Category Archives: Cardiology

I AM THE RESURRECTION

If you make a study on interventions on dead people, you don’t expect much. Well, the Alfred in Melbourne did such a study – and got a resurrection rate of over 50%! Their intervention group was people in refractory cardiac … Continue reading

Posted in Cardiology, ECLS, ECMO, Emergency Medicine, Intensive Care | Leave a comment

E-POINT SEPTAL SEPARATION

A paper in AJEM describes a way to quickly assess left ventricular function that I wasn’t too familiar with. By measuring the distance between the anterior mitral valve and interventricular septum we can roughly assess the heart’s ejection fraction.

Posted in Cardiology, Emergency Medicine, Ultrasound | 4 Comments

DEATH TO THE YELLOW CATHETER OF DEATH

It’s not news but I recommend you read Paul E Marik’s review of the Pulmonary Artery Catheter (PAC) from Annals of Intensive Care 2013. Basically he tears the whole thing apart, writes an obituary and suggest we make it a … Continue reading

Posted in Cardiology, Intensive Care | Leave a comment

MORE EVIDENCE LINKING FEVER AND MORTALITY AFTER ROSC

A Danish study in Resuscitation sheds more light on the link between fever and mortality in post-ROSC patients. It is interesting as it fits nicely with the recently published, and highly controversial, study in NEJM that suggested hypothermia isn’t working … Continue reading

Posted in Cardiology, CPR, Emergency Medicine | Leave a comment

THERAPEUTIC HYPOTHERMIA – NOT SO COOL

A recent study published in New England Journal of Medicine has created a splash in EM social media. While it acknowledges that temperature control is important, it also suggests therapeutic cooling of cardiac arrest survivors does not work.

Posted in Cardiology, Emergency Medicine, Intensive Care | 6 Comments

CARDIOVISION

Cardiac anaesthesia can be boring as hell. On the upside, there is no better way to get a true understanding of cardiac physiology than directly observing, actually seeing, what the heart does. This is what VF, cardioversion and sinus rythm … Continue reading

Posted in Cardiology, CPR, Emergency Medicine | 2 Comments

SAM

Until recently I didn´t really know what SAM was. I do now. Boy am I happy. SAM stands for Systolic Anterior Motion of the Mitral valve and is a not too uncommon complication of hypertrophic cardiomyopathies (HCM), myocardial infarction and … Continue reading

Posted in Cardiology, Emergency Medicine, Ultrasound | 2 Comments

ULTRASOUND AND PROGNOSIS IN CARDIAC ARREST

Point of care- and portable ultrasound is a silent revolution in emergency care. An article in Academic Emergency Medicine helps me understand what to expect when applying an echo probe in cardiac arrest, and what that means for the patient’s … Continue reading

Posted in Cardiology, Emergency Medicine, Prehospital Medicine | 2 Comments

CODE BROWN: PERICARDIOCENTESIS

This summer a patient was admitted to our mid-tier hospital semi-unconcious with severe hypotension and tachycardia. He had a massive history of heart disease and had been complaining of recurring chest pains for three days before suddenly collapsing at home.

Posted in Cardiology, Cases, Code Brown, Emergency Medicine, Ultrasound | 4 Comments

SGAS HARM IN OHCA?

A secondary study using data from the ROC PRIMED study suggests there could be something to the warnings about using supraglottic airways (LMAs) for airways in out-of-hospital cardiac arrests. Supraglottic airways were associated with increased mortality.

Posted in Airway management, Cardiology, CPR, Emergency Medicine, Prehospital Medicine | 5 Comments