Cardiovascular Archives - Page 10 of 12 - The Emergency Medical Minute

Cardiovascular

Podcast #112:  Cardiac Arrest Survival Rate

Run Time:  2 minutes Author:  Dylan Luyten M.D. Educational Pearls: The Canadian Medical Association Journal published a study this year looking at the association between what floor people live on and cardiac arrest survival. In the US, 2% of patients with out-of-hospital cardiac arrest survive with a favorable neurologic outcome and 5% survive to discharge…

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Podcast #108: Pericarditis

Run Time: 4 minutes Author:  Gretchen Hinson M.D. Educational Pearls: The pericardium has a visceral and pericardial reflection, between which there is a potential space with between 15-50 mL of serous fluid lubricating that space allowing for friction-free movement of the heart. Inflammation of this space is called pericarditis. The most common cause of pericarditis…

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Check out our 100th Podcast!

Come on a journey through time and space…to learn about loads of fun cardiology topics including syncope, defibrillators, Sgarbossa, the REVERT trial, and much more!  “Podcast recording no longer available” 

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Podcast #102: Inotropes

Run Time: 3 minutes Author: Rachael Duncan, PharmD BCPS Educational Pearls:       Inotropes are used for cardiogenic shock patients, specifically when volume status is elevated and the cardiac output is low.       Dobutamine acts on beta-1 and beta-2 adrenergic receptors, increasing contractility and blood pressure. It also causes vasodilation – for patients with a systolic blood pressure…

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Podcast #100: The Deep Dive

Featuring: Dr. Dylan Luyten and Dr. Donald Stader – with special guest Rachel Duncan Part I:      Introduction to the Medical Minute Part II:     Top 10 Podcasts of the First 100 – Part 1 See Podcast #101! Part III:    Syncope Life in the Fast Lane Link for Brugada – lifeinthefastlane.com/ecg-library/brugada-syndrome/ Dr. Smith’s ECG…

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Podcast #99: HEART Score

Run Time: 3 minutes Author: Dr. Peter Bakes Educational Pearls: HEART score stands for: H – history, E – EKG changes, A – Age, R – risk factors, T – troponin elevation. Each of the categories is graded from 0-2. Total scores of 0-3 are low risk with approximately 2% risk of MACE at 6…

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Podcast #98: Amiodarone and Lidocaine in Out-of-Hospital Cardiac Arrest

Run Time: 4 minutes Author:  Dr. Jared Scott Educational Pearls: A recent study in the NEJM looked at the efficacy of lidocaine and amiodarone for use in out-of-hospital cardiac arrest. About 1/3 of the 3000 participants in the trial were randomized to a placebo, 1/3 to amiodarone, and 1/3 to lidocaine. The primary outcomes used were survival…

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Podcast #92: PE on Xarelto

Run Time: 3 minutes Author: Dr. Gregory Burcham Educational Pearls: Xarelto and Coumadin are not 100% protective of PE and the rate of recurring venous thromboembolism is about 2%. About 10% of recurrent PEs will be fatal, meaning 2 out of 1000 PEs will be fatal despite the patient being on an anticoagulant. References:  http://www.nejm.org/doi/full/10.1056/NEJMoa1009638…

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Podcast #90: D-Dimer

Run Time: 4 minutes Author: Dr. Jared Scott Educational Pearls: The D-Dimer test is not applicable to high-risk patient populations – due to false negatives – a patient with multiple risk factors should go straight to CT. The age-adjusted d-dimer – older people get false positives – above the age of 50 add .1 to…

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Podcast #80: Superior Vena Cava Syndrome

Run Time: 4 minutes Author: Dr. David Rosenberg Educational Pearls:    A patient presented with left arm swelling with a history of a right pneumonectomy due to lung cancer. The patient received a NIVA of the arm and was discharged upon normal interpretation of the exam. The patient returned the next day with worsened arm…

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