Dr. Rolston-Cregler presents today’s Morning Report!
The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
The following two tabs change content below.
Jay Khadpe MD
Editor in Chief of "The Original Kings of County"
Assistant Professor of Emergency Medicine
Assistant Residency Director
SUNY Downstate / Kings County Hospital
Latest posts by Jay Khadpe MD (see all)
- Morning Report: 7/30/2015 - July 30, 2015
- Morning Report: 7/28/2015 - July 28, 2015
- IN THE STRETCHER INSTEAD OF BESIDE IT - July 22, 2015
- Morning Report: 7/14/2015 - July 14, 2015
- Morning Report: 7/10/2015 - July 10, 2015
1) When worried about a patient, strongly consider repeating the ECG (much quicker and more useful in terms of changing acute management than sending repeat trop). (I personally have had a few cases similar to the one above, only discovered upon repeating the ECG.)
2) Finding Wellens criteria in an ECG in the right clinical context should compel one to activate their interventional cardiology service in the interest of providing urgent PCI.
A paper discussing some other non-traditional indications for cath lab activation:
Appropriate Cardiac Cath Lab activation: Optimizing
electrocardiogram interpretation and clinical decisionmaking
for acute ST-elevation myocardial infarction.
doi:10.1016/j.ahj.2010.08.011
We reviewed that paper in morning report in 2013
http://blog.clinicalmonster.com/2013/08/morning-report-8162013/
The images don’t work anymore though.