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ECG Pointers: STEMI Case Conference

ECG Pointers walks through a STEMI case conference with angiographies.

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    Articles

    Taking Ownership of the Ventilator – How to Manage and Troubleshoot

    • 4 Comments
    Your overnight junior calls for your help with his decompensating intubated patient. The patient is a 54 year-old male with a history of COPD who was intubated ten minutes ago. The ventilator is alarming due to high pressures. The patient’s current vitals are HR 140, BP 80/50, SpO2 82%. The
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    • In the Literature, practice updates

    Septic shock: Who should be treated with early pressors?

    • 2 Comments
    Vasopressor use in patients with sepsis has been studied extensively, with many calling for early, peripheral vasopressors. What is the literature behind this, and are patient outcomes affected? This post examines the studies for vasopressors in sepsis and more.
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    Acute Visual Loss in the Emergency Department: Pearls and Pitfalls

    • 6 Comments
    Acute vision loss has a wide differential, and some of these conditions can cause permanent visual deficit. Many of these are time-sensitive, and the emergency physician may improve patient outcome through the consideration of several acute conditions. This post seeks to provide an overview of the evaluation of vision loss
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    • practice updates

    Emergency Department Flow: What works, what does not work, and how can we improve?

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    Emergency department (ED) overcrowding is an issue that not only impacts the ED but impacts nearly all aspects of a hospital system. The ED is the location in the hospital that feels the greatest stress from capacity issues hospital-wide. Emergency providers are uniquely positioned to have a great impact in
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    • practice updates

    Mastoiditis

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    Acute Mastoiditis is the most common complication of AOM – how do you diagnose it and how does the ENT physician manage it?
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    CORE EM: Pharmacology of Insulins

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    Insulin was first licensed for human use in 1922. Since then, numerous formulations with various similar names have been produced and marketed. Because the names of the different drugs are often very similar (novolin vs novolog), it can difficult for emergency providers to keep all of the agents straight. In
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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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