Sat, 09/30/2017 - 8:00am

A 21 y/o F arrives with a headache, confusion and a fever...

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Wed, 09/27/2017 - 9:48pm

For the final week of our cardiology module, Dr. Lisa Filippone presented a great case.  A 24 y.o. male  playing basketball developed palpitations, lightheadedness, dizziness and almost 'passed out'.  On arrival to the ED the patient looked well and had no complaints except for palpitations:  HR 190, BP 130/70.  Lungs were clear, heart without an audible murmur and neuro exam was unremarkable.  ECG shown is shown.  What is the diagnosis and treatment?   

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Wed, 09/27/2017 - 7:00am

A 71 year old male presents with a chief complaint of dyspnea on exertion.

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Tue, 09/26/2017 - 10:36am

A patient presents in ventricular tachycardia with a blood pressure of 90 systolic. He is diaphoretic and complaining of chest pain. You decide to attempt electrical cardioversion and it fails. You attempts again....and again....and again....without success. You realize this is no ordinary VT...this is electrical storm. Read on for pearls on how to deal with this frightening and deadly condition.

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Mon, 09/25/2017 - 5:00am

Omphalitis is a potentially life-threatening infection of the umbilical stump.  Brush up with these pearls so you won't miss it on your next peds shift!

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Sun, 09/24/2017 - 8:00am
Sat, 09/23/2017 - 8:00am

A 23 year old male with a history of Type 1 Diabetes presents with nausea, vomiting and hyperglycemia...

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Fri, 09/22/2017 - 9:40am

There are a lot of benefits to using TEE during cardiac here to read more!

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Thu, 09/21/2017 - 7:47pm

This week at our EM/Cardiology interdisciplinary conference, Dr. Lisa Filippone presented a case of a 75 year old male who presented with acute SOB.  This patient presented to the ED 3 days after a NSTEMI with hypotension and hypoxia.  No injury pattern was identified on his ecg but his CXR was consistent with pulmonary edema.  A bedside ECHO was performed that revealed the diagnosis....

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atrial fibrillation
Wed, 09/20/2017 - 12:27pm

Ever wonder if all of your patients presenting with recent onset (<48 hrs) atrial fibrillation and a rapid ventricular response really need to be admitted? Is there evidence of a safe and effective treat and street algorithm that EM physicians can employ? Read on for a review of the Ottawa Aggressive Protocol for rapid afib that enables discharge of 97% of patients!

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