There are congenital variations from the normal coronary artery anatomy that have significant clinical importance. There are many permutations of the origin site and course of the three primary coronary arteries (left anterior descending, left circumflex, and right coronary artery)
Sometimes imaging can reveal remarkable physiology. A 40-year-old man presented with profound fatigue and abdominal pain that had begun the day before but substantially worsened over the last 12 hours. He reported not experiencing any chest pain, shortness of breath, nausea/vomitin
1. You local fire department responded to an incident at the courthouse where about ¼ teaspoon of white powder spilled from an envelope that contained payment for a parking ticket. What level of decontamination is required for the person handling the letter and those in the room? A
Interesting article published in JAMA about the use of beta-blockade in septic shock patients to improve cardiac dysfunction.
Preventing sternal wound infections in the post operative cardiac surgery patient is an important aspect of post operative care. Sternal infections can increase length of stay, be a substantial financial impact, and increase mortality' Occurrence of sternal infections is rare and it h
The placement and maintenance of central venous catheters (CVC), have received a great deal attention with the goal of minimizing iatrogenic injury to the patient and reduction in the occurrence of catheter related infections. Once the need for the catheter is done, careful attention
This is my first official contribution to Resus Review. I wanted to start with a follow up on my recent comment on cardiac troponin. Cardiac biomarkers, particularly troponin, have become an essential tool in the work up of patients with symptoms suggestive of ischemia in which an "AC
Its important to understand that in the US the FDA has not yet approved the high-sensitivity (hs) troponin assays. Therefore we are still talking about the so-called contemporary troponin assays. The current assay is a good test, and the high-sensitivity troponin will have even better
Airway pressure release ventilation (APRV) mode of mechanical ventilation is an elevated CPAP level with timed pressure releases. This mode allows for spontaneous breathing, and is especially useful for patients with ARDS, pneumonia, or trauma.
Some of the newest shortages that physicians are facing is droperidol and atropine. At my institution droperidol is widely used (over 900 doses per month) for treatment of acute migrainous headaches, antiemetic, and agitation. Atropine is a nonselective muscarinic acetylcholinergic
Without notice even the smallest EDs can be thrust into the limelight after a disaster. As a physician leader, handling public relations represents its own challenge during a time of crisis. We will share with you some simple tips and precautions of dealing with the media after a mass casualty situation.
The flipped classroom concept allows learners to acquire the basic information outside of class to allow active learning during conference periods. This knowledge application time should clarify concepts, make decisions, and see consequences.