Pericarditis

Diffuse ST elevation, without reciprocal ST depression, mostly in inferior limb leads and lateral precordial leads. This is very typical for pericarditis.

Oxygen therapy for acutely ill medical patients: a clinical practice guideline

What you need to know It is a longstanding cultural norm to provide supplemental oxygen to sick patients regardless of their blood oxygen saturation A recent systematic review and meta-analysis has shown that too much supplemental oxygen increases mortality for medical patients in the hospital For patients receiving oxygen therapy, aim for peripheral capillary oxygen […]

The Heart Score

The risk of ACS in patients with negative biomarkers and normal ECGs approaches 0.2%. Prior risk scores, such as TIMI and GRACE, provide little, if any benefit, in risk stratification for ED chest pain patients. The HEART score and pathway can risk stratify patients into three separate categories: low (0-3), moderate (4-6), and high score (> 7). Low-risk patients on […]

NSAIDS increase risk of Heart Attacks

A cohort of 446 763 individuals including 61 460 with acute myocardial infarction was acquired. Taking any dose of NSAIDs for one week, one month or more than a month was associated with an increased risk of myocardial infarction. With use for one to seven days, the probability of increased myocardial infarction risk (posterior probability […]

The STEMI ECG Assessment

This ECG assessment is designed to evaluate your ability to use simply the 12-Lead ECG to make the diagnosis of a coronary artery occlusion. It uses a standardized list of 36 ECG’s from McCabe JM, et al. Physician Accuracy in Interpreting Potential ST-Segment Elevation Myocardial Infarction Electrocardiograms. J Am Heart Assoc. 2013;2:e000268.

The Silent Killer

Today, cardiovascular disease is the number-one cause of death in sub-Saharan Africa in adults over the age of 30.

STEMI Equivalents

Isolated Posterior Myocardial Infarction. Isolated ST-Depression in AVL Hyperacute T-waves (HATWs) De Winter Pattern ST Elevation (STE) in AVR Presumed New Left Bundle Branch Block

Emergency Medicine Kenya Foundation

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