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Subclinical Atrial Fibrillation: A review of 11 studies Jul 23, 2024

You might ask; "Why's is subclinical Atrial fibrillation important?" We know that patients in atrial fibrillation(AF) have a 5 x risk of stroke...

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Papercut: Adrenaline vs Noradrenaline in Post Arrest Hypotension May 20, 2024

Up to one third of patients with out-of-hospital cardiac arrest(OHCA) have impaired myocardial contractility and vasodilatation. The mainstay of...

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GARFIELD-AF Risk Score for Mortality Stroke and Bleeding May 16, 2024

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

The...

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What Energy to Use when Cardioverting AF May 15, 2024

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

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Subclinical Atrial Fibrillation May 15, 2024

You might ask; "Why's is subclinical Atrial fibrillation important?" We know that patients in atrial fibrillation(AF) have a 5 x risk of stroke...

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The EPIC Trial: Pad placement for cardioverting AF May 15, 2024

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

The EPIC Trial(1) (Electrode...

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How do you cardiovert AF: Drugs or Electricity? May 15, 2024

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

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Papercut: The Timing of Cardioversion in AF May 15, 2024

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

What they did

This was a...

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A Meta-analysis of NOAH-AFNET 6 and ARTESiA Trials May 01, 2024

Patients with subclinical atrial fibrillation, detected by implantable devices, have an increased stroke risk, although not as great as that of...

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Papercut: Apixaban for Stroke prevention in Subclinical Atrial Fibrillation May 01, 2024

The first thing you might say is, "Why's should I care about subclinical Atrial Fibrillation, I work in Emergency Medicine?" Perhaps, this will...

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Cardiac Arrest complicating emergency airway management Apr 25, 2024

Emergency airway management and specifically intubation can be associated with significant adverse events, related to the airway itself (failed...

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Management of Cardiogenic Shock in Elderly Patients Apr 16, 2024

Mortality in elderly patients with cariogenic shock is high... in some studies, greater than 75%. This review is of an AHA Scientific Statement...

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Timing of Vasopressin initiation in septic shock Apr 14, 2024

Vasopressin is often used as a second line agent to Noradrenaline in septic shock. The usual approach to sepsis is commencement of fluids and if a...

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Accuracy of Non-invasive blood pressure in critically ill patients Apr 14, 2024

Haber E.N et al. Accuracy of Noninvasive Blood Pressure Monitoring in Critically ill Adults. J Int Care Med. 2024, Jan 12 (Ahead of Print.)...

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