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.

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.

Cardiology , Wilderness Medicine , Infectious Disease

Pericardial Effusion: A Rare Case of a Potentially Dangerous Manifestation of Lyme Disease

6/12/2021 Amanda dos Santos, MD , Nicholas Jouriles, MD, FACEP

Lyme disease is one of the most common vector-borne diseases in the United States, affecting over 300,000 people annually between June and December. This case report describes a less common cardiac ma

Cardiology

Shockingly Dangerous Hypokalemia

6/12/2021 Christopher Cardillo, DO , Ross Ellison, MD, FACEP

Unstable cardiac rhythms can signal hypokalemia

ECG Challenge , Cardiology

ECG Challenge: June-July 2021

6/11/2021 Sahar Khan, MD , Jeremy Berberian, MD

A 55-year-old female presents from home due to a brief episode of unresponsiveness and AMS. What is your interpretation of her ECG? (Bonus points if you identify the less obvious abnormality.)

Critical Care , Ultrasound , Cardiology , Critical Care Ultrasound

Advanced Critical Care Ultrasound: E-Point Septal Separation to Estimate Left Ventricular Ejection Fraction

5/26/2021 Taylor Miller, MD , Alexis Salerno, MD, FACEP , Dustin Slagle, MD

Emergency physicians have been shown to be accurate at visual estimation of the left ventricular ejection fraction without quantitative measurements. However, there is still value in a quick and easy

ECG Challenge , Cardiology

ECG Challenge: April-May 2021

4/8/2021 Hayden Schenker , Jeremy Berberian, MD

A 71-year-old female with history of aortic stenosis s/p transcatheter aortic valve replacement (TAVR) 3 days ago presents to the emergency department because of a syncopal episode earlier in the morn

Cardiology

Rare Presentation of Newly Diagnosed HOCM

4/8/2021 Fredrick "TJ" Lynch, MD , Brandford Adobaw, MD , Sarah E. Fabiano, MD, FACEP, FAAEM

Hypertrophic obstructive cardiomyopathy is the leading cause of non-traumatic sudden death in young individuals and most well-known for causing sudden cardiac death in athletes. While most known for b

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