ECG Challenge , Cardiology

ECG Challenge: October-November 2021

10/6/2021 W. Brandon White, DO , Jeremy Berberian, MD

A 61-year-old male with past medical history of hypertension and hyperlipidemia presents to the emergency department with 8/10 substernal chest pain. What is your interpretation of his ECG?

ECG Challenge , Cardiology

ECG Challenge: August-September 2021

8/10/2021 Nathan Potter, MD , Jeremy Berberian, MD

A 65-year-old female with history of thoracic aortic aneurysm s/p aortic graft repair several years ago presented to the ED with positive blood cultures on outpatient labs. These had been ordered by h

Cardiology

Sudden-Onset Chest Pain and Subtle ECG Findings

8/10/2021 Alexander Bracey, MD , H. Pendell Meyers, MD

Approximately 25% of patients with NSTEMI have an acute coronary occlusion; the STEMI/NSTEMI paradigm can be misleading. Serial ECGs are invaluable in making the diagnosis of acute coronary syndrome,

Cardiology , Endocrinology , Toxicology

Euglycemic DKA and Hyponatremia Caused by a Commonly Prescribed Diabetic Medication

8/10/2021 Aaron Tiffee, MD, FACEP , Daniel Stout, MD , Taylor Curry

SGLT-2 inhibits can cause massive osmotic diuresis and intravascular volume depletion. The body’s appropriate response to this is production of antidiuretic hormone, an excess of which is capable of c

Trauma , Traumatic Brain Injury , Neurology , Cardiology

An Unusual Cause of Tachycardia: Focal Nonconvulsive Status Epilepticus Following Acute Head Trauma

8/10/2021 Bruce J. Grattan Jr., DO, MS, RD , John Leskovan, DO, FACS, FACOS

Nonconvulsive status epilepticus has traditionally been thought of as a rare condition. There is little data regarding its true incidence, but evidence suggests it is far more common than once believe

Cardiology , Nephrology , Toxicology

BRASH Syndrome: A Vicious Cycle

8/10/2021 Emily Newton , Gabrielle Ransford, MD , Anjeza Cipi, MD

BRASH syndrome is an uncommon but often fatal condition in which an acute renal injury initiates a vicious cycle of bradycardia, hyperkalemia, hypotension and worsening renal failure in patients who t

Critical Care , Deep Dive in CritCare , Cardiology

Targeted Temperature Management: Deep Dive Into the Evidence

8/10/2021 Ryan Lee, MD , Dustin Slagle, MD , Mustafa Rasheed, MD , Marshall Howell IV, MD , Javed Osmani , Elizabeth Avakoff, DO, MPH , Brian Sumner, MD

This EMRA Critical Care Committee Deep Dive will review the current available literature on targeted temperature management for cardiac arrest.

Ultrasound , Cardiology

Ultrasound-Guided Stellate Ganglion Block in Pulseless Refractory Ventricular Fibrillation

8/10/2021 Chase Hamilton, DO , Georgina Puentedura, MD , Garren Giles, DO

The ultrasound-guided stellate ganglion block may be used as an adjunct to established methods during pulseless ventricular arrhythmias. It is a potentially lifesaving procedure that is within the eme

Cardiology , Infectious Disease , Sepsis , Critical Care

In A Heartbeat: Septic Cardiomyopathy

8/10/2021 Lindsay Davis, DO, MPH, NRP , Bryce Taylor, DO, MS

Septic cardiomyopathy (colloquially known as septic heart) lacks formal criteria, but emergency physicians should be aware of generally accepted clinical signs. Awareness of septic cardiomyopathy as a

Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest (TTM2 Trial)

8/2/2021 Mustafa Rasheed, MD , Marshall Howell IV, MD , Brian Sumner, MD

Evidence surrounding the benefits of post-arrest hypothermia has been conflicting, but it continues to be the standard of care per international guidelines. The TTM2 Trial adds to the data.

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