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
Positive 1-month safety results for Medtronic ’ s Navigate bronchoscopy trial
Medtronic (NYSE:MDT) today released 1-month data from the Navigate trial of its superDimension LungGPS system, touting the device as safe and effective based on the preliminary results.
A total of 1,289 patients have been enrolled in the trial to date, which spans 37 sites across Europe and North America. The trial looks to evaluate the performance of Fridley, Minn.-based Medtronic’s LungGPS electromagnetic navigation bronchoscopy technology the SuperDimension device uses to navigate the lungs.
The initial data comes from 500 procedures, 497 of which were lung lesion biopsies, 91 for fiducial placement and 9 for dye ...
Source: Mass Device - November 8, 2016 Category: Medical Equipment Authors: Fink Densford Tags: Clinical Trials Imaging Respiratory Medtronic Source Type: news
A Novel Approach to the Shocky Child
Start with three quick bedside ultrasounds and you might avoid an unnecessary IV push
An 11-year-old boy is brought to your emergency department following a few hours of persistent vomiting, irritability and decreasing activity. His mother also reports about two days of fever, decreased appetite and nasal stuffness.
On initial evaluation, his vital signs include a heart rate of 128 beats/minute, blood pressure of 82/64 mmHg, respirations of 24 breaths/minute and temperature of 101.50F. Pulse oximetry reveals 98% saturation on room air while capillary refill time is approximately 5 seconds. His activity is reduced an...
Source: EPMonthly.com - September 27, 2016 Category: Emergency Medicine Authors: Matt McGahen Tags: Uncategorized Source Type: news
My Macgyver Moment
Since emergency physicians are the MacGyvers of medicine – mullet not included – we asked our readers to send in their best stories of improvising on the fly. What did you do when you were fighting against the clock and couldn’t find the supplies you needed? Here are our four winning entries, with comments by Ken Iserson, MD, author of Improvised Medicine.
Published entrants gain free admittance to Blood and Sand, a tropical CME in Atlantis, Bahamas. For a chance to win, send your best MacGyver Moment to
lplaster@epmonthly.com
Give Me a Hand(stand)
by Andrew Langsam
I was getting ready to go on a long-awaited d...
Source: EPMonthly.com - September 19, 2016 Category: Emergency Medicine Authors: Matt McGahen Tags: Uncategorized Source Type: news
Iatrogenic Pneumothorax More Common at Teaching HospitalsIatrogenic Pneumothorax More Common at Teaching Hospitals
The incidence of iatrogenic pneumothorax has been higher at teaching hospitals than at nonteaching hospitals every year since 2000, according to data from the Healthcare Cost and Utilization Project (HCUP) database. Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - April 18, 2016 Category: Intensive Care Tags: Critical Care News Source Type: news
Prehospital Evaluation of Effusion, Pneumothorax, StandstillPrehospital Evaluation of Effusion, Pneumothorax, Standstill
Could EMTs and paramedics accurately recognize pericardial effusion, pneumothorax, and cardiac standstill using ultrasound in the field? Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health (Source: Medscape Radiology Headlines)
Source: Medscape Radiology Headlines - November 24, 2015 Category: Radiology Tags: Emergency Medicine Journal Article Source Type: news
Pneumothorax treatment gets less painful
A less painful treatment strategy for Pneumothorax treatment has been created by scientists. By analyzing the partial pressure of oxygen and carbon dioxide in thoracic cavity gas during Pneumothorax Treatment, physicians can understand the real conditions of the pneumothorax and then update to a less painful treatment method. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - October 2, 2015 Category: Science Source Type: news
St. Jude Medical’s Nanostim leadless pacer meets 6-month safety, efficacy goals
The Nanostim implantable pacemaker made by St. Jude Medical (NYSE:STJ) met its 6-month safety and efficacy endpoints, according to data presented over the weekend at the annual meeting of the European Society of Cardiology in London and published in the New England Journal of Medicine.
The Leadless II study enrolled 526 patients in the primary cohort, with 300 completing the 6-month protocol in June. The entire group was followed for a mean 6.9 months, showing successful implantation of the Nanostim device in 504 (95.8%) of subjects, according to the NEJM paper. In some 29.8% of the cases, the Nanostim device needed rep...
Source: Mass Device - August 31, 2015 Category: Medical Equipment Authors: Brad Perriello Tags: Cardiovascular Clinical Trials Cardiac Rhythm Management European Society of Cardiology (ESC) Nanostim Inc. St. Jude Medical Source Type: news
Bilateral spontaneous pneumothorax secondary to aspiration pneumonia induced by a wristwatch lodged at the pharyngoesophageal junction - Kawai C, Miyao M, Kotani H, Tamaki K.
Bilateral spontaneous pneumothorax secondary to disease is rare and seldom encountered in forensic autopsies; however, traumatic bilateral pneumothorax occurs often. Herein, we present a forensic case involving a 50-year-old woman who died 4 days after in... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - May 5, 2015 Category: Global & Universal Tags: Drowning, Suffocation Source Type: news
Bolshevik disease and Stalinist terror: on the historical casuistry of artificial pneumothorax - Polianski IJ.
From its initial development by Carlo Forlanini at the end of the nineteenth century until the advent of antibiotics in the 1940s, artificial pneumothorax was one of the most widely used treatments for pulmonary tuberculosis. However, there were strongly h... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - December 28, 2014 Category: Global & Universal Tags: Jurisprudence, Laws, Legislation, Policies, Rules Source Type: news
Pneumothorax Reported as Complication of COVID - 19
Higher incidence seen among men; survival at 28 days lower for those 70 years of age or older (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - November 11, 2014 Category: Respiratory Medicine Tags: Family Medicine, Geriatrics, Infections, Internal Medicine, Critical Care, Emergency Medicine, Nursing, Pulmonology, Radiology, Journal, Source Type: news
Electrocardiograms, X-rays, CT scans
Electrocardiograms (ECG/EKG)ECG Wave-Maven by Harvard Medical School is a fully-fledged ECG-trainer. You can browse through typical or not so typical EKGs in theEKG World Encyclopedia by McGill University.Check out thearrhythmia simulator bySkillStat with a play, pause and quiz mode.ECG Web Brain is a useful online and iPad/iPod reference (no longer free, $15 per year).Our ownA Systematic Approach to Electrocardiogram (ECG, EKG) Interpretation by Using 2 Mnemonics also be helpful along withEKGs with Dr. Koch: It ' s Not Only Educational It ' s Also Fun!Videos:ECG Video part 1: For Med Students studying the basics of readin...
Source: Clinical Cases and Images - September 1, 2014 Category: General Medicine Source Type: news
Pigtail Catheter Placement for Pneumothorax Evacuation
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - June 2, 2014 Category: Pediatrics Authors: Vachharajani, A., Moore, A. Tags: Video Corner Source Type: news
