Dr. Smith's ECG Blog

JUNE 17, 2024

The patient was upgraded to the ICU for closer monitoring. showed that , when T-waves are inverted in precordial leads, if they are also inverted in lead III and V1, then pulmonary embolism is far more likely than ACS. looked at consecutive patients with PE, ACS, or neither. Kosuge et al. Witting et al. of controls.

E-9-1-1 138

E-9-1-1 ACS Emergency Department Coronary 138

REBEL EM

NOVEMBER 30, 2023

Article: Vaeli Zadeh A, Wong A, Crawford AC, Collado E, Larned JM. Secondary Outcomes: Delayed hypotension, increased ICU stay, and other relevant outcomes. References: Vaeli Zadeh A, Wong A, Crawford AC, Collado E, Larned JM. Outcomes: Primary Outcome: In-hospital mortality. 2.89, p = 0.01.

E-9-1-1 121

E-9-1-1 ALS ACS ICU 121

Emergency Medicine Ireland

JULY 3, 2023

Type 1 is the acute deterioration in kidney function seen in cardiogenic shock from ACS. This segues relatively nicely into a section of the document on palliative care. It is important to realise that a referral to ICU for refractory cardiorenal syndrome may simply be a sign that the patient is reaching end of life.

Critical Care 96

Critical Care ACS OR ALS 96

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.

Coronary 119

Coronary ACS ED OR 119

EMDocs

JANUARY 11, 2024

Hematologic Management Takeaway : They recommend a transfusion threshold < 9 g/dL in those with ACS, but several studies (MINT trial) and guidelines suggest 8 g/dL can be used. Digestive Management Takeaway: Start enteral feeds when the patient gets to the ICU. Administer VTE prophylaxis in the first 48 hours, preferably LMWH.

Critical Care 97

Critical Care E-9-1-1 OR ICU 97

Emergency Medicine Ireland

DECEMBER 17, 2020

Intensivists have embraced the tracheostomy as an ICU procedure. There is a substantial ANZICS document on tracheostomy that forms the structure for this tasty morsel. doi: 10.21037/acs.2018.03.01. In a breaking from what could only loosely be described as tradition at this point, this podcast is going to be in 2 parts.

Critical Care 40

Critical Care ACS ICU OR 40

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). 11) Webb RK, Ralston AC, Runciman WB. PMID: 11685301. (10) 10) Jubran A. Pulse oximetry. Intensive Care Med.

Emergency Department 98

Emergency Department E-9-1-1 ED ICU 98