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Dealing with the Wheezes
Asthma and COPD are 2 of the more common ailments responsible for patients presenting to an Emergency Department with complaints of shortness of breath. Last week, we met as a residency and, led by Dr. Lauren Titone, Dr. Walker Plash, and Dr. Rob Thompson, discussed some newer literature for the treatment of these often intertwined conditions. Take a listen to the podcast within to hear our thoughts and read the summary after the jump for the breakdown.
Anti-Arrhythmics - What Good Are They?
Last week we had our first Journal Club of the year and had an excellent discussion of the evidence surrounding the use of amiodarone, lidocaine, and procainamide for ventricular dysrhythmias. Take a listen to the podcast below and read up on the details of the papers below that!
Grand Rounds Recap 10/21
Morbidity and Mortality Conference with Dr. Curry
Acute Coronary Syndrome in Pregnancy
Epidemiology
- Incidence reported at about 6/100,000 deliveries
- Maternal mortality is between 5-9%
- 75% are STEMI
- 2/3rds are anterior wall MI (LAD or LM as the culprit vessel)
Risk Factors
Many of these are typical ACS risk factors but are less prevalent in the pregnant population
- Older age (>35 years old for pregnancy is considered older age....yikes)
- Hypertension
- Diabetes
- Obesity
- Smoking
- Dyslipidemia