Browsing: Cardiology

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Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: Termination-of-resuscitation Rule in the ED Following Refractory Out-of-Hospital Cardiac Arrest

6/15/2022 Erin Bell, MD , Taylor Miller, MD
A recent study aimed to develop and validate a modified Goto’s termination-of-resuscitation rule. The results can inform emergency department management of patients who suffered out-of-hospital cardia
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ECG Challenge , Cardiology

ECG Challenge: June-July 2022

6/10/2022 Eric Lieu, MD , Jeremy Berberian, MD
A 36-year-old female with a PMH of alcohol use disorder and type 1 DM presents with substernal chest tightness, nausea, vomiting, and diaphoresis. What is your interpretation of her ECG?
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Cardiology

Extracorporeal Cardiopulmonary Resuscitation: The Golden Hour

6/10/2022 August Felix, MD , Douglas D. Campbell, MD
Extracorporeal cardiopulmonary resuscitation (ECPR) involves the application of percutaneous veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for management of cardiac arrest in the emergen
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Cardiology

Cardiac Arrest in a Young Woman With Spontaneous Coronary Artery Dissection: A Case Report

6/10/2022 Amanda dos Santos, MD , Kathryn Marie Moore, DO , Douglas Gallo, MD
Spontaneous Coronary Artery Dissection (SCAD) is associated with cardiac arrest in women during the peripartum period. The mechanism of SCAD is thought to be partially related to inflammatory changes
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Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Low Tidal Volume Ventilation for Emergency Department Patients

6/2/2022 Michael Franczak, MD , Taylor Miller, MD
Patients experiencing critical illness necessitating mechanical ventilation have high mortality rates. Additionally, survivors of critically ill mechanical ventilation experience high morbidity. Sever
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Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Epinephrine v. Norepinephrine in Cardiac Arrest Patients with Post-Resuscitation Shock

5/14/2022 Brendan Innes, MD , Brian Sumner, MD , Taylor Miller, MD
Post-resuscitation shock occurs in 50-70% of patients after out-of-hospital cardiac arrest, and this study provides evidence that norepinephrine is likely a preferable vasopressor to epinephrine in po
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Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest

5/14/2022 Erin Bell, MD , Taylor Miller, MD
The evidence surrounding ECPR continues to build. In this study, investigators demonstrated a 31.5% survival rate with favorable 180-day neurological outcome with ECPR in patients who suffered out-of-
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ECG Challenge , Cardiology

ECG Challenge: April-May 2022

4/10/2022 Graham Clifford, DO , Benjamin Arnold, MD , Jeremy Berberian, MD
A 67-year-old male with a PMH of HTN, HLD, DM, and COPD presents to the emergency department due sudden chest discomfort. What is your interpretation of his ECG?
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Cardiology , Toxicology

Torsades de Pointes after Olanzapine Use for Agitation

4/10/2022 Joshua Hall, DO , Nauman Rashid
Second-generation antipsychotics are becoming more commonly used because of their safety profiles. Nevertheless, this case demonstrates a risk of QTc prolongation and torsades de pointes with olanzapi
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Pediatric EM , Cardiology

Think Fast: Managing Pediatric SVT

4/10/2022 Brian D. Novi, DO , Shahfar Khan, MD, FAAP , Svetlana Harel, DO, FAAP, FACEP
Supraventricular tachycardia (SVT) remains the most common tachyarrhythmia in children. But the presenting symptoms of SVT can vary dramatically, even within similar age groups, posing a tremendous ch