Written by EJ Wright, MD
This post first appeared on REBEL Cast
Welcome to the EMRA Basics of Emergency Medicine Podcast. I am your host EJ Wright, and the following series is an all encompassing approach to the most common chief complaints in the ED based on the well known EMRA Basics of Emergency Medicine, A Chief Complaint-Based Guide. Each cast will highlight myself and a guest attending physician as we take new learners through the differentials, red flags, physical exam findings, and a sample presentation that you need to know to treat patients in the ED.
Pericardial effusions and pericardial tamponade can be caused by multiple mechanisms (e.g.,traumatic, infectious, inflammatory, etc.)
Presenting Resident: Katrina D’Amore, PGY4 Chief Complaint: Palpitations Brief HPI: 36 y/o F G4P2012 at 18 weeks gestation presents complaining of palpitations that began this morning. Patient reports a history of “SVT” multiple times in the past and she even underwent ablation in 2012. Patient states that “Adenosine never ever works for me.” Patient denies …
Read more “COW”
Every year we love going to the University of Maryland Emergency Cardiology Symposium hosted by Dr. Amal Mattu. Check out our PEARLS from this year’s lectures on Cardiology Conundrums!
Is ST-Segment Elevation in Lead aVR Getting Too Much Respect? Check out another Cardio Case of the Week.
CC: Chest Pain HPI: 49-year-old female brought in via ALS presents complaining of Chest pain. As per the Paramedics, the patient was found to be in no acute distress, stating she had exertional chest pain, which had subsided. The pre-hospital ECG was suspicious for ischemia and she was given ASA. Patient states she was walking home …
Read more “Case of the Week COW#13”
Brief review of this week’s EM Conference Pearls. Topics include pediatric congenital heart disease, EBM in EM, and Aortic Dissection!
CC: Numbness and palpitations HPI: 21-year-old Female presents to the Emergency Department (ED) complaining of palpitations and left arm weakness with perioral numbness, which began just prior to arrival. The patient states the episode lasted 30 minutes before completely resolving on its own. In the ED, she denies any other complaints except for a mild …
Read more “Case of the Week COW #7”
Check out this excellent review on managing patients with LVADs from this month’s ACEP Now publication which was written by our own Dr. Yenisleidy Paez Perez, DO PGY-3 and one of our newly graduated residents, Dr. Terrance McGovern, DO.
Check out Take Home PEARLS from this week’s Wednesday EM Conference! Topics include Asthma/COPD, Sepsis, and mgmt of hemoptysis.
CC: Vomiting for 2 days HPI: 32 yo female with PMH of Romano Ward Syndrome s/p AICD, previous cardiac arrest, Atrial Fibrillation s/p Ablation, renal artery thrombosis on Coumadin and deafness presents to the Emegency Department (ED) via ALS after being found unresponsive at home and with ventricular tachycardia. Paramedics state they were called to …
Read more “Case of the week COW #6”
We have another cool EKG and arrhythmia coming in today, check it out!
Check out this review of the key points of each lecture from the 2017 University of Maryland Emergency Cardiology Symposium which was hosted by Amal Mattu, MD in Baltimore, MD. This year’s topic was cardiac arrest.
Our inaugural first Case of the Week is brought to you by Dr. Kristen Pena with a tricky EKG case!
Being in a car accident, even the most benign one imaginable, can be stressful for patients. Inherently, if they have any chest pain they’re going to be convinced they’ve sheared their aorta right off its hinges. While that may be of concern to them, we are pretty certain that their aorta is still intact if they still are alive, but did they sustain a cardiac contusion? How do we even figure out if they had one? And what the heck do we do with them if they did in fact have a cardiac contusion?