Helping Patients Navigate the Emergency Department

Patients come to the department because the are hurt and suffering, and can be overwhelmed and confused by the swirl of activity and people. A key to providing patient centered care is to guide them through the process and understand their care.

Pacemaker-ICD Lead Failure: Insulation and Externalized Conductors

Structural failure of the silicone casing on a pacemaker/ICD lead allows externalization of the conductors. Electrical malfunctions and thrombosis complications often occur, though the externalized wires may remain silent until catastrophic failure happens.

Improve Your Understanding of PPV With Visualization

Being able to use a test's PPV to understand a patient's probability of having a disease is critical. By visualizing the sample population, you can have a greater intuitive understanding of the results that are not hindered behind mathematical formulas.

Dinitrophenol Poisoning

Dinitrophenol uncouples oxidative phosphorylation increasing the metabolic rate which can effectively promote weight loss, but unfortunately it has a narrow therapeutic window and is toxic that can lead to mental status changes, multiorgan failure, and death.

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.

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.

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.

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.

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