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"Pericarditis" strikes again

Dr. Smith's ECG Blog

They found non-obstructive CAD, with only a 20% stenosis of OM2 and 10% RCA. in the ICU but survived with excellent function. IF , on the other hand — the patient with new chest pain is older and lacks predisposing viral symptoms — then acute pericarditis becomes a rare diagnosis in an ED setting. No acute culprit.

E-9-1-1 52
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emDOCs Videocast: EBM Update – Steroids in Severe CAP and CT in Post ROSC OHCA

EMDocs

Question: In adult patients admitted to the ICU with severe CAP, does hydrocortisone compared to placebo reduce 28-day all-cause mortality? Question: In adult patients admitted to the ICU with severe CAP, does methylprednisolone compared to placebo reduce 60-day all-cause? Reyes LF, Garcia E, Ibáñez-Prada ED, et al.

ICU 97
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A dialysis patient with nonspecific symptoms and pseudonormalization of ST segments

Dr. Smith's ECG Blog

His ED cardiac ultrasound (which is not at all ideal for detecting wall motion abnormalities, and is also very operator dependent for this finding) was significant for depressed global EF. Fortunately, he was extubated several days later in the ICU with intact baseline mental status and was discharged shortly thereafter to subacute rehab.

CAD 52
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What will you do for this patient transferred to you who is now asymptomatic?

Dr. Smith's ECG Blog

She was asymptomatic at the time of this ECG recorded on arrival to our ED: What do you think? She also had non-acute CAD of the left main (50%) and LCX (75%). By the time the patient arrived at our facility, she had received aspirin and nitroglycerin, and her pain had apparently completely resolved. They opened it.

STEMI 52