15 results
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Management Algorithm ... Angina Stress Test ... evaluation or management ... #Algorithm #Cardiology ... #EBM #Trial
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Liver function tests ... (no B-lines on ultrasound ... #Checklist #CHF ... #HeartFailure #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... Obtain femoral arterial ... visualization with use of ultrasound ... DCSI #Initiative #Management ... #Cardiology
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
hospitalization for the management ... Spironolactone #HFpEF #dCHF ... #Cardiology #EBM ... VisualAbstract #Trial
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Decompensated HF ... serum creatinine, test ... AFib #diagnosis #management ... #cardiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Hyperflexion injury with axial ... fracture • ED Management ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Mallet #Finger #Radiology
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
• Mechanism: Axial ... motion • ED Management ... MH/CCF/CWRU ... EM Res @MetroHealth_EM ... Thumb #Metacarpal #Radiology
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
• Mechanism: Axial ... motion • ED Management ... MH/CCF/CWRU ... EM Res @MetroHealth_EM ... Thumb #Metacarpal #Radiology
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
as a result of arterial ... dislocation • ED Management ... x-rays MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
injury • Terrible triad ... fracture • ED Management ... recommendations MH/CCF ... /CWRU EM Res @MetroHealth_EM ... XRay #Diagnosis #Management