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EM Nerd-The Case of the Erroneous Humour
Since the NEJM publication by Pope et al in 2000 found 2% of patients with myocardial infarctions were discharged home from the Emergency Department, we have been in search of a tool capable of identifying a cohort of patients who are truly safe for discharge1. Many have anointed the high-sensitivity troponin assay (hs-cTnI) to this […]
IBCC chapter & cast: Troponin elevation in non-cardiac critical illness
How should we evaluate for myocardial ischemia in a critically ill patient admitted for some other problem (e.g. pneumonia)? What does it mean if their troponin is elevated?
EMCrit – Idiopathic Ventricular Tachycardias for the EM Physician by H Pendell Meyers
Not your classic VT
PulmCrit- Sepsis Research Rant: More fake news, less real news
The following rant focuses on sepsis research, but these principles are universal. I apologize for the agitated nature of this post, but I just can’t hold it in any longer. If I read one more correlational study which tries to imply causation, I might just explode. In order to prevent burnout, I’m going to journal these thoughts instead. So, hang on to your hats, because things are going to get a bit heated.
