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Dynamic OMI ECG. Negative trops and negative angiogram does not rule out coronary ischemia or ACS.

Dr. Smith's ECG Blog

By Smith, peer-reviewed by Interventional Cardiologist Emre Aslanger Submitted by anonymous A 53 y.o. Studies such as those by Moise et al 14 and Ellis et al 39 have shown that the relative risk of developing an acute myocardial infarction in the territory supplied by an artery with a 70%. The pain radiated to both shoulders.

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Physical Examination as a Helpful Aid in Decision-Making in Challenging ECGs

Dr. Smith's ECG Blog

This was contributed by Co-editor Emre Aslanger, an interventional cardiologist in Turkey. See My Comment at the bottom of the page in the May 19, 2020 post in Dr. Smith's Blog ). AslangerE A 65-year-old gentleman presented to the emergency department after experiencing two recent ICD shocks in the preceding hours.

Coronary 112
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The Concomitant Use of Calcium and Diltiazem for Rapid Atrial Fibrillation

REBEL EM

Article: Rossi N et al. They utilized EMR to gather comprehensive data on patients who received IV calcium and IV diltiazem, or IV diltiazem monotherapy for the treatment of patients with AF/AFL with RVR. The study was dependent on EMR documentation which is prone to error. Am J Emerg Med.

E-9-1-1 98
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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

REBEL EM

Paper: Singer S, et al. The retrospective design of this study omitted assessment of ventricular dysrhythmias related to push dose pressor administration, as they were reliant on information in the EMR. References: Singer S, et al. PMID: 36108346 Cole JB, et al. PMID: 31270748 Maheshwari K, et al. Am J Emerg Med.

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OMI-NOMI paradigm established as better than STEMI-NSTEMI with new article

Dr. Smith's ECG Blog

In the hope of dispelling continued dependence on millimeter-based STEMI criteria — we’ve published numerous cases in recent years in Dr. Smith’s ECG Blog of acute OMI ( O cclusion-based M yocardial I nfarction ) , in which patients have benefited from acute reperfusion despite not satisfying “STEMI criteria”.

STEMI 52
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Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal

REBEL EM

5 Paper: Lebin J et al. History of liver disease, history of substance abuse disorder, and history of delirium tremens were also extracted from the hospital EMR. 1, 2 Phenobarbital has been studied as an alternative or adjunct to benzodiazepines with encouraging results, but primarily among inpatient services. J Med Toxicol 2022.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

REBEL EM

Paper: Owyang CG, et al. Reason for intubation, severity of illness, ARDS risk score, and ventilator settings were extracted from the electronic medical record (EMR). Data was automatically captured in the EMR so that accurate information was able to be extracted for the study. 2000 May 4; PMID: 10793162 Harvey CE, et al.