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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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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.

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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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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.

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

Dr. Smith's ECG Blog

Meyers, Weingart and Smith published their OMI Manifesto — in which they extensively document the critically important concept that management of acute MI by separation into a “STEMI” vs “non-STEMI” classification is an irreversibly flawed approach.

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SGEM#250: Scribes – I Want to Break Free (from the EMR)

The Skeptics' Guide to EM

Your medical team is great, but you […] The post SGEM#250: Scribes – I Want to Break Free (from the EMR) first appeared on The Skeptics Guide to Emergency Medicine. Most emergency physicians use some form of electronic medical records (EMRs) when seeing patients. SGEM#159 looked at the implementation of an EMR in a tertiary care ED.

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