Episode 15 Part 1: Acute Coronary Syndromes Risk Stratification

Episode 15 Part 1: Acute Coronary Syndromes Risk Stratification

In Part 1 of this Episode on Acute Coronary Syndromes Risk Stratification Dr. Eric Letovksy, Dr. Mark Mensour and Dr. Neil Fam discuss common pearls and pitfalls in assessing the patient who presents to the ED with chest pain. They review atypical presentations to look out for, what the literature says about the value of traditional and non-traditional cardiac risk factors, the diagnostic utility of recent cardiac testing, and which patients in the ED should have a cardiac work-up. Finally, in the ED work up of Acute Coronary Syndromes Risk Stratification, they highlight some valuable key points in ECG interpretation and how best to use and interpret cardiac biomarkers like troponin. Drs. Letovksy, Mensour & Fam address questions like: How useful are the traditional cardiac risk factors in predicting ACS in the ED? How does a negative recent treadmill stress test, nuclear stress test or angiogram effect the pre-test probability of ACS in the ED? What does recent evidence tell us about the assumption that patients presenting with chest pain and a presumed new LBBB will rule in for MI and require re-perfusion therapy? How can we diagnose MI in the patient with a ventricular pacemaker? What is the difference between Troponin I and Troponin T from a practical clinical perspective? Is one Troponin ever good enough to rule out MI in the patient with a normal ECG? Should we be using a 2hr delta troponin protocol? How will the new ultra-sensitive Troponins change our practice? and many more.....

Episoder(390)

EM Quick Hits 15 – COVID-19 Practical Tips, Pediatric COVID and Human Factors

EM Quick Hits 15 – COVID-19 Practical Tips, Pediatric COVID and Human Factors

Drs. Sara Gray, Emily Austin, Chris Keefer, Justin Morgenstern, Sarah Reid, Chris Hicks, Peter Brindley and Andrew Cameron share their experience with the COVID-19 pandemic and offer some practical ti...

2 Apr 20201h 4min

Ep 141 COVID-19 Part 5 Epidemiology and Prediction Models

Ep 141 COVID-19 Part 5 Epidemiology and Prediction Models

Ashleigh Tuite infectious diseases mathematical modeler discusses factors predicting spread of SARS CoV-2, prediction models and flattening the curve of COVID-19. Is the COVID-19 virus likely to mutat...

31 Mar 202034min

Ep 140 COVID-19 Part 4 – Protected Intubation

Ep 140 COVID-19 Part 4 – Protected Intubation

There are many complicated guides on airway management and protected intubation since the COVID-19 pandemic broke. This can be confusing in our rush to develop protocols and guides in our own EDs. In ...

28 Mar 202048min

Ep 139 COVID-19 Part 3 – PPE: What We Know, Conservation Strategies and Protected Code Blue

Ep 139 COVID-19 Part 3 – PPE: What We Know, Conservation Strategies and Protected Code Blue

The single most important thing we can do as ED providers in this COVID pandemic is to protect ourselves, our colleagues, our patients, our families and our friends against transmission of the virus; ...

26 Mar 202038min

EM Quick Hits 14 – COVID-19 Your Colleagues’ Experiences and Practical Tips

EM Quick Hits 14 – COVID-19 Your Colleagues’ Experiences and Practical Tips

In this special edition EM Quick Hits podcast, Drs. Eddy Lang, Salim Rezaie, Anand Swaminathan, Jonathan Sherbino and Reuben Strayer share their experience with the COVID-19 pandemic and offer some pr...

24 Mar 202035min

Ep 138 COVID-19 Part 2 – ED Surge Capacity Strategies in the COVID-19 Pandemic

Ep 138 COVID-19 Part 2 – ED Surge Capacity Strategies in the COVID-19 Pandemic

No matter where you practice emergency medicine there will be, or has been, capacity problems in the COVID-19 crisis. Even if we "flatten the COVID-19 curve" there will be a load on the systems that e...

23 Mar 202026min

Ep 137 COVID-19 Part 1 – Screening, Diagnosis and Management

Ep 137 COVID-19 Part 1 – Screening, Diagnosis and Management

In this early release first podcast in a series of main episodes on COVID-19, Infectious Diseases specialist at Mount Sinai Health Systems and University Health Network and Professor at the University...

21 Mar 202051min

BCE 81 Tension Hydrothorax

BCE 81 Tension Hydrothorax

Tension hydrothorax is a massive pleural effusion presenting with hemodynamic abnormalities secondary to mediastinal compression. Dr. Allan Shefrin tells his Best Case Ever of a child who presents in ...

10 Mar 202013min

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