Here’s 5 great links to expand your mind if you want to go deeper on any of the topics we covered in conference today…
I. PERICARDITIS
Amal Mattu spits about a lesser know sign of pericarditis, the SPODICK SIGN: https://youtu.be/rR5ZYRTjY4A
II. MYOCARDITIS/PERICARDITIS
If it looks like pericarditis, sounds like pericarditis, but makes troponins, then it’s probably myo(peri-)carditis. Listen to why EM luminaries check a troponin on all suspected cases of pericarditis on this month’s EMRAP: http://www.emrap.org/episode/july2015/cardiology (we all have free access to this through EMRA)
III. AORTIC DISSECTION
Dude comes in with a story that concerns you for aortic dissection. Order dat CTA but in the meantime plop a US probe on the chest and abdominal aorta if your so inclined: http://www.ultrasoundoftheweek.com/uotw-17/
Best part is, that the sicker the patient (that is the lower their BP) the better your TTE is going to be for diagnosis. Remember people with type A dissection mostly die from (1) pericardial tamponade (bedside US!), (2) aortic regurg (bedside US with Locurto!), (3) aortic rupture (usually an autopsy diagnosis), or (4) myocardial ischemia (classically an inferior MI but not always). However in no way does a negative bedside US rule out dissection.
IV. NSTEMI JOURNAL CLUB
David Newman talks about early invasive versus conservative management for NSTEMIs in a journal clubbie sort of way: http://www.emrap.org/episode/january2013/minijournalclub. I’ll give you a preview… he’s not a fan of the composite endpoints and is skeptical to the benefit of the early invasive strategy.
V. LOCALIZING ISCHEMIA IN EKGS
Don’t like all these newfangled podcasts, youtubes, and ultrasounds? Let’s bring it back to 2003 when Peter J. Zimetbaum knocked it out of the park with his NEJM article on localizing disease in MI: http://www.nejm.org/doi/pdf/10.1056/NEJMra022700
You should be able to access this article through the library website on healthport.
Enjoy and discuss!
