Core EM

NOVEMBER 30, 2024

The Case An 88-year-old woman with a history of dementia, major depressive disorder, and hyperlipidemia presented to the ED via EMS after a near syncopal episode. The ED team emergently notified cardiology and loaded her with aspirin, ticagrelor, and heparin. High-sensitivity troponin peaked at 61 and BNP was normal.

Coronary 130

Coronary STEMI MICU ACS 130

Core EM

JANUARY 25, 2024

One week prior to ED arrival, the patient was becoming progressively despondent, less interactive with peers, exhibiting slow speech and movements, and was not eating. In Diagnostic and statistical manual of mental disorders (5th ed.). Catatonia: a case report by Brown Emergency Medicine. Burrow JP, Spurling BC, Marwaha R.

MICU 246

MICU Emergency Department OR ED 246

EMS 12-Lead

AUGUST 14, 2022

MICU transport was unremarkable. The ST changes went overlooked by both the ED physician and the on-call cardiologist, and the patient was subsequently admitted to telemetry. Here the ST segments are not so deep, nor are the T waves so wide and bulky, because of improved coronary flow at the level of the occlusion.

STEMI 130

STEMI MICU CAD Coronary 130

REBEL EM

AUGUST 29, 2022

All intubations were performed on hospitalized patients, limiting application to the ED population. In contrast, patients in the ketamine arm had higher rates of MICU admissions. A highly specialized airway team was utilized for intubation, likely unavailable in many institutions. The significance of 7-day survival is unclear.

MICU 52

MICU ICU OR Emergency Department 52