CREIGHTON/MARICOPA EMERGENCY MEDICINE RESIDENCY
  • Home
  • Program
    • Program Director's Message
    • Benefits
    • Clinical Sites >
      • Valleywise Health
      • Arizona Burn Center
      • Phoenix Children's Hospital
      • Banner University Medical Center – Phoenix
      • Toxicology - BUMCP
      • Mayo Clinic Arizona
      • Banner Cardon Children's Medical Center
    • Curriculum >
      • Curriculum
      • Electives
    • Diversity + Inclusion
    • Faculty >
      • Department Chair
      • Faculty Bios
      • Faculty Alumni
      • Program Coordinators
    • Residents >
      • Class of 2021
      • Class of 2022
      • Class of 2023
      • Alumni
    • Students >
      • Adult EM Rotation
      • Ultrasound Rotation
      • Applying to Rotate
      • Applying to the Program
      • Interviews
    • Research
    • Vision & Principles
    • Ultrasound >
      • Ultrasound Director
      • Ultrasound Fellowship
      • Education (internal link)
      • Admin (internal link)
    • Admin Fellowship

Bonus! Who needs the Cath Lab?

2/18/2017

0 Comments

 
Join in the conversation between Scott Weingart and Steve Smith as they discuss who should go to the cath lab on Dr. Scott Weingart's EMCRIT two part podcast or check out the pdf cheat sheet from Dr. Smith on which patients should go to the cath lab and when to engage you cardiologist for consult.
Picture
who-to-pci-by-smith-and-weingart.pdf
File Size: 2458 kb
File Type: pdf
Download File

cheatsheet-edited_pci_cards_consult.pdf
File Size: 151 kb
File Type: pdf
Download File

Picture
Download Dr. Smith's Subtle STEMI App from iTunes
0 Comments

Sgarbossa - isn't that a caribbean cardiologist cocktail?

7/20/2016

0 Comments

 
Dr. Smith urges us to know the Sgarbossa Criteria and advocate for our patients.  Start with his blog post here:

Remember:​
The original criteria used to diagnose MI in patients with LBBB are:
  • Concordant ST elevation > 1mm in leads with a positive QRS complex (score 5)
  • Concordant ST depression > 1 mm in V1-V3 (score 3)
  • Excessively discordant ST elevation > 5 mm in leads with a negative QRS complex (score 2).
A total score of  ≥ 3 has a specificity of 90% for MI.

Also check out the modified Sgarbossa Criteria from Dr. Smith's blog
  • ≥ 1 lead with ≥1 mm of concordant ST elevation
  • ≥ 1 lead of V1-V3 with ≥ 1 mm of concordant ST depression
  • ≥ 1 lead anywhere with ≥ 1 mm STE and proportionally excessive discordant STE, as defined by ≥ 25% of the depth of the preceding S-wave.

Also check out this great summary from LITFL.
Copa Cardiogram #53
0 Comments

Wellen's Warning

7/20/2016

0 Comments

 
Specific for proximal LAD occlusion.  Important not to miss as medical management typically not effective for proximal lesions, they need the cath lab.
  • Type I : Symmetric, deep T wave inversion
  • Type II: Biphasic T waves
Note: Pt may be pain free and troponins negative!

Check out LITFL with a list of criteria for Wellen's per Rhinehart et al
Copa Cardiogram #52
0 Comments

De Winter's T Wave

5/27/2016

0 Comments

 
Review of DeWinter's Waves from LITFL.  Also check out Amal Mattu's video.
BLUF: This is a STEMI equivalent that can represent acute occlusion of the LAD that needs to be treated immediately.

Pattern:
  • ​Seen in precordial leadsd
    • ST segment depression > 1mm with upsloping
    • Tall, symmetric T waves
  • May see subtle ST segment elevation in aVR
  • Can precede or be followed by classic STEMI pattern
Copa Cardiogram #45
0 Comments
    Picture

    Author

    Our thanks to Dr. Tim Davie for assembling the Copa Cardiogram each week.  Please follow this link to get to spreadsheet of all Copa Cardiograms.

    Categories

    All
    Aberrant Conduction
    Axis
    Heart Blocks
    Practice Sessions
    PR Interval
    QRS Complex
    QT Interval
    Rate
    Rhythm
    Special
    STEMI
    STEMI Equivalent
    Tachycardias
    Toxic
    T Wave


    RSS Feed

    Our favorite ECG Resources

    Picture

    Dr. Smith's ECG Blog
    Instructive ECGs in Emergency Medicine 

    Picture
©2020
Department of Emergency Medicine
Maricopa Medical Center
Phoenix, AZ 85008
602-344-5808 - tel
602-344-5907 - fax
copapride@gmail.com
Picture
  • Home
  • Program
    • Program Director's Message
    • Benefits
    • Clinical Sites >
      • Valleywise Health
      • Arizona Burn Center
      • Phoenix Children's Hospital
      • Banner University Medical Center – Phoenix
      • Toxicology - BUMCP
      • Mayo Clinic Arizona
      • Banner Cardon Children's Medical Center
    • Curriculum >
      • Curriculum
      • Electives
    • Diversity + Inclusion
    • Faculty >
      • Department Chair
      • Faculty Bios
      • Faculty Alumni
      • Program Coordinators
    • Residents >
      • Class of 2021
      • Class of 2022
      • Class of 2023
      • Alumni
    • Students >
      • Adult EM Rotation
      • Ultrasound Rotation
      • Applying to Rotate
      • Applying to the Program
      • Interviews
    • Research
    • Vision & Principles
    • Ultrasound >
      • Ultrasound Director
      • Ultrasound Fellowship
      • Education (internal link)
      • Admin (internal link)
    • Admin Fellowship