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EKG to Activation - A Quality, Quality Metric?
Time is myocardium, and minimizing door-to-activation time improves outcomes in patients with acute coronary occlusion. There are a number of existing quality metrics used to help drive improvements in the time-based care of STEMI patients. Could a new quality metric help the decision making time of Emergency Physicians?
Is a STEMI a STEMI in Post-ROSC Patients?
One of the first tests ordered for a patient with ROSC following cardiac arrest is an EKG. Many of these EKGs are profoundly abnormal. Current practice is to evaluate for STEMI and to activate the cardiac cath lab if one is found. But, the test characteristics (sensitivity and specificity) of post-ROSC EKGs are likely different than the test characteristics for patients presenting to the ED with complaints of chest pain/symptoms concerning for ACS. This meta-analysis looked to pull together the existing literature and determine those test characteristics for this critically ill patient population. Read the summary after the link and listen to the podcast to hear a breakdown of this study.
Grand Rounds Recap 5.5.21
This week’s Grand Rounds started off with a journal club on various aspects of emergent heart catheterization with Drs. Berger, Roblee and Thode. This was followed by some evidence by Dr. Sams on the evidence and feasibility of proning in the prehospital setting. Dr. Knight gave a case-based lesson in neuroimaging and finally Drs. Gleimer, Shaw and Hughes gave a sim on buproprion overdose and a guest lecturer on Human Trafficking.