An 88 yo patient is brought into the emergency department with significant bradycardia. During the evening the patient has been at home and has becom...

The patient in asystole, has a very poor prognosis. But is it really asystole?

Is there any benefit in giving one shock to that patient?

Surely we n...

A 63 yo patient presents to the emergency department at 11pm at night in new atrial fibrillation with a ventricular rate of 167 bpm. There is no past ...

This is a great case that highlights how important it is, to know how to check if your ECG lead placement is correct. It also includes a rare case of ...

Dr Adam Micheal reviews the  2021 Update to the CHEST VTE Treatment Guideline. Stevens SM et al. Chest 2021

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The GARFIELD-AF tool allows a single calculation for mortality, stroke and bleeding and can assist in risk/benefit decision-making.

The GARFIELD-AF(G...

An 88 yo patient who is fully independent, is brought into ED by ambulance in Cardiogenic Shock. The only past history the patient has is hypertension...

In this podcast we go on the patient journey, of a 61 yo patient who presents at 11pm at night with an irregularly irregular pulse, at a rate of 167 b...

When I cardiovert AF, I use the highest energy possible energy in the first cardioversion attempt. I consider this to be a resistant arrhythmia and wa...

When cardioverting patients in new atrial fibrillation, we want our first attempt to be our best attempt. 

The EPIC Trial(1) (Electrode Position In...

Atrial Fibrillation is the most common arrhythmia we see. Conversion to sinus rhythm of recent-onset of atrial fibrillation is proven to be safe. Ho...

Here we review the RACE7 ACWAS (Rate Control vs Cardioversion Trial7-Acute Cardioversion versus Wait and See) Trial (1).

What they did

This wa...