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Do You Listen to Heart Sounds? This May be Another Reason Why You Should.
I’m not sure about you, but when I went to school to become a paramedic (and a nurse for that matter), one thing I never really understood was heart sounds, or heart tones, depending on who taught you. My attempt at learning resorted to scouring textbooks, journals, online editorials, watching clips on YouTube and listening… lots of listening to sound bites from CDs. You know the ones, they come free when you buy a new stethoscope. Instead of turning to digital media, I should’ve been listening to the hearts of my patients. Hindsight is 20/20, especially in this case. All my self-guided education yielded...
Source: JEMS Patient Care - September 12, 2017 Category: Emergency Medicine Authors: Bruce Hoffman, MSN,BSN-RN, NR-P, CFRN Tags: Patient Care Cardiac & Resuscitation Source Type: news

Advanced Pharma, Inc. D/B/A Avella of Houston Issues Voluntary Nationwide Recall of All Unexpired Nitroglycerin Injection In 5% Dextrose USP Products Produced At Its Houston Location From March 3, 2017 Through May 31, 2017 Due To Sub-Potency
Advanced Pharma, Inc. d/b/a Avella of Houston ( “Advanced Pharma”) is voluntarily recalling all unexpired lots of Nitroglycerin products that were produced at Advanced Pharma’s Houston location between March 3, 2017 and May 31, 2017 to the hospital/user level. The recall is being issued based on laboratory test results indicating a lower t han expected potency on certain lots of compounded NitroGlycerin Injection which would lead to a lower dose being administered. (Source: Food and Drug Administration)
Source: Food and Drug Administration - June 15, 2017 Category: Food Science Source Type: news

Nitroglycerin (NITRO-DUR) (New - Discontinuation)
Drug Shortage (Source: FDA Drug Shortages)
Source: FDA Drug Shortages - March 1, 2017 Category: Drugs & Pharmacology Source Type: news

Nitro-Dur (Nitroglycerin) - updated on RxList
(Source: RxList - New and Updated Drug Monographs)
Source: RxList - New and Updated Drug Monographs - January 3, 2017 Category: Drugs & Pharmacology Source Type: news

Patient With Chest Pain and Shortness of Breath Shows Standardized Treatment Doesn't Work for All Patients
John, a 65-year-old male, is sitting in a chair in the corner of the room as you and your partner enter his house. John tells you he's the only one home and called 9-1-1 because he can't breathe and his chest is killing him. His skin is ashen and his breathing is rapid. You can palpate a weak irregular pulse and you note his skin is warm and diaphoretic. He describes his shortness of breath as increasing in severity over the last couple of hours with the chest discomfort. With a pulse oximetry reading of 78% on room air, you apply oxygen via a non-rebreathing mask. Physical exam reveals bibasilar crackles on pulmonary ausc...
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: Dennis Edgerly, EMT-P Tags: Columns Patient Care Source Type: news

The Five Deadly Causes of Chest Pain Other than Myocardial Infarction
Calls for chest pain are exceedingly common in EMS and result in more than 8 million ED visits yearly in the United States.1 Of these, almost 1 million may have an acute coronary syndrome (ACS) and about a third of these will have a myocardial infarction (MI).2 Although the vast majority of chest pain patients don't have either ACS or another emergency, EMS providers must be experts in recognizing all of the potential lethal causes of chest pain. In this article we'll discuss common presentations of ACS and then review the five other acute deadly causes of chest pain: aortic dissection, pericarditis with tamponade, esopha...
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: Ashley Brown, MD Tags: Cardiac & Resuscitation Source Type: news

Reacting Appropriately to Trainee Errors Improves Performance
Shortly after arriving at headquarters, you're met by your new trainee Sarah. Sarah has just completed initial EMT training and has no field experience. You take a few minutes to make introductions and discuss the training expectations. Immediately after advising dispatch your unit is in service, you're dispatched to a chest pain call. Upon arriving on scene a crew of firefighters is tending to a 65-year-old female. The fire captain informs Sarah the patient has been suffering from chest pain for the past 30 minutes, has no known allergies and her vital signs are a heart rate of 72, respiratory rate of 20, blood pressure o...
Source: JEMS Administration and Leadership - December 1, 2016 Category: Emergency Medicine Authors: Joseph Sherrell, BS, NRP Tags: Columns Administration and Leadership Source Type: news

nitroglycerin, Nitro-Bid, Nitro-Dur, Nitrostat, Transderm-Nitro, Minitran, Deponit, Nitrol
Title: nitroglycerin, Nitro-Bid, Nitro-Dur, Nitrostat, Transderm-Nitro, Minitran, Deponit, NitrolCategory: MedicationsCreated: 12/31/1997 12:00:00 AMLast Editorial Review: 11/2/2016 12:00:00 AM (Source: MedicineNet Heart General)
Source: MedicineNet Heart General - November 2, 2016 Category: Cardiology Source Type: news

DRL launches nitroglycerin sublingual tablets in US
The drug which is used in preventing or relieving a sudden attack of angina (chest pain) caused by heart disease was approved by the USFDA. (Source: The Economic Times Healthcare and Biotech News)
Source: The Economic Times Healthcare and Biotech News - August 29, 2016 Category: Pharmaceuticals Source Type: news

Make the Diagnosis: CAD Concerns
(MedPage Today) -- Case Findings: A 75-year-old male with a history of coronary artery disease status post stenting of the LAD presents with new onset chest pain that has been ongoing for the last two months. The pain is exertional in nature, improving with rest and nitroglycerin. He states having been compliant with his medication. A pharmacological nuclear stress test is ordered. The findings are most consistent with which condition? (Source: MedPage Today Geriatrics)
Source: MedPage Today Geriatrics - June 27, 2016 Category: Geriatrics Source Type: news

NitroMist (Nitroglycerin Lingual Aerosol) - updated on RxList
(Source: RxList - New and Updated Drug Monographs)
Source: RxList - New and Updated Drug Monographs - June 22, 2016 Category: Drugs & Pharmacology Source Type: news

Espero Pharmaceuticals Receives FDA Approval for GoNitro (nitroglycerin) Sublingual Powder
JACKSONVILLE, Fla. (June 14, 2016) – Espero Pharmaceuticals, Inc., a privately held specialty pharmaceutical company, today announced that the U.S. Food and Drug Administration (FDA) has approved GoNitro (nitroglycerin) sublingual powder for acute... (Source: Drugs.com - New Drug Approvals)
Source: Drugs.com - New Drug Approvals - June 14, 2016 Category: Drugs & Pharmacology Source Type: news

Nitrostat (Nitroglycerin) - updated on RxList
(Source: RxList - New and Updated Drug Monographs)
Source: RxList - New and Updated Drug Monographs - June 13, 2016 Category: Drugs & Pharmacology Source Type: news

Nitrolingual Pumpspray (Nitroglycerin Lingual Spray) - updated on RxList
(Source: RxList - New and Updated Drug Monographs)
Source: RxList - New and Updated Drug Monographs - February 23, 2016 Category: Drugs & Pharmacology Source Type: news

Coronary artery vasospasm induced by cocaine (maybe)
2.5 out of 5 stars Cocaine-Induced Coronary Artery Vasospasm. Almaddah N, Ajayi TO. N Engl J Med 2016 Feb 4;374:e5 Full Text with video In a series of amazing studies that are now about three decades old, Richard Lange and his colleagues at Parkland Hospital in Dallas investigated the cardiovascular effects of administering intranasal cocaine to patients to patients during cardiac catheterization for routine workup of chest pain. In an initial study, the group demonstrated that cocaine produced coronary artery vasoconstriction that was relieved by nitroglycerin and exacerbated by smo...
Source: The Poison Review - February 4, 2016 Category: Toxicology Authors: Leon Tags: Medical cardiovascular effects cocaine coronary artery vasospasm Source Type: news

Multiple Products by R Thomas Marketing: Recall - Undeclared Drug Ingredient
Sildenafil may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to dangerous levels. (Source: FDA MedWatch)
Source: FDA MedWatch - January 9, 2016 Category: American Health Source Type: news

Researchers: Retract Study That Claimed Nitroglycerin Might Boost Bone Density
Title: Researchers: Retract Study That Claimed Nitroglycerin Might Boost Bone DensityCategory: Health NewsCreated: 12/29/2015 12:00:00 AMLast Editorial Review: 12/30/2015 12:00:00 AM (Source: MedicineNet Arthritis General)
Source: MedicineNet Arthritis General - December 30, 2015 Category: Rheumatology Source Type: news

Researchers: Retract Study That Claimed Nitroglycerin Might Boost Bone Density
Investigation found that lead author fabricated data used to support the findingSource: HealthDay Related MedlinePlus Pages: Bone Density, Women's Health (Source: MedlinePlus Health News)
Source: MedlinePlus Health News - December 29, 2015 Category: Consumer Health News Source Type: news

Apexxx by Nuway Distributors: Recall - Undeclared Drug Ingredient
Sildenafil may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to dangerous levels that may be life threatening. (Source: FDA MedWatch)
Source: FDA MedWatch - December 23, 2015 Category: American Health Source Type: news

New theory about migraine triggers published
ConclusionThe study brings together evidence in support of a plausible theory about the causes of migraine. However, the evidence is very mixed in quality. Although the author says all triggers have the potential to cause oxidative stress, the link for some triggers is quite weak. For example, he says in the study it is unclear whether excessive mental work can cause oxidation, and that the role of oestrogen is not clear. Because of the difficulty of showing the effects of oxidative stress on the brain, most of the evidence is from animal studies on mice or rats, or studies of what happens to cells in test tubes or petri d...
Source: NHS News Feed - December 22, 2015 Category: Consumer Health News Tags: Neurology Source Type: news

Study Assesses Nitroglycerin's Effect on Hypotension in STEMI Patients
This study was designed to determine if nitroglycerin (NTG) administration is more likely to cause hypotension in patients with an inferior wall ST elevation myocardial infarction (STEMI) versus one somewhere else in the heart. The authors defined hypotension as systolic blood pressure
Source: JEMS Patient Care - November 23, 2015 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Special Topics Cardiac & Resuscitation Research Columns Patient Care Source Type: news

Study Assesses Nitroglycerin's Effect on Hypotension in STEMI Patients
This study was designed to determine if nitroglycerin (NTG) administration is more likely to cause hypotension in patients with an inferior wall ST elevation myocardial infarction (STEMI) versus one somewhere else in the heart. The authors defined hypotension as systolic blood pressure
Source: JEMS Special Topics - November 23, 2015 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Special Topics Cardiac & Resuscitation Research Columns Patient Care Source Type: news

10 Of The Most Embarrassing (And Totally Real) Ways To Land In The Hospital
A trip to the emergency room in a screaming ambulance is one of our worst fears. So imagine the embarrassment when the circumstances behind it are avoidable in the first place, or if the visit turns out to be completely unnecessary. With your good health in mind -- and because awareness of the rare and absurd medical issues out there may prove vital one day -- we’ve partnered with Anthem to bring you this list of 10 injuries, ailments, accidents and all around hilarious circumstances that sent people off to the ER. Check them out, and be careful. 1. Having A Coffee Bean Stuck Up Your Nose For Over 24 Hours Many ki...
Source: Healthy Living - The Huffington Post - September 16, 2015 Category: Consumer Health News Source Type: news

Exploding the drug deadlock: Repurposing nitroglycerin for anti-cancer treatments
(ecancermedicalscience) In the latest study in ecancermedicalscience, researchers find that nitroglycerin is the latest in a series of medicines that could be repurposed to treat cancer. In particular, it targets tumor hypoxia -- which could make anti-cancer drugs even more effective. (Source: EurekAlert! - Cancer)
Source: EurekAlert! - Cancer - August 27, 2015 Category: Cancer & Oncology Source Type: news

Understand EMS' Role in the Chain of Care
EMTs and paramedics work in a world that can go from absolute boredom to sheer panic in mere moments. To be successful in EMS, these same clinicians must learn to make decisions in what some call a "non-history-taking environment," meaning they generally know very little about the patients they treat. Most calls allow very little time to gather information, synthesize what was learned, and then apply the appropriate treatment before sending patients down the road to become a distant memory, or even forgotten. All too often, EMS clinicians are only concerned about what's happening while they're providing direct ca...
Source: JEMS Patient Care - April 6, 2015 Category: Emergency Medicine Authors: Steven C. LeCroy, MS, CRTT, EMT P Tags: Administration and Leadership Patient Care Source Type: news

Black Storm: Public Notification - Undeclared Drug Ingredient
Sildenafil may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to dangerous levels. (Source: FDA MedWatch)
Source: FDA MedWatch - November 24, 2014 Category: American Health Source Type: news

nitroglycerin, Nitro-Bid, Nitro-Dur, Nitrostat, Transderm-Nitro, Minitran, Deponit, Nitrol
Title: nitroglycerin, Nitro-Bid, Nitro-Dur, Nitrostat, Transderm-Nitro, Minitran, Deponit, NitrolCategory: MedicationsCreated: 12/31/1997 12:00:00 AMLast Editorial Review: 11/24/2014 12:00:00 AM (Source: MedicineNet Heart General)
Source: MedicineNet Heart General - November 24, 2014 Category: Cardiology Source Type: news

Nitro-Dur (Nitroglycerin) - updated on RxList
(Source: RxList - New and Updated Drug Monographs)
Source: RxList - New and Updated Drug Monographs - October 20, 2014 Category: Drugs & Pharmacology Source Type: news

Arize: Public Notification - Undeclared Drug Ingredient
Undeclared sulfoaildenafil may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to dangerous levels. (Source: FDA MedWatch)
Source: FDA MedWatch - August 11, 2014 Category: American Health Source Type: news

Herbal Vigor Quick Fix: Public Notification - Undeclared Drug Ingredient
Undeclared tadalafil may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to dangerous levels. (Source: FDA MedWatch)
Source: FDA MedWatch - August 11, 2014 Category: American Health Source Type: news

Take common-sense steps to stay safe this summer
When the mercury rises, heat can strain the limits of the body's cooling system. Its driving engine, the heart, takes on a heavier load in hot weather to keep body temperature within norms, reports the July 2014 issue of the Harvard Men's Health Watch. For otherwise fit, active men, handling the heat requires no more than knowing their limits and drinking enough fluids. But what about men with heart conditions? "They are going to be more sensitive to the heat," says Dr. Joanne Foody, director of cardiovascular wellness services at Harvard-affiliated Brigham and Women's Hospital. "They may just need to limit ...
Source: New Harvard Health Information - June 27, 2014 Category: Consumer Health News Source Type: news

Male Sexual Enhancement Products: Immediate Public Notification: Undeclared Drug Ingredients
Risk of interaction with nitrates found in some prescription drugs, such as nitroglycerin, and may lower blood pressure to dangerous levels. (Source: FDA MedWatch)
Source: FDA MedWatch - June 3, 2014 Category: American Health Source Type: news

This Day in Science History - May 26 - Ascanio Sobrero
May 26th marks the passing of Ascanio Sobrero. He was the Italian chemist who discovered the process of making nitroglycerin. He found the explosive and unstable compound while adding glycerin ...Read Full Post (Source: About.com Chemistry)
Source: About.com Chemistry - May 25, 2014 Category: Chemistry Source Type: news

S.W.A.G: Public Notification - Undeclared Drug Ingredient
Contains undeclared Sildenafil, which may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to dangerous levels. (Source: FDA MedWatch)
Source: FDA MedWatch - April 18, 2014 Category: American Health Source Type: news

How to Replace IV Nitroglycerin in the Shortage
(MedPage Today) -- What are the alternatives for IV nitroglycerin in the emergency setting as the shortage saps reserves? Several experts share their thoughts. (Source: MedPage Today Emergency Medicine)
Source: MedPage Today Emergency Medicine - April 1, 2014 Category: Emergency Medicine Source Type: news

Nova Products, Inc. Dietary Supplements: Recall - Undeclared Drug Ingredients
Sildenafil and tadalafil can interact with nitrates found in some prescription drugs (such as nitroglycerin), resulting in decreased blood pressure. (Source: FDA MedWatch)
Source: FDA MedWatch - March 31, 2014 Category: American Health Source Type: news

Efforts Ongoing to Combat IV Nitroglycerin ShortageEfforts Ongoing to Combat IV Nitroglycerin Shortage
The FDA and the manufacturer anticipate increased supplies 'in the coming weeks.' Medscape Medical News (Source: Medscape Pharmacist Headlines)
Source: Medscape Pharmacist Headlines - March 27, 2014 Category: Drugs & Pharmacology Tags: Cardiology News Source Type: news

Nitroglycerin Shortage Expected to Ease Soon (FREE)
By Kelly Young A shortage of injectable nitroglycerin — a staple in emergency care for patients with severe heart attacks or congestive heart failure … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - March 27, 2014 Category: Primary Care Source Type: news

Nitroglycerin, a Staple of Emergency Rooms, Is in Short Supply
The shortage of nitroglycerin, a critical drug for heart patients, is the latest example of how patchy the supply of some of the nation’s most critical drugs has become in recent years.     (Source: NYT Health)
Source: NYT Health - March 26, 2014 Category: Consumer Health News Authors: By KATIE THOMAS and SABRINA TAVERNISE Tags: Hospira Inc HSP NYSE Heart Drugs (Pharmaceuticals) Medicine and Health Rationing and Allocation of Resources Emergency Medical Treatment Factories and Manufacturing Source Type: news

TPR Podcast Episode #3: Kaboom! – Exploding Toxicology
Episode 3 kaboom v2Episode 3: Kaboom! – Exploding Tox Written by Theresa Kim   Outline 1)     “Wax” or “dab” 2)     Meth lab explosions 3)     Smoking stool syndrome 4)     Ingestion of fireworks 5)     Nitropatch 6)     Bonus topic related to the prior discussion of Hunan hand and food related tox   Wax or Dab A nearly pure form of THC called “wax” or “dab” can be extracted from marijuana using a volatile hydrocarbon solvent (usually butane...
Source: The Poison Review - March 24, 2014 Category: Toxicology Authors: LeonThe Poison Review Tags: Podcast Source Type: news

Nitro: Why Aren't We Prescribing It?Nitro: Why Aren't We Prescribing It?
Dr Melissa Walton-Shirley appeals to physicians to prescribe nitroglycerin to help reduce unnecessary angina-related ER visits. She also offers tips on prompting patients to ask about and appropriately use nitro. theheart.org on Medscape (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 10, 2014 Category: Consumer Health News Tags: Cardiology Expert Column Source Type: news

On This Day in Science History -- December 10 -- Nobel Prizes
December 10th marks the passing of Alfred Nobel. Nobel was a Swedish chemist and entrepreneur who invented dynamite. He was attempting to create a method to make nitroglycerin safer to ...Read Full Post (Source: About.com Chemistry)
Source: About.com Chemistry - December 9, 2013 Category: Chemistry Source Type: news

Nitroglycerin in 5% Dextrose Injection by Baxter: Recall - Particulate Matter
Voluntary recall of one lot due to particulate matter found in one vial. If infused, particulate matter could lead to potential venous and/or arterial thromboembolism. (Source: FDA MedWatch)
Source: FDA MedWatch - November 27, 2013 Category: American Health Source Type: news

P-Boost, NatuRECT by Tendex: Recall - Undeclared Drug Ingredient
Undeclared tadalafil may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to unsafe levels. (Source: FDA MedWatch)
Source: FDA MedWatch - November 20, 2013 Category: American Health Source Type: news

RezzRX: Recall - Undeclared Drug Ingredients
Undeclared hydroxylthiohomosildenafil and aminotadalafil (PDE-5) inhibitors may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to unsafe levels. (Source: FDA MedWatch)
Source: FDA MedWatch - November 19, 2013 Category: American Health Source Type: news

VitaliKOR Fast Acting: Recall - Undeclared Drug Ingredients
Undeclared Vardenafil and Tadalafil may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to unsafe levels. (Source: FDA MedWatch)
Source: FDA MedWatch - November 15, 2013 Category: American Health Source Type: news

On This Day in Science History - October 12 - Nitroglycerin
October is the season for Nobel Prizes. Alfred Nobel originally set up his foundation to change the legacy of death he was leaving behind with the invention of dynamite. He ...Read Full Post (Source: About.com Chemistry)
Source: About.com Chemistry - October 11, 2013 Category: Chemistry Source Type: news

Virilis Pro, PHUK and Prolifta Capsules : Recall - Undeclared Ingredients
Potential to interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to unsafe levels. (Source: FDA MedWatch)
Source: FDA MedWatch - October 1, 2013 Category: American Health Source Type: news