MI and ACS

EM Basic

EM Basic LLC

Residency, Student, Medicine, Er, Em, Intern, Health & Fitness, Medical, Education, Emergency

4.6 • 665 Ratings

🗓️ 18 November 2011

⏱️ 25 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

This is a topic podcast on myocardial infarction (MI) and Acute Coronary Syndrome (ACS). There is a lot more to managing ACS then just recgonizing who has tombstone ST elevations on their EKG and activating the cath lab. In this episode, we'll go through the entire ACS spectrum from unstable angina, NSTEMI, and STEMI and how to keep it all straight. There's also a bonus section on cardiac risk factors- how useful are they in diagnosing patients with ACS in the ED? The answer may surprise you.

Also- please take a few minutes to fill out the EM Basic podcast survey. This is an IRB approved research project that will look at the educational impact of EM Basic but I'm also looking for your feedback on the podcast as well. The survey is only 10 questions long and it will go a long way towards improving the podcast and generating some original research. I will publish the results of the survey right here on embasic.org in the next two weeks but please fill it out ASAP since I have an abstract deadline of December 15th

Transcript

Click on a timestamp to play from that location

0:00.0	This is Steve Carroll and you're listening to the EM Basic Podcast. Today we're going to do a topic
0:05.1	podcast on MI and acute coronary syndromes, also called ACS. This confused the heck out of me as an
0:11.2	intern and it took a while before I could wrap my head around it. Today we're going to focus on how to
0:15.5	differentiate the spectrum of acute coronary syndromes and what to do about them. If you need a
0:20.4	review on the basic workup of chest pain, go back to the chest pain podcast,
0:24.6	because today we're going to focus on ACS and not how to differentiate the various causes of chest pain.
0:29.8	Before we get started, I have one quick announcement.
0:32.2	I just received IRB approval for a research project on EM Basic and would really appreciate your help.
0:38.0	It's a short 10-question survey that will help me improve EM Basic.
0:42.0	In addition, I'll also be looking to present the results of the survey at a national conference.
0:47.2	So if you have a few minutes, I would really be grateful if you could fill one out.
0:50.8	Simply go to embasic.org and click on the link at the top of the page that says
0:54.7	podcast survey. Please leave your honest feedback and suggestions so I can make this podcast better.
1:00.2	Before we get started, as always, this podcast doesn't represent the user opinions of the
1:04.0	Department of Defense, the U.S. Army, or the Strawshack Emergency Medicine Residency.
1:08.3	So let's get started. The first thing that will help you understand
1:11.2	ACS is that it's a spectrum. Don't you just love it when people say that? Aren't there so many
1:16.2	things in medicine that are a spectrum? So what do we mean by that? It means that ACS represents a wide
1:21.4	variety of presentations and when you need to do something different for each part of that spectrum.
1:26.5	When it comes down to it, we are
1:27.8	really good at either end of the spectrum. We know with about 95% plus accuracy, who is low risk,
1:33.6	and who can be admitted to a chest pain unit for a ruleout, and we know what to do when someone
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from EM Basic LLC, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of EM Basic LLC and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.