Category Archives: Cardiology

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

WHERE’S WALDO?

Don’t know who to credit for this amazing image. It could be from that travelling ‘Human Body’ exhibition? Got it on facebook.

Posted in Cardiology, Miscellaneous | Leave a comment

SHOCK II – IABPS NOT THAT GREAT

Recently NEJM published the results from the german SHOCK II trial. The study suggests intraaortic balloon pumps (IABP) don’t work as well as we think. It has been interesting following the e-mail correspondance between our hospital cardiac intensivists and cardiologists. … Continue reading

Posted in Cardiology, Emergency Medicine | 2 Comments

COMPARING PRESSORS FOR SEPTIC SHOCK

A study in Anesthesiology looks at how common pressors could affect hemodynamics in septis. It is a small animal study but confirms current research and thinking.  Importantly, it reminds us to think before using pure α-agonists. A lot of the … Continue reading

Posted in Cardiology, Emergency Medicine, Intensive Care | 2 Comments