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Date: November 22, 2023 Reference: Stopyra et al. She is the cofounder of FOAMcast and a […] The post SGEM#421: I Think I’d Have a HeartAttack – Maybe Not in a Rural Area? She is the cofounder of FOAMcast and a […] The post SGEM#421: I Think I’d Have a HeartAttack – Maybe Not in a Rural Area? AEM November 2023.
Date: June 30th, 2022 Reference: McGinnis et al. Case: You are working a shift in your local community emergency department […] The post SGEM#370: Listen to your Heart (Score)…MACE Incidence in Non-Low Risk Patients with known Coronary Artery Disease first appeared on The Skeptics Guide to Emergency Medicine. AEM June 2022.
The concept of rapid assessment for heartattacks and strokes is not foreign to the general public, but these emergencies do not include rapid destruction of clothing, private examinations performed in front of audiences, or a quick succession of invasive procedures. Kaufman EJ, Richmond TS, Wiebe DJ, et al. 2017;152(9):843.
Data from the National Institutes of Health suggests that up to three percent of ED visits result in a weapon being confiscated, and there has been an increase of 20 percent of firearm deaths since 2019. References McGuire S, Finley J, Gazley B, et al. Rodriguez RM, Montoy JCCM, Hoth KF, et al. Ann Emerg Med , 2021;78(4):S8.
There is a literature on this subject ( GGF van der Schoot et al: Neth Heart J 28(6):301-308, 2020 — and — Egred et al — Postgrad Med 81(962): 741-745, 2005 — to name just 2 reports ). Meyers at the end of his discussion that refer to multiple cases published on Dr. Smith’s ECG Blog of young adults with acute MI ).
A 50 something male presented in the evening to ED for evaluation of chest pain that started at 1600. He reports this was similar to how he felt when he had his heartattack 4 years prior, now s/p 4 stents. In this study by Lupu et al., He states that it feels like burning and pressure, like GERD.
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