I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource section.
I’ll try and transfer them here for your enlightenment.
From a talk on valve emergencies by Stuart Swadron. (free at alllaconference.com)
- post mitral valve leaflet more at risk in minor MIs as it has only a supply from RCA whereas ant leaflet has dual supply from LAD and circumflex
- occlusion of both the LAD and circumflex will probably kill the patient and so there’ll be no patient left to diagnose this in!
- aortic stenosis and CHF is possibly a surgical emergency (often with an angio first to see if they need a CABG while they’re there)
- in any dissection look for AR
- remember haemolysis in mechanical valves
- if jaundice anemia and pink urine think faulty mechanical valve
Stuart Swadron is an absolute favorite of mine along with Amal Mattu, Scott Weingart and alike. Swadron is a sea of knowledge yet clear and concise so that listening to him is a joy. He has some fantastic lectures on USC essentials and EM:Rap, highly recommended if you haven’t had some already!
Your tasty morsels idea is awesome, keep it rolling!
i’m yet to shell out the money for an EMRAP subscription so maybe one day!
Andy Neill http://EmergencyMedicineIreland.com
Ask your clinic to buy them, I had mine buy USC essentials for the whole lot (it’s quite cheap for residents actually, about $90/year if I remember correctly) and EM:Rap… it’s simply the modern state of art module every EP must have, my colleges in US are head over heels over it and some say it’s part of their educational program. Should be easy to persuade your clinic chefs. Good luck!