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These data should force us to look at factors other than the traditional variables we have used to assess risks among patients with a history of ventricular arrhythmias.
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Mild, perivalvular regurgitation cannot be used as a diagnostic criteria for prosthetic valve endocarditis.
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Reflex tachycardia, during a Valsalva maneuver, is a sign of normal LV filling.
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At this time, BNP seems to be a useful initial test that should not be repeated during short hospital stays.
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Mitral Doppler E/Ea correlates better with PCWP than BNP and is more specific for predicting PCWP > 15 mm Hg.
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The basic conclusion is that we should give the patient just what he or she needs and the devices we implant should be designed to fit the patient.
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Its a tool that is a common sight in most EDs, but is often used incorrectly: The Broselow Emergency Tape. The tape is part of a system that assigns children to color zones based on a single length or weight measurement, which enables access to appropriate pre-calculated medication dosing and formulations and pre-determined equipment sizes necessary in the ED.
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The Bethesda, MD-based National Foundation of Infectious Diseases recommends that EDs implement an aggressive year-round infection control program. To reduce exposure to flu in your ED, use the following effective strategies.
