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.
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.
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.
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.
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.
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.
Diagnosis of the poisoned patient can often be accomplished before toxicologic laboratory tests by obtaining a detailed history and directed physical exam. In this first of three articles, we will examine the toxicology clues that can be found in eyes, hair, nails, and tongue.
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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