by James Worrall | Mar 2, 2023 | Cardiology, Commentary, Featured
To HEART score, or not to HEART score – now that is a question. In the past five years it has become increasing common to hear Emergency Medicine providers and residents reference the HEART score when reviewing chest pain cases. This is especially true when they...
by Alex Viau, Hans Rosenberg, Venkatesh Thiruganasambandamoorthy | Feb 27, 2023 | Cardiology, Journal Club
Methodology: 3.5/5 Usefulness: 3.5/5 Anand A, et al. Circulation. 2021 Jun 8;143(23):2214-2224. Raising the Bar for Clinical Cardiac Troponin Research Studies and Implementation Science. Question and Methods: Does implementation of an early rule-out (ERO) strategy...
by Darren Wong | Feb 23, 2023 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation
I read around pacemakers SO often throughout my residency, but it was a topic that I found was often a struggle to absorb. So, here we’re going to tackle what the ED Physician should know about managing patients with pacemaker and ICDs: Pacemaker Basics...
by Chirag Bhat, Hans Rosenberg, Krishan Yadav | Feb 6, 2023 | Cardiology, Critical Care, Featured, Journal Club, Prehospital and Transport Medicine
Methodology: 4.5/5 Usefulness: 4.5/5 Cheskes S, et al. N Engl J Med. 2022 Nov 6. Question and Methods: A cluster-randomized open-label trial evaluating survival in adult patients with refractory ventricular fibrillation during OHCA treated by paramedics with standard...
by Hashim Kareemi, Hans Rosenberg, Jeff Perry | Dec 20, 2022 | Cardiology, Journal Club
Methodology Score: 4/5 Usefulness Score: 2/5 (Emergency) 4/5 (Internal medicine) Mullens W, et al. N Engl J Med. 2022 Sep 29;387(13):1185-1195. Editorial: New Decongestion Strategies in an Evolving Heart Failure Landscape. Question...
by Alie Wudwud, Hans Rosenberg, Jeff Perry | Dec 11, 2022 | cardiac arrest, Cardiology, Critical Care, Journal Club
Methodology: 4/5 Usefulness: 4/5 Kjaergaard J, et al. N Engl J Med. 2022 Oct 20;387(16):1456-1466. Question and Methods: This was a double-blind, randomized trial assessing whether a higher or lower arterial blood-pressure target would be superior in preventing death...
by Zacchary Fredette, Hans Rosenberg, Debra Eagles | Nov 28, 2022 | Cardiology, Journal Club, Ultrasound
Methodology: 3/5 Usefulness: 1.5/5 Wang L, et al. Ann Intern Med. 2022 Mar;175(3):344-351. Question and Methods: Using a convenience sample of 100 patients out of 4436 going for right heart catheterization in 2 US academic hospitals, the authors wanted to validate the...
by Max Zworth, Hans Rosenberg, Ian Stiell | Oct 10, 2022 | Cardiology, Full Article, Journal Club
Wong BM, et al. CJEM. 2021 Jul;23(4):500-511. Methodology: 4/5 Usefulness: 3.5/5 Question and Methods: Systematic review and meta-analysis of 20 studies to evaluate the effect or oral anticoagulation on thromboembolic events post cardioversion for acute atrial...
by Rebecca Seliga, Alex Coutin | Sep 29, 2022 | Cardiology, EDI, Endocrinology
Clinical case: You are working an urgent care shift and your next patient to see is Jessica, a 35 yo female with an upper extremity injury. The one-liner on the EMR reads: ‘Jesse’. When you go to speak with them, you see a young masculine-presenting patient who...
by Rebecca Seliga, Alex Coutin, Michael Kruse | Jun 29, 2022 | Cardiology, Featured, Grand Round Summaries, Thrombosis
You are working an urgent care shift and you access your ED electronic track-board to pick up the next patient waiting to be seen: You assign yourself to patient Smith, and notice a helpful comment from your triage nurse stating the patient’s name is Angela. You...