ACS Blog ICU 
REBEL EM
MAY 29, 2024
VS abnormalities can drive this as well Strongly consider reversal of AC (this will typically come after control) Stopping the Bleeding PPE: these things bleed like stink. The idea behind abx is to prevent things like AOM and TSS but neither should be much of an issue with short term placement ICU Admission?
Broome Docs
JANUARY 27, 2025
Full blog post here. PMID: 39461792 Bottom line: The WOMAN 2 trial is a large double-blind RCT that shows no benefit of TXA in the prevention of postpartum hemorrhage, which fits with all of the existing literature demonstrating no role for TXA in the management of postpartum hemorrhage. Emerg Med J. 2019 Jan;36(1):2-3. Epub 2018 Oct 25.
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Dr. Smith's ECG Blog
JANUARY 9, 2024
Ischemia from ACS causing the chest discomfort, with VT another consequence (or coincidence)? Cardioversion will address the rhythm problem immediately, also if the chest discomfort subsides when SR is restored, ischemia from ACS becomes much less likely. In either case, prompt cardioversion is indicated.
Dr. Smith's ECG Blog
MARCH 12, 2018
It is also true that anterior and inferior T-wave inversion could be consistent with reperfusion of a type III wraparound LAD occlusion, despite the fact that Kosuge et al showed that T-wave inversion in lead III is much more likely to be PE than ACS if your differential contains nothing else. The LV is small (underfilled) with good function.
Dr. Smith's ECG Blog
JANUARY 6, 2023
Smith comment: We have shown that use of opiates is associated with worse outcomes in ACS: Bracey, A. The facility was not pressed to activate emergent transfer for PCI since the pain was improving and suggested we optimize pain control and admit to the Cardiac ICU. OMI is not just an ECG diagnosis.
Dr. Smith's ECG Blog
DECEMBER 13, 2019
Written by Pendell Meyers A man in his late 40s with several ACS risk factors presented with a chief complaint of chest pain. The cardiologists felt that the ECG did not represent ACS, and thought it was more likely pericarditis, so they did not take him to the cath lab. in the ICU but survived with excellent function.
REBEL EM
FEBRUARY 2, 2023
2 Amiodarone is commonly known for its anti-arrhythmic properties and a commonly used agent in the Intensive Care Unit (ICU). Sepsis, hyperthyroidism, dehydration, heart failure, ACS, etc). However, digoxin is known for its rate-control properties and its direct vagal effect on the atrioventricular node.
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