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Symptomatic Bradycardia: Considering the Differential Diagnosis

Northwestern EM Blog

The most common symptoms include: Lightheadedness Syncope Chest pain Exercise intolerance Fatigue **Important note: The heart rate at which patients experience symptoms may vary based on their ability to increase stroke volume. Operational definition of normal sinus heart rate. Bishop, R. L., & Rifkin, R. link] UpToDate.

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Diagnostics: Inflammatory Markers

Taming the SRU

This finding was not significantly different among operators with different levels of experience, or between adults and children. 2005 Nov;6(11):1045-56. 2005 Feb 15;53(1):33-8. PMID: 28778870; PMCID: PMC6071487. Gruys E, Toussaint MJ, Niewold TA, Koopmans SJ. Acute phase reaction and acute phase proteins. J Zhejiang Univ Sci B.

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. Under standard operating protocols, residual contrast materials are usually wasted, according to current CDC and JC standards.

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MI in Children

Pediatric Emergency Playbook

The previously well child now decompensated: undiagnosed thrombophilia Asymptomatic patent foramen ovale (PFO) is the cause of some cases of cryptogenic vascular disease, such as stroke and MI. Fontan Operation and the Single Ventricle. 2005; 237(1):75-82. However, the presence of PFO alone does not connote higher risk.

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The AcT Trial: Tenecteplase vs Alteplase for Acute Ischemic Stroke

RebelEM

Background : Alteplase, a class of medication that converts plasminogen to plasmin leading to fibrin degradation and subsequent clot lysis, has been the standard of care for acute ischemic stroke (AIS) patients that meet eligibility criteria. mg/kg non-inferior to alteplase in the treatment of acute ischemic stroke? vs Alteplase 34.8%

Stroke 135
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CT Angiography Head and Neck: Indications and Limitations

EMDocs

2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. Stroke Authors’ Recommendation: CTA head/neck should be acquired in patients with stroke symptoms presenting within 24 hours of symptom onset.

Stroke 87
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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Methods: We reviewed the medical records of older adults (age ≥60 years) who presented with syncope or near syncope to one of 3 emergency departments (EDs) between 2002 and 2005. to 1.45) for fatal or nonfatal stroke. g/dL —Hypotension (obviously!) to 1.51) for death from any cause, 1.27 (95 percent confidence interval, 0.99