emergency medicine cardiology

Ep 167 Myocarditis – A Diagnostic Challenge

Why does myocarditis often present a diagnostic challenge? What are the range of ECG findings in myocarditis? Does a negative high sensitivity troponin or CRP rule out myocarditis? What is the role of PoCUS in the diagnosis and prognosis of myocarditis? When should we consider myocarditis or pericarditis in patients with recent COVID-19 infection or COVID mRNA vaccination, and which of these patients require workups? Anton joins Dr. Paul Dorian and Dr. Walter Himmel to answer these and more...

By Anton Helman|2024-07-17T14:24:23-04:00March 29th, 2022|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: cardiogenic shock, CHF, COVID, pericardial effusion, pericarditis|0 Comments

Ep 166 Pericarditis and Cardiac Tamponade

Why should pericarditis be considered a diagnosis of exclusion? Which clinical features are most useful in the diagnosis of pericarditis? What are the most common pitfalls in the ECG interpretation? What are the best ways to differentiate the ECG of pericarditis from that of MI and early repolarization? How is uncomplicated viral pericarditis treated differently compared to pericarditis with other etiologies? Why is it so important to include colchicine as part of the treatment of pericarditis? Which patients with pericarditis require admission? and many more...

By Anton Helman|2024-07-17T14:24:57-04:00March 15th, 2022|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: cardiac tamponade, colchicine, ECG interpretation, pericardiocentesis, POCUS|0 Comments

EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update

In this months EM Quick Hits podcast: Ken Milne expertly walks us through the 10 biggest EM papers of 2021, Brit Long on a careful structured approach to Febrile Neutropenia to improve outcomes, Catherine Varner on how not to miss Peripartum Cardiomyopathy, Joe Nemeth on Anaphylaxis update and Anand Swaminathan gives us his approach to the Crashing Asthmatic...

By Anton Helman|2024-10-27T20:24:11-04:00January 18th, 2022|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Obstetrics & Gynecology, Oncology, Respirology, Resuscitation|Tags: anaphylaxis, asthma, bias, BIPAP, crashing asthmatic, epinephrine, epistaxis, EVT, febrile neutropenia, GI bleed, hyponatremia, infant fever, IV epinephrine, magnesium, pediatric fever, pediatric pneumonia, peripartum cardiomyopathy, pink lady, steroids, stroke, therapeutic hypothermia, tPA, tranexamic acid|5 Comments

Ep 164 Cardiogenic Shock Simplified

What is the preferred order of vasopressors and ionotropes in the management of cardiogenic shock? In which patients would dobutamine be preferred over milrinone and vice versa? How can we best pick up occult cardiogenic shock before it floured shock kicks in? What are the best strategies to efficiently get the patient in cardiogenic shock to definitive care, whether that be the cath lab or the operating room? What is the evidence for intra-aortic balloon pumps, percutaneous ventricular assist devices and ECMO in the patient with cardiogenic shock? Which patients with acute heart are safe to send home in general? How useful is the Ottawa Heart Failure Risk Score in aiding in disposition decisions?...

By Anton Helman|2024-07-17T14:43:45-04:00January 4th, 2022|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty, Resuscitation, Ultrasound|Tags: aortic stenosis, CHF, dobutamine, heart failure, milrinone, NIPPV, Ottawa Heart Failure Risk Score|2 Comments

Ep 163 Acute Heart Failure ED Management – PoCUS, Oxygenation Strategies, Medication Strategies, PPV HAVoC and SCAPE

In this Part 1 of our two-part series on acute heart failure, Anton is joined by Dr. Tarlan Hedayati and Dr. Bourke Tillman to answer such questions as: how does PoCUS compare with clinical assessment and CXR in diagnostic accuracy for acute heart failure? How do we best integrate PoCUS in the our assessment and management of the patient with acute heart failure? What is PPV HAVoC and how can we use it to optimize acute heart failure management goals? What should be our specific goals of management in the acute heart failure depending on the underlying cause? How does high flow nasal cannula (HFNC) compare to non-invasive positive pressure ventilation (NIPPV) in the management of acute heart failure? How should we interpret the C3PO trial in the context of the world's literature on NIPPV in acute heart failure? How should we dose nitroglycerin to maximize its effects without dumping the blood pressure in patients with SCAPE and those without SCAPE? How should we best time and dose furosemide in the acute heart failure patient with renal insufficiency? Is there any role for morphine or ACEi in the ED management of acute heart failure? What are best anxiolytic medication choices in acute heart failure? Is there any role for second line diuretics in the management of acute heart failure in the ED? and many more...

By Anton Helman|2024-07-17T14:45:00-04:00December 15th, 2021|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: furosemide, HFNC, NIPPV, nitroglycerin, PPV HAVoC, pulmonary edema, SCAPE|5 Comments

ECG Cases 27 Pericarditis – Diagnosis of Exclusion

Jesse McLaren guides us through 9 cases and explains how pericarditis is a diagnosis of exclusion through 3 simple steps: 1. Exclude more serious causes of chest pain, eg wraparound LAD occlusion, inferior OMI 2. Exclude complications of pericarditis, eg myocarditis, large pericardial effusion 3. Exclude normal variant ST elevation presenting with benign chest pain on this month's ECG Cases blog...

By Jesse McLaren|2021-11-16T10:50:29-05:00November 16th, 2021|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine, Medical Specialty|Tags: ECG, myocarditis, occlusion MI, pericardial effusion, pericarditis, STEMI|2 Comments

EM Quick Hits 33 Polytrauma Tips & Tricks, Toxic Megacolon, ECG in PE, Patch Calls, CT Before LP, Nebulized Ketamine

In this month's EM Quick Hits podcast, Anand Swaminathan on tips and tricks in polytrauma, Rohit Mohindra on diagnosis and management of toxic megacolon, Jesse McLaren on ECG in pulmonary embolism, Victoria Myers on approach to the patch call for cardiac arrest, Brit Long on when to do a CT head before LP, Salim Rezaie on nebulized ketamine - the ketaBAN study...

By Anton Helman|2024-10-27T20:27:05-04:00October 18th, 2021|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Neurology, Respirology, Resuscitation, Trauma, Ultrasound, Uncategorized|Tags: cardiac arrest, colitis, ECG, ketamine, lumbar puncture, meningitis, nebulized ketamine, pseudo PEA, pulmonary embolism, right heart strain, trauma resuscitation|1 Comment

ECG Cases 26: Pulmonary Embolism and Acute RV Strain

In this month's ECG Cases Dr. Jesse McLaren runs through 10 cases and explains how the ECG can be integral in the diagnosis and management of pulmonary embolism, even though it is not incorporated into any of the commonly used decision tools for diagnosis of pulmonary embolism...

By Jesse McLaren|2024-12-29T17:10:06-05:00October 18th, 2021|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine, Medical Specialty, Respirology|Tags: ECG, ECG cases, pulmonary embolism, RV strain|2 Comments

ECG Cases 25: ‘Late STEMI’ – How acute is the coronary occlusion?

In this ECG Cases blog we look at 10 patients with potentially ischemic symptoms. Which had a coronary occlusion, and how acute were they? Jesse McLaren explains 'Late STEMI' and how reperfusion strategies should not be based on time of symptom onset...

By Jesse McLaren|2021-09-21T15:36:40-04:00September 21st, 2021|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine, Medical Specialty|Tags: Dr. Jesse McLaren, ECG interpretation, STEMI|0 Comments

EM Quick Hits 31 NG Tubes in SBO, Hyperacute T-Waves, Malignant Otitis Externa, CCTA in NSTEMI and Low-risk Chest Pain, Canadian Syncope Score

In this month's EM Quick Hits podcast: Justin Morgenstern on the evidence for NG tubes in SBO, Jesse MacLaren on recognition of hyperacute T-waves vs other causes of tall T-waves, Brit Long on malignant otitis externa clinical pearls, Salim Rezaie on the value of CCTA in NSTEMI, Justin Morgenstern on the value of CCTA in low-risk chest pain, Hans Rosenberg on how to use the Canadian Syncope Score and it's validation in Canada...

By Anton Helman|2024-10-27T20:29:00-04:00August 10th, 2021|Categories: Cardiology, Ears Nose & Throat, EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Medical Specialty|Tags: bowel obstruction, canadian syncope risk score, CCTA, hyperacute T wave, malignant otitis externa, myocardial infarction, nasogastric tube, NG tube, occlusion MI, syncope, tall T wave|1 Comment