ALS CAD Emergency Department 
The Skeptics' Guide to EM
JULY 2, 2022
Date: June 30th, 2022 Reference: McGinnis et al. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Date: June 30th, 2022 Reference: McGinnis et al. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.
Dr. Smith's ECG Blog
APRIL 18, 2024
Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. Amsterdam et al. Alencar et al. Lupu et al. Herman, Meyers, Smith et al.
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Dr. Smith's ECG Blog
NOVEMBER 30, 2022
Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting." Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al. Just because you don't see hemodynamically significant CAD on angiogram does not mean it is not OMI. Lindahl et al.
Dr. Smith's ECG Blog
JUNE 18, 2013
So I went to look at the chart and here is the history: This patient with no h/o CAD had a couple of episodes of chest pain during the day, then presented with one hour of substernal chest pain that had some reproducibility but also improved from 10/10 to 5/10 with nitroglycerine. Fesmire et al. Ann Emerg Med 1998;31(1):3-11.
Dr. Smith's ECG Blog
AUGUST 9, 2019
At the bottom of the post, I have re-printed the section on aVR in my article on the ECG in ACS from the Canadian Journal of Cardiology: New Insights Into the Use of the 12-Lead Electrocardiogram for Diagnosing Acute Myocardial Infarction in the Emergency Department Case 1. Widimsky P et al. Knotts et al. References 7.
ECG & Echo Learning
JANUARY 18, 2023
IIa C Pre-hospital logistics Management Recommendation Level of evidence The pre-hospital care of STEMI patients should be organized regionally (including all components from the emergency medical dispatch to catheterization laboratory) in order to provide reperfusion therapy as early as possible.
Dr. Smith's ECG Blog
JANUARY 20, 2024
Written by Pendell Meyers A man in his late 30s with history of hypertension, tobacco use, and obesity presented to the Emergency Department for acute chest pain which started approximately 3 hours prior to arrival, in the setting of a very stressful situation. Scattered other nonobstructive CAD.
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