Journal Club Podcast #31: July 2016
A short monologue on the advantages and disadvantages of high sensitivity troponins and a 0/1 hour algorithm to rule-out and rule-in MI...
Posts filed under Cardiology
D-Dimer in the Diagnosis of Aortic Dissection
Journal Club Podcast #26: October 2015
In which I sit down and discuss the use of D-Dimer to rule-out acute aortic dissection in low-risk patients...
Cardiac Cath Following Cardiac Arrest in Patients Without STEMI
Journal Club Podcast #7: October 2013
This month, the outspoken Chandra Aubin and hold hands and talk about which patients should undergo urgent cardiac cath following cardiac arrest...
Bottom Line:
In patients with ST-elevation myocardial infarction (STEMI) on ECG following ROSC, the International Liaison Committee on Resuscitation (ILCOR) clearly recommends that reperfusion therapy be attempted. In patients without STEMI, ILCOR is less clear, though, and recommends only that one “consider immediate coronary angiography in all post-cardiac arrest patients in whom ACS is suspected.”
Clinical Decision Rules in Low-Risk Chest Pain
Journal Club Podcast #5
Chief resident Tim Koboldt sits down with me to talk about low-risk chest pain, knowledge translation, and breaking down barriers...
Bottom Line:
Chest pain remains a common chief complaint among patients presenting to the Emergency Department, accounting for more than 10 million visits annually in the US. According to data from the Physician Insurers Association of America, more than a quarter of all money paid in closed malpractice claims from 1985 to 2003 involved patients with a chief complaint of “chest pain.” Given the high risk of malpractice, and increased morbidity...
Asymptomatic Hypertension in the Emergency Department
Journal Club Podcast #2
My good friend Greg Polites and I sit down and discuss the evaluation and management of patients with asymptomatic severely elevated hypertension in the emergency department...
Bottom Line:
Elevated blood pressure remains a common finding in patients presenting to the emergency department (Karras 2005). While the detrimental effects of long-standing untreated hypertension have been well-documented with respect to the risk of stroke, myocardial infarction, and chronic kidney disease, the risks of untreated hypertension in the short-term...
Immediate Oral Beta-Blockers in STEMI
May 2013 - Article of the Month Podcast #1
Context:
Prior to 2005, standard practice in treatment of ST-elevation myocardial infarction in many emergency departments (EDs) included giving IV beta-blockers (typically metoprolol 5 mg IV q 5 minutes up to 3 doses, unless contraindicated by hypotension or bradycardia). Patients were then admitted and given oral beta-blockers....
