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

Cardiology , Trauma

Blunt Cardiac Injury Manifesting as RBBB on Electrocardiogram

4/8/2021 Aya Itani, MD , Karla Canseco, MD , Jude Malican, MD, FACEP , Robert Goodnough, MD

The ED diagnosis of blunt cardiac injury is difficult, as trauma patients often have various concomitant injuries that may serve as distractors.

Critical Care , Ultrasound , Cardiology

TEE in the ED: Role of Transesophageal Echocardiography in Cardiac Arrest

4/8/2021 Tara Knox , Mark Olaf, DO, FACEP

Cardiac arrest is one of the most demanding presentations for emergency physicians to manage. Focused transesophageal echocardiography (TEE) has emerged as a valuable aid.

48-2 Hemopericardium - cxr-supine-ap Fig 1.jpg

Cardiology , Hematology , Toxicology

Sudden Post-Coital Hemopericardium with Cardiac Tamponade on Apixaban

4/8/2021 Hardeep Hunjan, DO , Tiffany Anaebere, MD

Direct oral anticoagulants (DOACs) have become the preferred anticoagulant medication for patients with nonvalvular atrial fibrillation, deep vein thrombosis, and pulmonary embolism. However, recent c

COVID-19 , Pediatric EM , Cardiology

Kawasaki Disease or MIS-C?

4/8/2021 Blair Gaines, MD

Clinical knowledge regarding how the COVID-19 virus affects children is still evolving. Multisystem Inflammatory Syndrome in Children (MIS-C) can be approached in the same way as a Kawasaki-Like Hyper

Critical Care , Critical Care Alert , Cardiology , Sepsis

Critical Care Alerts: Effect of Ultra-Short-Acting Beta-blockers on Mortality in Patients with Persistent Tachycardia Despite Initial Fluid Resuscitation: A Systematic Review and Meta-Analysis

3/3/2021 Nicholas Huth , Jonathan Pickos, DO , Brian Sumner, MD

The latest EMRA Critical Care Alert examines a study that questions whether ultra-short-acting beta-blockers, such as esmolol and landiolol, reduced 28-day mortality in septic patients with persistent

ECG Challenge , Cardiology , COVID-19

ECG Challenge: February-March 2021

2/3/2021 Elizabeth Shanahan, MD , Jeremy Berberian, MD

A 48-year-old male with a past medical history of asthma and recent positive COVID-19 test presents to the ED with acute onset of palpitations and chest pressure followed by a brief syncopal episode.

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