article thumbnail

SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?

The Skeptics' Guide to EM

She is the cofounder of FOAMcast and a […] The post SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area? Background: We have covered the issue of heart attacks several times on the SGEM. These include looking at the HEART score, troponin testing and cardiovascular disease in women.

article thumbnail

SGEM#370: Listen to your Heart (Score)…MACE Incidence in Non-Low Risk Patients with known Coronary Artery Disease

The Skeptics' Guide to EM

Case: You are working a shift in your local community emergency department (ED) when a 47-year-old male presents with chest pain. His father had a minor heart attack at the age of 63. With a negative initial troponin, this gives him a HEART score of 4. He is also the CME editor for Academic Emergency Medicine.

Coronary 100
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Traumatizing Patients with Trauma Activations

ACEP Now

The concept of rapid assessment for heart attacks 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. References American College of Surgeons Committee on Trauma.

article thumbnail

Episode 107: Cardiac and Non-Cardiac Chest Pain with Dr. Mike Berkenbush

The Overrun Podcast

The conversation highlights the need for a broader approach to chest pain, beyond just focusing on heart attacks. Takeaways EMS education should focus on a broader approach to chest pain, beyond just heart attacks. Mike Berkenbush joins the podcast to discuss the challenges in EMS education on differentiating chest pain.

article thumbnail

Young ACEP Member Is Passionate About Breaking Down Barriers to Care

ACEP Now

His family had insurance for just two years when his father had a heart attack and needed open heart surgery. For example, he knows follow-up care is critical for many ED patients, but it can be challenging to find transportation to in-person care. Inspired, he carried that problem-solver energy into medical school.

article thumbnail

A man in his 70s with chest pain

Dr. Smith's ECG Blog

He stated it was similar to prior heart attacks. About an hour later, he was then found on the floor in cardiac arrest in the ED. The history in today's case — was that of a man in his 70s who presented to the ED for 2 hours of chest pain , that was still present on arrival in the ED.

article thumbnail

Workplace Violence and Mental Health in Emergency Medicine

ACEP Now

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. 1 The questions raised by this tragedy are many: How did a gun make its way into the emergency department in the first place?