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Extra Coronary Vascular Involvement in Spontaneous Coronary Artery Dissection
When viewing cardiac MRI and peripheral angiography of patients with spontaneous coronary artery dissection, investigators observed peripheral arterial abnormalities, including fibromuscular dysplasia, in about one-quarter.
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Searching for the Best Echo Parameter to Predict Aortic Stenosis Outcomes
In a study of two large echocardiographic databases, the authors observed maximum aortic velocity exhibits a strong linear relationship, with the risk of mortality starting at velocities of 100 cm/s, whereas calculated aortic valve area was not related to mortality until the valve area was <1.5 cm2.
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Interatrial Shunt Device for Heart Failure Disappoints
Placement of an interatrial shunt device in patients with heart failure with preserved or mildly reduced ejection fraction did not lower the rate of heart failure events or improve health status.
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Managing Migraine in the Emergency Department
When a patient with a self-identified migraine presents to the emergency department, the emergency physician is tasked with sorting through the history to ensure that the diagnosis is correct, to reasonably exclude other causes of an acute headache, initiate treatment, assess the response, and make an appropriate disposition for the patient, with referral to primary care or specialists as needed. This article will focus on the acute treatment of migraines in the emergency department.
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HCW Injuries, Illness Off the Charts in 2020
Healthcare workers in the United State experienced a more than twofold increase in injury and illness rates in 2020, the first year of the SARS-CoV-2 pandemic, according to the U.S. Bureau of Labor Statistics. -
Vaccine Expert: SARS-CoV-2 Is Becoming Endemic
Make of it what you will in an unpredictable pandemic, but one of the nation’s leading vaccine and immunology experts sees COVID-19 fading to a somewhat undefined endemic level and then returning as a seasonal virus next winter. -
Racism and Nursing: ‘We Need to Examine Our Hearts and Motives’
A researcher recently wrote an introduction and overview for a nursing journal’s special issue on racism and nursing. She recalled an incident about a decade ago when a peer reviewer objected to an article she authored because it used the word “racism.” She discusses this and more in a Q&A. -
Violence Against HCWs Increased During Pandemic
In one of the few studies of its kind, researchers at the Mayo Clinic reported violent incidents against healthcare workers have more than doubled during the COVID-19 pandemic. -
It Is Not the Canary — It Is the Coal Mine
Too often, healthcare workers facing a panoply of mental maladies — burnout, trauma, moral injury — are expected to muster up resilience enough to overcome what is essentially a systems problem. The answer is to fix the coal mine, not build stronger canaries, an expert says. -
Time-to-Disposition Delays Are Possible if Patient Is Seen Early
Recent study findings reflect the different types of work occurring during an ED shift. At the beginning of a shift, providers prioritize seeing new patients and initiating workups. At the end of a shift, providers transition to following up on lab or imaging results, and making decisions on whether to admit or discharge.