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.

ECG Challenge , Cardiology

ECG Challenge: December-January 2020-21

12/2/2020 Graham Clifford, DO , Jeremy Berberian, MD

A 24-year-old male with history of intravenous drug use and tricuspid valve replacement 10 days ago presents with pain at his sternotomy site. The surgery was performed at another hospital, and the pa

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