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Advances in criticalcare therapies for patients with cardiogenicshock (CS), including temporary mechanical circulatory support and multidisciplinary shock teams, have led to improved survival to hospital discharge, ranging from 60% to 70%. Circulation, Volume 151, Issue 3 , Page 257-271, January 21, 2025.
Baylor Scott & White The Heart Hospital-Plano in Texas cut times of cardiogenicshock diagnosis in half after implementing a quality improvement project that included nurse education and an electronic shock team alert, according to a study published Dec. 1 in CriticalCare Nurse.
A cardiovascular specialty hospital in north Texas decreased time to diagnosis for patients with cardiogenicshock by more than half, according to a study published in CriticalCare Nurse.
He was rushed by residents into our criticalcare room with a diagnosis of STEMI, and they handed me this ECG: There is sinus tachycardia with ST elevation in II, III, and aVF, as well as V4-V6. ACS and STEMI generally do not cause tachycardia unless there is cardiogenicshock. He had this ECG recorded. The HCO3 was 8.
Because of the tachcardia, I would expect her to be very poor left ventricular function and maybe Cardiogenicshock. Today’s patient developed the series of 4 tachyarrhythmias shown above in the criticalcare area of the ED. Instead, he complained of left chest "itchiness". Not all anterior LV aneurysm has a QS-wave.
Why is the patient in shock? He was in profound cardiogenicshock. The patient arrived at the Emergency Dept criticalcare area and had this ECG recorded: The sinus bradycardia persists. There is an obvious inferior STEMI, but what else? This STE is diagnostic of Right Ventricular STEMI (RV MI).
Colin is an emergency medicine resident beginning his criticalcare fellowship in the summer with a strong interest in the role of ECG in criticalcare and OMI. Tachycardia is unusual for OMI, unless the patient is in cardiogenicshock (or getting close). Written by Colin Jenkins. Edits by Willy Frick.
Admissions to CICUs with the highest tertile of CCRx utilization had a greater burden of comorbidities, had more diagnoses of ST–elevation myocardial infarction, cardiac arrest, or cardiogenicshock, and had higher Sequential Organ Failure Assessment scores. in low, intermediate, and high CCRx tertiles, respectively.
Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The Society (..)
Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori 1 Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion 2 Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The (..)
BackgroundTraumatic cardiac arrest (TCA) poses significant challenges in resuscitation, with extremely high mortality rates, making it a critical issue in emergency and criticalcare medicine.
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