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Cardiovascular disease remains one of the leading causes of death worldwide, accounting for approximately 32% of deaths globally.¹ Acute myocardial infarction (MI) accounts for more than 50,000 deaths annually in Canada.² As emergency physicians, we all recognize the surge of urgency when a “Code STEMI” is called overhead. But it may be time to reconsider […]
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Gaspari et al. Ann Emerg Med. 2025 Oct;86(4):328-336. doi: 10.1016/j.annemergmed.2025.04.014. Question: To identify the prevalence of non-shockable ECG rhythm but ventricular fibrillation (VF) by Echo in out-of-hospital cardiac arrest (OHCA). To determine the clinical relevance of occult VF and whether it affects survival to hospital discharge, ROSC, and termination of VF. M...
Acute valvular emergencies are uncommon, but when they present they can rapidly become life-threatening. Patients often arrive with undifferentiated respiratory failure, pulmonary edema, hypotension, or cardiogenic shock, and the initial diagnosis may not be obvious. Unfortunately, many of the reflexive interventions we rely on in emergency medicine, such as aggressive fluid ...