• Cathlab in modern hospital

ACC Withdraws Choosing Wisely Recommendation

The results of recent studies PRAMI and CVPRVIT have demonstrated that stenting nonculprit high-grade lesions during primary PCI for myocardial infarction reduces adverse events, and has prompted the ACC with withdraw its ABIM Choosing Wisely campaign.

  • Nurses And Doctor Performing CPR On Dummy

Structured debriefing for codes and resuscitations

Continuous improvement and future performance of codes and resuscitations can be achieved with structured debriefing to provide feedback to participants by exploring teamwork, communication, technical aspects, equipment, and provide emotional release.

  • Inside industrial refrigirator

Ammonia Inhalation Injury

Inhalation of noxious gases and fumes, including ammonia, nitric acid, sulfur dioxide, and chlorine gas can cause pulmonary injury including direct toxic effects and secondary ARDS requiring mechanical ventilation and permanent respiratory difficulties.

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Improving your echocardiograms with contrast agents

Echocardiograms can often be limited by poor sonographic windows, but using an echo contrast agent can improve visualization of the left ventricle and detect right-to-left intracardiac shunts. Introduction to the various agents, their principles and use.

Case report of asystole after intralipid treatment

The Hennepin Regional Poison Center have published a case series of asystolic cardiac arrest after treatment with intralipid. The authors readily acknowledge the difficulty of assigning causality, and caution against dramatic practice changes.

  • Toxicomanie Cocaïne Héroïne

Physical Exam Clues in Toxicology – Part 2: Skin

Diagnosis of the poisoned patient can often be accomplished before toxicologic laboratory tests by obtaining a detailed history and directed physical exam. In this second of three articles, we will examine the toxicology clues revealed by the skin.

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Acute subclavian artery thrombosis causing ACS

79-year-old women has severe aortic stenosis and 2-vessel coronary artery disease s/p coronary artery bypass graft who developed acute dyspnea. She was found to have chronic occlusion of her vein graft and acute thrombosis of her subclavian artery, causing diffuse cardiac ischemia and myonecrosis.

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