Cardiology

Critical Cases - Bradycardia Emergency!

An 87 yo male is brought in by EMS after a syncopal event while on the toilet, resulting in a fall and head injury. EMS reports a heart rate in the 30s en route. As your approach the resuscitation bay you begin to think about the causes of bradycardia and what your approach will be to stabilize this potentially very sick patient....

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#EMConf: ECG

A 69-year-old male with PMH of HTN, DM presents to the ED for chief complaint of vomiting. On evaluation, he states he “does not feel so good.” VS are BP 173/99, HR 74, Temp 97.1, RR 22, SpO2 99% on RA. You connect him to the monitor and see a wide rhythm. STAT EKG shows the rhythm below. What do you do next?

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Critical Cases - Blunt Myocardial Injury

Blunt chest injury can rarely result in a direct contusion to the myocardium. This "bruise of the heart" can precipiate lethal cardiac arrhythmia, often in a delayed fashion. As you evaluate a trauma patient with complaints of chest pain after blunt injury,  you wonder what the correct workup and management of this potentially fatal condition should consist of....

Category (Day): 

Critical Cases - Blunt Myocardial Injury

Blunt chest injury can rarely result in a direct contusion to the myocardium. This "bruise of the heart" can precipiate lethal cardiac arrhythmia, often in a delayed fashion. As you evaluate a trauma patient with complaints of chest pain after blunt injury, yo you wonder what the correct workup and management of this potentially fatal condition should consist of....

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