emergency medicine cardiology

Ep 204 High Risk Pulmonary Embolism Management

There are many nuances in the management of patients with pulmonary embolism in cardiac arrest, peri-arrest or simply in shock: We need to optimize oxygenation and airway management, hemodynamic support, acid/base management, thrombolysis and/or catheter-directed therapies that Anton dives into with guest experts Dr. Lauren Westafer, Dr. Bourke Tillmann and Dr. Justin Morgenstern... EM Cases is proudly FOAMEd - Please consider a donation: https://emergencymedicinecases.com/donation/

By Anton Helman|2025-05-12T21:40:02-04:00May 12th, 2025|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty, Respirology, Resuscitation, Ultrasound|Tags: alteplase, Dr. Lauren Westafer, HFNC, LMWH, milrinone, nitric oxide, PE spiral of death, PERT, tenectaplase, thrombolysis|0 Comments

ECG Cases 55 The Art of Occlusion MI Part 3 – Impression

In this ECG Cases blog Dr. Jesse McLaren guides us through 6 illustrative cases delving into overall impression in identifying occlusion MI. He discusses how using multiple OMI findings such as acute Q wave, subtle STE, reciprocal STD, hyperacute T waves, and reciprocal TWI to contribute to your overall impression, can double the sensitivity of STEMI criteria for acute coronary occlusion...

By Jesse McLaren|2025-04-22T11:41:56-04:00April 22nd, 2025|Categories: Cardiology, ECG Cases, EM Cases|Tags: Dr. Jesse McLaren, ECG, ECG intepretation, occlusion MI, STEMI|0 Comments

EM Quick Hits 64 Whole Blood Transfusions, Calcium Before Diltiazem in Afib, Thoracotomy Pearls, Uterine Casts, OMI Scale & Proportionality

In this month's EM Quick Hits podcast: Zafar Qasim & Andrew Petrosoniak on whole blood transfusion in trauma, Justin Morgenstern on calcium pre-treatment to prevent diltiazem-induced hypotension, Kiran Rikhraj on dynamic LV outflow tract obstruction, Anand Swaminathan on resuscitative thoracotomy, Andrew Tagg on uterine casts, and Jesse McLaren on scale & proportionality in occlusion MI ECG interpretation. **Please support EM Cases to continue to be free open access by making a donation: https://emergencymedicinecases.com/donation/

By Anton Helman|2025-04-21T14:10:19-04:00April 21st, 2025|Categories: Cardiology, EM Cases, EM Quick Hits, Genitourinary, Hematology, Medical Specialty, Pediatrics, Trauma|Tags: calcium gluconate, diltiazem, occlusion MI, thoractomy, uterine casts, whole blood|0 Comments

ECG Cases 54 The Art of Occlusion MI: Scale and Proportionality

On this month's ECG Cases, Dr. Jesse McLaren explains how STEMI criteria can be false positive with large scale QRS and proportional ST elevation, or false negative with low/normal scale QRS and disproportionate ST elevation and hyperacute T waves, and that rules for subtle occlusion using proportionality can help differentiate LBBB with or without Occlusion MI, or LV aneurysm vs anterior STEMI with Q waves... Please consider a donation to EM Cases to ensure continued Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/

By Jesse McLaren|2025-02-17T12:26:20-05:00February 17th, 2025|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine|Tags: Dr. Jesse McLaren, early repolarization, ECG, ECG interpretation, LBBB, LVH, occlusion MI, STEMI|0 Comments

EM Quick Hits 62 Optimizing RSI Medication Timing, ED Boarding of Older Patients, Prolonged Tourniquet Use, Rural Peer Support Programs, ECG Reciprocal Changes, Nutrition Tips for Shift Workers

On this month's EM Quick Hits podcast: Anand Swaminathan on optimizing RSI medication timing, Brittany Ellis on ED boarding challenges in older patients and solutions to ED crowding and flow, Dave Jerome on managing prolonged tourniquet application, Nour Khatib and Phil Gillick on a rural peer support case, Jesse McLaren on ECG reciprocal changes in acute coronary occlusion, and Melody Ng on practical nutrition tips for shift workers...

By Anton Helman|2025-02-28T10:25:43-05:00January 28th, 2025|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Respirology, Resuscitation, Special Populations, Trauma|Tags: ED overcrowding, glycemic index, nutrition shift work, reciprocal change, RSI, rural peer support, tourniquet|2 Comments

EM Quick Hits 61 TEE in Cardiac Arrest, Nebulized Ketamine, Cellulitis Update, SQ Insulin for DKA, Medicolegal DDx Documentation Tips

On this month's EM Quick Hits podcast: Ross Prager on TEE in cardiac arrest, Justin Morgenstern on nebulized ketamine for analgesia in the ED, Hans Rosenberg & Krishin Yadav on standardizing cellulitis management, Mathew McArther on latest studies on subcutaneous insulin protocols in DKA, Jennifer C. Tang on documenting differential diagnoses medicolegal tips...

By Anton Helman|2024-12-03T12:39:37-05:00December 3rd, 2024|Categories: Cardiology, EM Cases, EM Cases Summit, EM Quick Hits, Emergency Medicine, Medical Specialty, Resuscitation|Tags: cellulitis, DKA, ketamine, nebulized ketamine, resuscitative TEE, SQ insulin, subcutaneous insulin, TEE, TEE in cardiac arrest|3 Comments

ECG Cases 53 – The Art of Occlusion MI, part 1: Mirror Image

In this month's ECG Cases Jesse McLaren takes us through 6 cases highlighting important mirror concepts in ECG interpretation including: which leads are reciprocal to each other, how to identify which is the main ST/T change and which is the mirror, reciprocal changes highlighting subtle inferior, lateral and posterior OMI, ST elevation in aVR as a mirror to widespread ST depression and more...

By Jesse McLaren|2025-01-28T11:17:51-05:00December 3rd, 2024|Categories: Cardiology, ECG Cases, EM Cases|Tags: Dr. Jesse McLaren, ECG, ECG interpretation, mirror image, occlusion MI, reciprocal change, STEMI|4 Comments

EM Quick Hits 60 Post-Tonsillectomy Hemorrhage, Post-CABG Infections, Bougie Tips, Pelvic Fracture Bleeds, Debriefing: Why, When & How

On this month's EM Quick Hits podcast: Kevin Wasko on post-tonsillectomy hemorrhage management, Brit Long on assessment and management of post-CABG surgical incision infections, Anand Swaminathan on evidence, pitfalls and tips on using Bougies, Leah Flannigan on when to suspect vascular injury in patients with low energy mechanism pelvic fractures, Andrew Petrosoniak on debriefing after cases: why, when and how... Do you learn a lot from EM Cases? Please consider a donation to ensure EM Cases continues to provide you high quality Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/

By Anton Helman|2025-01-05T21:43:47-05:00October 22nd, 2024|Categories: Cardiology, Ears Nose & Throat, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Orthopaedics, Resuscitation|Tags: bougie, CABG complications, clinical debriefing, pelvic fracture, post-tonsillectomy hemorrhage|0 Comments

ECG Cases 52 – ECGs falsely labeled “normal”

In this ECG Cases Dr. Jesse McLaren outlines why not to trust the ECG interpretation, even if normal, because it can miss critical findings. He explores how to independently and systematically interpret every ECG so that when the computer ECG interpretation says "normal" you don't miss key findings... Please consider donating to EM Cases to ensure it stays Free Open Access https://emergencymedicinecases.com/donation/

By Jesse McLaren|2025-01-28T11:15:17-05:00October 1st, 2024|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine|Tags: Brugada, Dr. Jesse McLaren, ECG cases, ECG computer interpretation, ECG intepretation, hyperkalemia, occlusion MI, Wellens, WPW|0 Comments

EM Quick Hits 59 Traumatic Coronary Artery Dissection, Proper Use of Insulin, Mesenteric Ischemia, Exercise Associated Hyponatremia, AI for OMI

On this month's EM Quick Hits podcast: Ian Chernoff on the often elusive diagnosis of traumatic coronary artery dissection, Anand Swaminathan on proper use of insulin in DKA and in hyperkalemia, Brit Long and Hans Rosenberg on mesenteric ischemia pearls and pitfalls in diagnosis and management, Dave Jerome on recognition and management exercise-associated hyponatremia and heat illness and Jesse McLaren on the Queen of Hearts AI model in helping identify occlusion MI on ECG... Help Support EM Cases by Giving a Donation here: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-09-27T20:16:00-04:00September 10th, 2024|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Trauma|Tags: AI, DKA, EAH, ECG interpretation, Exercise Associated Hyponatremia, hypokalemia, hyponatremia, Mesenteric Ischemia, OMI, SCAD|0 Comments