AFTB lecture notes - Acute Pulmonary Oedema (APO)
DIAGNOSIS
Acute heart failure syndrome (AHFS) spectrum can be divided for therapeutic management into:
Dyspnoea + /- congestion with elevated systolic blood pressure (SBP) >140 mmHg, usually with abrupt onset APO (most frequent type)
Dyspnoea + /- congestion with normal SBP 100-140 mmHg, usually with [...]
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AFTB lecture notes - Aortic Dissection
EPIDEMIOLOGY
Incidence: 3 cases per 100 000 people per year; up to 25% missed diagnosis ante-mortem. ‘Typical’ case 60-80 years old M>F. Overall in-hospital mortality 27%.
Risk factors:
Inherited disease (especially younger patients < 40 yrs) -Â Marfan’s syndrome (fibrillin gene mutations), Ehlers-Danlos syndrome type IV (collagen defects), Turner syndrome, annulo- [...]
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AFTB lecture notes - Venous Thromboembolism
AETIOLOGY: Venous Thromboembolism
Acute provoking risk factors: hospitalisation, surgery, trauma or fracture of lower limbs or pelvis, immobilisation incl plaster cast, long haul travel, recent oestrogen therapy in last 2 weeks, IV device such as cannula.
Chronic predisposing factors: Inherited: Protein C, S, antithrombin III [...]
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RISK STRATIFICATION OF PATIENTS WITH SUSPECTED AMI
Less than 30% patients currently admitted to CCU have final diagnosis AMI. Conversely 2-5% AMI patients are inadvertently sent home, accounting for 25% of all emergency care malpractice dollars awarded in litigation.
Twenty-five percent AMI patients have atypical symptoms and signs, 50% an initial non-diagnostic ECG. EDs +/- chest pain [...]
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EMERGENCY DEPARTMENT / EARLY MANAGEMENT STEMI or NSTEACS
Targeted clinical examination and 12-lead ECG within 10 minutes.
Oxygen, aspirin 75-325 mg orally (odds reduction in vascular events of 46%), nitrates S/L or IV (unless SBPÂ < 90 mmHg, bradycardia < 50), and adequate parenteral analgesia for everyone.
Reperfusion strategy, for ST elevation or LBBB on ECG presenting within [...]
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CARDIOPULMONARY RESUSCITATION (CPR)
LATEST GUIDELINES
International Liaison Committee on Resuscitation (ILCOR). 2005 International Consensus Conference on Cardiopulmonary Resuscitation and Emergency Cardiac Care Science with Treatment Recommendations. Resuscitation 2005; 67: 157-342. [Reference]
European Resuscitation Council Guidelines for Resuscitation 2005. Adult, paediatric and neonatal resuscitation, and much more (see later). Resuscitation 2005; 67 (Suppl 1):S1-S190. [
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Posted in ECG, EKG, cardiology, emergency medicine on Oct 13th, 2008
In addition to the lecture notes and evidence based medicine review by Anthony F T Brown, I will be reviewing electrocardiograms (ECG) (EKG) and some basic radiology. Just trying to get the hang of the image size and resolution to host in the first instance. Any feedback on size appreciated - the image collection runs [...]
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The iPhone Heart Monitor - great stuff. This application uses your iPhones in-built microphone to detect, calculate and store your heart rate. The iPhone microphone (especially the one built into your headphones) can record your pulse from your chest, wrist or neck. Watching the video, it looks like it will be a perfect application for [...]
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Posted in cardiology, education, elearning, health on Sep 25th, 2008
The impact of audio, visual and kinaesthetic learning modalities within a contextual setting is an effective educational ploy. Have been using this great video from ‘Med 2010 - U of A records’ to demonstrate these education techniques to medical students and residents with great effect….
Would love to see more good examples of education and entertainment [...]
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