Cardiology

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....

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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, yo you wonder what the correct workup and management of this potentially fatal condition should consist of....

Back to Basics: Recurrent Polymorphic VT/Torsades de Pointes

It's pretty easy to remember what to do with unstable polymorphic VT/Torsades de Pointes (shock 'em!), but what are your options with recurrent stable episodes?  

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Critical Cases - Pericardial effusion!

You are evaluating a patient for abdominal pain the usual way (with a CT of course!) when you discover an incidental pericardial effusion. Quick as a flash you grab your trusty ultrasound and head back to the patient's room, wondering how this effusion got there and what POCUS findings you should be looking for...

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