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Brit Long

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 useful to further risk stratify low-risk patients? Who might benefit from CCTA and what are the risks?

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

2 Comments / practice updates /

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 and a large percentage of patients are admitted due to this risk. However, few admitted patients go on to be diagnosed with ACS. Although commonly used to help risk stratify patients in the ED, there is no evidence that stress testing decreases risk of future cardiac events. This post will examine chest pain risk stratification in the ED and the utility of stress testing.

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Transplant Emergencies Part I: Infection, Rejection, and Medication Effects

1 Comment / practice updates /

Organ transplantation is becoming increasingly common. These patients present a challenge to emergency physicians as they are on immunosuppressive medications and have anatomic and physiologic variations. Transplant patients are at risk for a number of complications including infection, medication effects, rejection and complications specific to the transplanted organ.

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FOAMed Resource Series Part I: The ECG

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Free Open Access Medical Education has produced a revolution in EM education, with hundreds of blogs and podcasts. FOAMed allows providers to rapidly stay abreast of the literature, while improving patient care. This is the beginning of a series evaluating FOAMed resources for learners, depending on subject matter. Today’s post will evaluate electrocardiogram (ECG) resources.

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