emergency medicine cardiology

EM Quick Hits 7 Approach to Status Epilepticus, Codeine Interactions, Anticoagulation in Malignancy, Atrial Fibrillation Rate vs Rhythm Control, Peripheral Vasopressors, Motivational Interviewing

Anand Swaminathan on a simple approach to status epilepticus, David Juurlink on codeine and tramadol interactions: nasty drugs with nastier drug interactions, Brit Long on DOACS in patients with malignancy: which patient's with cancer can be safely prescribed DOACs? Ian Stiell on atrial fibrillation rate vs rhythm control controversy, Justin Morgenstern on peripheral vasopressors: safe or unsafe? Michelle Klaiman, Taryn Lloyd on motivational interviewing that makes a difference to patient's lives...

By Anton Helman|2024-05-21T01:24:56-04:00August 13th, 2019|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Neurology, Psychiatry, Resuscitation, Toxicology|Tags: anticoagulants, atrial fibirillation, codeine, Dr. David Juurlink, DVT, motivational interviewing, pain management, pulmonary embolism, seizure, status epilepticus, vasopressors|5 Comments

BCE 80 Pediatric Respiratory Failure

In this EM Cases Best Case Ever podcast Rajiv interviews Dr. Eric Russell, Assistant Professor of Pediatrics at the Baylor College of Medicine, Pediatric Emergency Medicine attending physician at the Texas Children's Hospital, and editor at the Human Diagnosis Project. They discuss a challenging case of a pediatric patient who presents with what at first appears to be bronchiolitis...

By Anton Helman|2023-05-14T17:46:54-04:00August 13th, 2019|Categories: Best Case Ever, Cardiology, EM Cases, Emergency Medicine, Medical Specialty, Pediatrics, Respirology, Resuscitation|Tags: Dr. Eric Russell, myocarditis|1 Comment

Ep 128 Low Risk Chest Pain and High Sensitivity Troponin – A Paradigm Shift

In the age of high sensitivity troponins and the HEART pathway, which patients are safe to discharge home from the ED? What are the most useful historical factors to increase and decrease your pretest probability for ACS? Which cardiac risk factors have predictive value for ACS? Why should the words "troponitis" and "troponemia" be banned? How should high sensitivity troponin be interpreted differently than conventional troponin? Which is better for delta troponin interpretation - an absolute change in troponin or a percentage change? Which delta troponin is best - 1hr, 2hr or 3hr? What are the limitations of the HEART pathway? and many more....

By Anton Helman|2022-08-04T20:39:41-04:00July 30th, 2019|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: ACS, CCTA, chest pain, delta troponin, Dr. Andrew McRae, Dr. Eddy Lang, HEART pathway, high sensitivity troponin, MACE|9 Comments

EM Quick Hits 6 Blunt Cardiac Trauma, Atrial Fibrillation Anticoagulation, Hydromorphone vs Morphine, Myasthenia Gravis, Venous Access

In this EM Quick Hits episode: Andrew Petrosoniak on diagnosis and risk stratification of blunt cardiac trauma, Clare Atzema on latest guidelines for anticoagulation in atrial fibrillation, Maria Ivankovic on hydromorphone vs morphine for acute pain, Brit Long on clinical pearls in the diagnosis of myasthenia gravis, Anand Swaminathan on venous access tips and tricks, and bonus material from EM Cases Course June 2018 with Walter Himmel and Barbara Tatham on Physician Compassion and tools to prevent burnout...

By Anton Helman|2020-11-29T15:11:10-05:00July 16th, 2019|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Neurology, Trauma|Tags: atrial fibrillation, blunt cardiac trauma, Dr. Clare Atzema, hydromorphone, morphine, myasthenia gravis, physician compassion, venous access|1 Comment

EM Quick Hits 4 Acetaminophen Overdose & Warfarin Interaction, Dental Infections, MTP RABT Score, Statins for STEMI, Cricothyrotomy Tips

In this Quick Hits Podcast: David Juurlink on acetaminophen and warfarin drug interaction, Hans Rosenberg on management of dental infections, Emily Austin on dialysis in massive acetaminophen overdose, Andrew Petrosoniak on MTP decisions and the RABT score in trauma , Joel Yaphe on statins for STEMI from Whistler's Update in EM Conference, and George Kovacs on how to maximize success of a cricothyrotomy from EM Cases Course 2019...

By Anton Helman|2024-05-05T14:39:06-04:00May 7th, 2019|Categories: Cardiology, Conference, Ears Nose & Throat, EM Cases, EM Quick Hits, Emergency Medicine, Hematology, Medical Specialty, Resuscitation, Toxicology, Trauma, Whistler Update in EM|Tags: acetaminophen overdose, APAP, Cricothyrotomy, dental infections, drug interaction, EM Cases Course, Ludwig's angina, massive transfusion, MTP, RABT score, SECURE-PCI, STEMI, warfarin interactions|0 Comments

POCUS Cases 8 – LV Dysfunction

In this POCUS Cases video Dr. Rob Simard reviews the literature on accuracy of identifying LV dysfunction on POCUS by non-radiologists, the steps in assessing LV dysfunction, and cautions us when it comes to patients with chronic LV dysfunction...

By Anton Helman|2019-05-07T10:01:13-04:00May 7th, 2019|Categories: Cardiology, EM Cases, Emergency Medicine, Medical Specialty, POCUS Cases, Ultrasound|Tags: B-lines, Dr. Rob Simard, LV dysfunction, pleural effusion|0 Comments

JJ 15 Cardiac Stress Testing After Negative ED Workup for MI

In this Journal Jam podcast we do a deep dive into the hugely complex literature of cardiac stress testing and see whether or not stress testing portends any benefit for patients who we assess in the ED for chest pain. The problem is - if stress testing doesn’t benefit our patients and isn’t a good screening test for preventing MIs, then what do we do with our low risk chest pain patients we see in the ED?

By Anton Helman|2019-04-09T12:03:23-04:00April 9th, 2019|Categories: Cardiology, EM Cases, Journal Jam, Medical Specialty|Tags: Dr. Justin Morgenstern, Dr. Rory Spiegel, EBM, inclusion bias, nuclear stress test, pretest probability, stress echo, stress test, treadmill test|2 Comments

JJ 14 Epinephrine in Cardiac Arrest

Does epinephrine improve the chances of return of spontaneous circulation at the expense of the brain? In other words, while we know that epinephrine doubles rates of ROSC in all comers in cardiac arrest, there’s never been robust evidence for long term improvements in neurologic functional outcomes. So, are we saving lives, or are we prolonging death? Find out the answer in this Journal Jam podcast with Justin Morgenstern and Rory Spiegel...

By Anton Helman|2023-05-14T18:16:23-04:00November 6th, 2018|Categories: Cardiology, EM Cases, Emergency Medicine, Journal Jam, Medical Specialty, Resuscitation|Tags: adrenaline, cardiac arrest, epinephrine, journal jam, OHCA, PARAMEDIC2, ROSC|1 Comment

Rapid Reviews Video – Asymptomatic Hypertension

While asymptomatic hypertension is rarely an emergency, many patients are referred to the ED for very high blood pressure readings. We need to know which of these patients have end organ damage and how to treat them without causing harm. In this Rapid Reviews Video Dr. Nick Clarridge discusses how to categorize hypertension in the ED, the key history and physical data points to look for, appropriate investigations as well as rational treatment options and controversies....

By Anton Helman|2022-01-10T20:54:44-05:00October 23rd, 2018|Categories: Cardiology, EM Cases, Emergency Medicine, Medical Specialty, Rapid Reviews Videos|Tags: Dr. Nick Clarridge, hypertension, hypertensive emergency, labetolol, rapid review video|0 Comments

CritCases 11 LVAD Management in the GI Bleed Patient

In this CritCases blog Mike Misch presents a case of a patient with a left ventricular assist device (LVAD) with a postoperative acute lower GI bleed and answers practical questions such as: How do you measure blood pressure in a patient with an LVAD? What are the common complications of LVADs that we must be aware of? What information can the LVAD controller provide? Why are LVAD patients at high risk for bleeding? and many more...

By Anton Helman|2018-10-09T15:42:50-04:00October 9th, 2018|Categories: Cardiology, CritCases, EM Cases, Emergency Medicine, Gastroenterology, Medical Specialty|Tags: Dr. Michael Misch, GI bleed, left ventricular assist device, LVAD, massive transfuion, pseudo PEA|1 Comment