Emergency Medicine Cases EM Quick Hits 59 Traumatic Coronary Artery Dissection, Proper Use of Insulin, Mesenteric Ischemia, Exercise Associated Hyponatremia, AI for OMI
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Sep 10, 2024 Guest
Ian Chernoff
Guest
Anand Swaminathan
Guest
Brit Long
Guest
Hans Rosenberg
Guest
Dave Jerome
Guest
Jesse McLaren
Ian Chernoff delves into the tricky diagnosis of traumatic coronary artery dissection, shedding light on its elusive nature. Anand Swaminathan discusses optimal insulin use in emergency situations like DKA and hyperkalemia, while Brit Long and Hans Rosenberg reveal crucial pearls and pitfalls in mesenteric ischemia management. Dave Jerome tackles the recognition of exercise-associated hyponatremia and its management strategies. Finally, Jesse McLaren introduces the Queen of Hearts AI model to improve detection of occlusion myocardial infarction on ECG.
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Hockey Player's Chest Trauma
- A young woman playing hockey was hit in the chest with a hockey stick.
- Hours later, she developed chest pain, shortness of breath, and arm pain.
TCAD Importance
- Traumatic coronary artery dissection (TCAD) is rare but must be considered in blunt chest trauma.
- Cardiac injuries are relatively common (5-15%) in blunt chest trauma.
Chest Trauma Workup
- Perform ECG and troponin on patients with significant chest pain after trauma.
- Especially if there's no other clear explanation for their pain.