and mortality. The benefits of thrombolytics for massive PE has been established in the literature. But what does the evidence say about the use of thrombolytics for submassive PE? What are the current guidelines and recommendations? As emergency physicians
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    Pneumonia Mimics: Pearls and Pitfalls

    • 2 Comments
    Pneumonia is an illness frequently seen in our emergency departments. But, are all presentations actually pneumonia? Are we missing other illnesses that present similarly to pneumonia? Which ones pose significant morbidity and mortality risk to our patients? What clues are out there that will aid us in making an alternative
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    Traversing Transverse Myelitis

    • One Comment
    We all place transverse myelitis on our broad differential of acute and dangerous causes of back pain in the emergency department. However, given the rarity of this condition and the rarity of when we make the diagnosis even when present, let's take a deeper look into this condition and determine
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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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