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Milrinone as Compared with Dobutamine in the Treatment of Cardiogenic Shock

Milrinone as Compared with Dobutamine in the Treatment of Cardiogenic Shock

by Kate O'Connell, Hans Rosenberg | Dec 6, 2021 | Cardiology, Critical Care, Journal Club

Methodology: 3.5/5 Usefulness: 3.5/5 Mathew R, et al. N Engl J Med. 2021 Aug 5;385(6):516-525. Question and Methods: The authors performed a double-blinded RCT to determine if milrinone was superior to dobutamine for the treatment of cardiogenic shock in the ICU.  ...
Dynamic ECG Changes…

Dynamic ECG Changes…

by Shahbaz Syed | Nov 4, 2021 | Cardiology, Critical Care, Featured, Resuscitation

You’re working a night shift when you are handed the following ECG from triage in a 50 year old male, with no past medical history, presenting with chest pain:     What abnormalities do you notice? What is your approach?   Interpretation...
Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation

Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation

by Chirag Bhat, Hans Rosenberg | Nov 2, 2021 | cardiac arrest, Cardiology, Critical Care, Journal Club

Methodology: 4/5 Usefulness: 4/5 Desch S, et al. N Engl J Med. 2021 Aug 29. doi: 10.1056/NEJMoa2101909. Question and Methods: This multi-center, open label RCT of 558 patients with OHCA without ST elevation on their ECG compared 30-day all-cause mortality...
Mastering the myocardium: Cardiogenic Shock

Mastering the myocardium: Cardiogenic Shock

by Omar Anjum, Alex Coutin | Sep 2, 2021 | cardiac arrest, Cardiology, Critical Care, Featured, Grand Round Summaries

Cardiogenic shock (CS) is considered the most severe form of acute heart failure. It is an important and often under-recognized clinical entity in the emergency department (ED). The difficulty in diagnosis lies in its diverse presentations, overlap with other shock...
Computer Based ECG Interpretation: It’s Use in the ED

Computer Based ECG Interpretation: It’s Use in the ED

by Zach MacDonald, Josee Malette | May 6, 2021 | Cardiology, Grand Round Summaries

ECG interpretation is a core and fundamental skill of emergency medicine. Emergency physicians are expected to provide expert ECG interpretation quickly in a busy emergency department environment and initiate emergent and life-saving interventions base on those...
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