Cardiology , Toxicology

Nitroglycerin's Hidden Trigger: The Bezold-Jarisch Reflex Revealed

3/19/2025 Jacob Goodbar , Amanda Murphy, MD

Quick recognition of the Bezold-Jarisch reflex triad of hypotension, bradycardia, and apnea is important for any physician who administers nitroglycerin. This knowledge can ensure positive patient out

Critical Care , Critical Care Roadblock , Cardiology

Roadblock: Electrical Storm

3/7/2025 Szymon Kutyla, MD , Josh Wild, DO , Evan Leibner, MD, PhD , Rosy Thachil, MD, FACC

The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the

Cardiology , Neurology

A Curious Case of Cardiogenic Syncope with a Neurologic Source

3/1/2025 Gemma Porras, MS , Daniel Doynow, DO, MPH

Syncope can have many causes that are not always evident at the initial presentation.

ECG Challenge , Cardiology , Medical Education

ECG Challenge: Jan-Feb-March 2025

12/11/2024 Elizabeth Nisper , Matthew Hysell, MD , Jeremy Berberian, MD

EMRA ECG Challenge presents a real-life case from the emergency department, offering you a chance to practice your interpretation skills before reading on for the expert diagnosis, discussion, case co

Cardiology

Emergency Department Approach to LVAD Patients

12/10/2024 Anam Chaudhry, DO , Jeremy Berberian, MD , Nisha Gandhi, MD

Nearly 6.7 million Americans over the age of 20 have been diagnosed with heart failure – and more than 2,500 receive a left ventricular assist device. Do you know how to triage and treat LVAD patients

Cardiology , Ultrasound , Pediatric EM

"Nausea, Vomiting, and Tachycardia. Oh My!": Noncompaction Cardiomyopathy

12/2/2024 James C. Roberson III, MD , Veronica Miles, MD

In this case report, a common, very non-specific complaint of nausea/vomiting leads to a rare diagnosis of noncompaction cardiomyopathy in a young adult. Learn how to catch this condition, despite its

Cardiology , Infectious Disease , Wilderness Medicine , Toxicology

Case Report: Heart Block Stemming from Lyme Disease

10/31/2024 Puja Singh, MD , Marian Gambrell, MD

We present a case of bradycardia and dyspnea in an otherwise healthy young male found to have EKG abnormalities inclusive of third-degree heart block. The culprit? Lyme disease.

Infectious Disease , Cardiology , Wilderness Medicine , Hematology

Babesiosis Induced Atrial Flutter: An Unusual Precipitant of Atrial Flutter

10/31/2024 Darshak Vekaria, MD

Babesiosis can present with a varied clinical presentation, which can make it difficult to diagnose. However, one uncommon clue could be picked up on an ECG.

Cardiology

In-Hospital Cardiac Arrest: An Unexpected Turn of Events

10/22/2024 Hailey Hoffmann, MD , Trung Tran, MD

Identifying a rapidly evolving myocardial infarction in the emergency department, especially in a patient with a distracting presentation, necessitates a timely diagnosis and prompt evaluation.

ECG Challenge , Cardiology , Medical Education

ECG Challenge: Oct-Nov-Dec 2024

10/22/2024 Nina Vazquez, MD , Yash Chavda, DO , Jeremy Berberian, MD

EMRA ECG Challenge

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