Acute Coronary Syndrome - Essential Concepts | The EM Boot Camp Course

[@rockycycle2682]

This was so informative and very well presented, Thank you!!

[@lisachesters4991]

Wellen’s ST changes is another high risk feature.

[@Dr.Aayushi]

I loved how this cleared my concepts so clearly and it is so clinically/practically useful!

[@ChrisBranleh]

Another consideration for morphine and ACS. In a situation where you have an NSTEMI, cardio is made aware and recc medical mgmt, morphine should be cautiously used (if not entirely omitted) because it can mask worsening chest pain (in the setting of utilizing nitro). Chest pain that is resistant to titration nitroglycerin infusion in the setting of an NSTEMI is an indication for emergent cath. Some won’t start morphine until cardio agrees to prep the cath lab for these types of patients

[@nilsoncorrea8474]

My God! Your diction is impressive. Thank you very much for the knowledge passed here. The technical level demonstrated here is excellent, with old paradigms and dilemmas on the way to a possible solution. The diagnostic model of AMI with Q and AMI without Q from the 1980s did not make sense at that time. In the next and current ST model for more than 20 years, they already indicated a loss of 15% of infarcts with occlusion, but statistics have shown that it reaches more than that, reaching up to 40% in some studies. This new model reminds us of that, but it still doesn't solve how to find all these so-called NON STEMI occlusions. I think what will get us out of this new/old dilemma will be a new biochemical marker, or lessening the rule for angiography in these cases.

[@briannduati08]

Amazing presentation 👏

[@alejandron301]

Wonderful talk

[@JordanWilliams-ix2td]

Im a medical coder & Ive always hated coding Cardiology, until now..everything is so much clearer for me now THIS IS EXACTLY WHAT I NEEDED! may this woman be blessed for eternity 😘

[@pharmaNutshell.]

Amazing head and shoulders presentation.

[@kanniahmutharasan3083]

Very nice presentation.

[@SN-iz3yb]

Great lecture!!

[@Rc-958]

I was hoping that can clarify something for me please. You correctly discuss the OMI manifesto as outlined by Dr Smith however then go on to discuss the outdated idea of STEMI criteria by mm. Many patients will not meet such mm criteria due to smaller sized QRS complexes, or when they do it will be minutes or likely hours down the track when myocardium has already been lost. My understanding is that the OMI manifesto is about early pattern recognition particularly hyper acute T waves and reciprocal ST depression to capture occluded coronary arteries early on in the process. Dr Smith’s blog has many examples of such ECG’s and the result of missing such early changes. Many thanks

[@wijedasabadraperera1953]

so clear thanks

[@kia4354]

Excellent 👋🏻

[@TheFunkshwae]

Fabulous thanks

[@azppmd]

Excellent speaker!

[@tomcruise9317]

Also can you tell difference between stable vs unsable angina

[@rockycycle2682]

stable: Symtoms with exertion, no ECG changes. Unstable: symptoms at rest, unpredictable. There may also be ECG changes.

[@ZantherStone]

Any guidance of applying oxygen for shock? (Example - inferior STEMI, bradycardic, hypotensive, cool/pale/diaphoretic) I keep hearing mixed things from different attendings

[@ZantherStone]

Curious why we have a range for ASA rather than one set dose. Is it 162 or 325? Why one over the other?

[@tomcruise9317]

Nitroglycerin a venodilator how dose it help in stable or unstable angina artery is constricted what is the use of dilating vein how come it increase the perfusion to infracted area

[@lisachesters4991]

It dilates arteries as well, relaxes the smooth muscles with vessel walls.

[@tomcruise9317]

@@lisachesters4991 thankyou okey could you tell the source bro

[@Gorillarevolta]

34:11 did you remember what it was?

[@jerban8879]

Probably wellens?

[@TheJMontoya83]

Or aslangers pattern

[@matt234111]

Wow she is gorgeous.

[@MaryStafford-z9f]

Cronin Harbor

[@CarrollHobart]

983 Horacio Branch

[@YoungNorman-y3m]

Hegmann Pine

[@ShariceDippolito-h9o]

Madie Point

[@IleenBaldenegro-k1m]

Lee Nancy Moore William Clark Gary

[@cedchar2049]

Clean coronarography = non cardiaque ? Wow.... takotsubo, pericardite, myocardite...