ED, Heart Attack and OR - Paramedicine Now

ACEP Clinical Policy on Outpatient Mgmt. of Adults with Asymptomatic Elevated Blood Pressure

ACEP Now

JUNE 25, 2025

On January 22, 2025, the ACEP Board of Directors approved a clinical policy developed by the ACEP Clinical Policies Committee on the outpatient management of adult patients presenting to the emergency department (ED) with asymptomatic elevated blood pressure.

Heart Attack

Heart Attack ED Emergency Department OR

Opioid Overdose Categorization

Peter Canning

JUNE 25, 2025

There is the possibility that someone may use opioids and die of something unrelated to the opioid use such as a heart attack or stroke and be called a fata overdose. Fatal Overdose, includes dead on scene and those pronounced dead in the ED. A person “on the nod” who is resuscitated with stimulation is counted as an overdose.

Overdose

Overdose Naloxone Heart Attack BLS

CT Emergency Rooms Backed up as Delays Threaten Patient Care. ‘It’s Getting Worse.’

JEMS

JUNE 23, 2025

The metric is defined by state law as the percentage of patients “who were admitted after presenting to the ED but were transferred to an available bed located in a physical location other than the ED more than four hours after an admitting order for the patient was completed.” of them being admitted for additional care.

Mobile Integrated Health

Mobile Integrated Health Emergency Department Ambulance Community Paramedicine

ACEP4U: UAB Achieves First-Ever Emergency Department Accreditation from ACEP

ACEP Now

APRIL 14, 2025

Although its probably not planned and a bad day in somebodys life, we want people to choose to come to UAB like they would choose to go to their favorite restaurant, said Laine McDonald, MD, UAB ED Medical Director and Clinical Associate Professor. An upcoming expansion will add 30 beds to the UAB ED.

Emergency Department

Emergency Department Heart Attack ED OR

Prioritizing Men’s Health

Southwest Health

JUNE 10, 2025

. #1 Mental Health: 1 in 10 men report they experience daily depression or anxiety. Unfortunately, societal pressures often have a negative impact on men’s mental health and discourage help-seeking, as only half of these men will seek treatment in their lifetime. There are mental health providers at Southwest Health that are here to help.

Heart Attack

Heart Attack OR ED

New Study Provides a Global Pulse Check on Emergency Medicine

ACEP Now

JUNE 4, 2025

Which countries truly excel in the care of the very conditions that bring patients crashing through our ED doorsthe sinister march of sepsis, the brutal aftermath of trauma, or the sudden devastation of strokes and heart attacks? These are the metrics that truly matter, the ones that reflect the real-world impact of our systems.

Heart Attack

Heart Attack Emergency Department ALS OR

SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?

The Skeptics' Guide to EM

NOVEMBER 25, 2023

She is the cofounder of FOAMcast and a […] The post SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area? Background: We have covered the issue of heart attacks several times on the SGEM. These include looking at the HEART score, troponin testing and cardiovascular disease in women.

Heart Attack

Heart Attack STEMI Emergency Medical Services Coronary

SGEM#370: Listen to your Heart (Score)…MACE Incidence in Non-Low Risk Patients with known Coronary Artery Disease

The Skeptics' Guide to EM

JULY 2, 2022

Case: You are working a shift in your local community emergency department (ED) when a 47-year-old male presents with chest pain. His father had a minor heart attack at the age of 63. With a negative initial troponin, this gives him a HEART score of 4. He is also the CME editor for Academic Emergency Medicine.

Coronary

Coronary Heart Attack ACS CAD

Young ACEP Member Is Passionate About Breaking Down Barriers to Care

ACEP Now

MARCH 14, 2024

His family had insurance for just two years when his father had a heart attack and needed open heart surgery. For example, he knows follow-up care is critical for many ED patients, but it can be challenging to find transportation to in-person care. Inspired, he carried that problem-solver energy into medical school.

Heart Attack

Heart Attack Emergency Department ED OR

A man in his 70s with chest pain

Dr. Smith's ECG Blog

NOVEMBER 23, 2022

He stated it was similar to prior heart attacks. About an hour later, he was then found on the floor in cardiac arrest in the ED. The history in today's case — was that of a man in his 70s who presented to the ED for 2 hours of chest pain , that was still present on arrival in the ED.

Coronary

Coronary Heart Attack ED CPR

Traumatizing Patients with Trauma Activations

ACEP Now

OCTOBER 9, 2023

The concept of rapid assessment for heart attacks and strokes is not foreign to the general public, but these emergencies do not include rapid destruction of clothing, private examinations performed in front of audiences, or a quick succession of invasive procedures. Or even worse, against their verbal objection. Trauma is unique.

Heart Attack

Heart Attack Life Support Emergency Department Ambulance

Workplace Violence and Mental Health in Emergency Medicine

ACEP Now

JANUARY 13, 2024

Data from the National Institutes of Health suggests that up to three percent of ED visits result in a weapon being confiscated, and there has been an increase of 20 percent of firearm deaths since 2019. This allows professionals to develop a sense of passion for, and fulfillment from, their chosen field. We must be flexible.

Emergency Department

Emergency Department Heart Attack ALS OR

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

OCTOBER 10, 2022

He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. The value of Stat Echo in the ED for confirming clinical and ECG suspicion of acute PE cannot be overstated!

ACS

ACS CAD CPR Heart Attack

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

JANUARY 9, 2023

No similar symptoms in the past. No prior exertional complaints of chest pain, dizziness, lightheadedness, or undue shortness of breath. No family history of sudden cardiac death, cardiomyopathy, premature CAD, or other cardiac issues. He denied headache or neck pain associated with exertion. No further troponins were measured. Covid PCR negative.

Coronary

Coronary STEMI Heart Attack CAD

The Art of the Oral Presentation: An Intern’s Guide

EMDocs

SEPTEMBER 16, 2024

Author: Joshua Lowe, MD (EM Attending Physician, San Antonio, TX) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Manpreet Singh, MD (@MPrizzleER); Brit Long, MD (@long_brit) The fluorescent lights above cast a clinical pallor over the bustling ED. Stay Calm Under Pressure: The ED can be chaotic, and emotions can run high.

Heart Attack

Heart Attack ED OR Emergency Department

Pay now (in the evening) or pay later with interest (in the middle of the night).

Dr. Smith's ECG Blog

MARCH 1, 2025

A 50 something male presented in the evening to ED for evaluation of chest pain that started at 1600. He reports this was similar to how he felt when he had his heart attack 4 years prior, now s/p 4 stents. MY Thoughts on What Should Have Been Done Sooner: It took 16 minutes after arrival in the ED to record the 1st ECG.

OR

OR Heart Attack STEMI Coronary

Paramedicine Now

ACEP Clinical Policy on Outpatient Mgmt. of Adults with Asymptomatic Elevated Blood Pressure

Opioid Overdose Categorization

Trending Sources

CT Emergency Rooms Backed up as Delays Threaten Patient Care. ‘It’s Getting Worse.’

ACEP4U: UAB Achieves First-Ever Emergency Department Accreditation from ACEP

Prioritizing Men’s Health

New Study Provides a Global Pulse Check on Emergency Medicine

SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?

SGEM#370: Listen to your Heart (Score)…MACE Incidence in Non-Low Risk Patients with known Coronary Artery Disease

Young ACEP Member Is Passionate About Breaking Down Barriers to Care

A man in his 70s with chest pain

Traumatizing Patients with Trauma Activations

Workplace Violence and Mental Health in Emergency Medicine

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

The Art of the Oral Presentation: An Intern’s Guide

Pay now (in the evening) or pay later with interest (in the middle of the night).

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