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

Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: ECMO Facilitated CPR for Out-of-Hospital Cardiac Arrest with Refractory Ventricular Fibrillation - The ARREST Trial

12/1/2020 Jonathan Pickos, DO , Sean M. Hickey, MD

What is possible with highly coordinated ECMO-facilitated cardiopulmonary resuscitation? A recent study demonstrates the value of exploring interesting alternatives such as ECMO cannulation in the eme

ECG Challenge , Cardiology

ECG Challenge: October-November 2020

10/9/2020 Matthew Rizzotti, DO , Emily Luvison, MD , Jeremy Berberian, MD

A 72-year-old male with a history of hyperlipidemia presents to the ED after an episode of exertional chest pain which has since resolved. What is your interpretation of his EKG?

Cardiology , Toxicology , Medications

Acute Hyperkalemia Masking Flecainide and Metoprolol Toxicity

10/9/2020 Matthew Baltz, MD , Jeremy Berberian, MD

Antidysrhythmic drugs are broadly categorized into Vaughan-Williams classifications, and their effects should be carefully noted.

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