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Amal mattu

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https://www.readbyqxmd.com/read/28870390/how-do-we-balance-the-long-term-health-of-a-patient-with-the-short-term-risk-to-the-physician
#1
Michael B Weinstock, Amal Mattu, Erik P Hess
BACKGROUND: There is a wide variation in practice patterns among emergency medicine physicians; many factors weigh into the medical decision-making process including the health of the patient as well as short-term risk to the physician. OBJECTIVE: The objective of our discussion is to illustrate specific scenarios where medical decisions are focused on the physician's short-term risk, then to propose an approach to shifting the balance to the patient's long-term health...
September 1, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28734703/the-differential-diagnosis-of-wide-qrs-complex-tachycardia
#2
William J Brady, Amal Mattu, Jeffrey Tabas, John D Ferguson
Wide complex tachycardia is defined as a cardiac rhythm with a rate greater than 100 beats/min (bpm) and a QRS complex duration greater than 0.10 to 0.12seconds (s) in the adult patient; wide complex tachycardia (WCT) in children is defined according to age-related metrics. The differential diagnosis of the WCT includes ventricular tachycardia and supraventricular tachycardia with aberrant intraventricular conduction, including both relatively benign and life-threatening dysrhythmias. This review focuses on the differential diagnosis of WCT with a discussion of strategies useful in making the appropriate diagnosis, when possible...
July 17, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28711133/observation-medicine
#3
EDITORIAL
Amal Mattu
No abstract text is available yet for this article.
August 2017: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/28611898/utility-of-the-history-and-physical-examination-in-the-detection-of-acute-coronary-syndromes-in-emergency-department-patients
#4
REVIEW
Zachary Dw Dezman, Amal Mattu, Richard Body
Chest pain accounts for approximately 6% of all emergency department (ED) visits and is the most common reason for emergency hospital admission. One of the most serious diagnoses emergency physicians must consider is acute coronary syndrome (ACS). This is both common and serious, as ischemic heart disease remains the single biggest cause of death in the western world. The history and physical examination are cornerstones of our diagnostic approach in this patient group. Their importance is emphasized in guidelines, but there is little evidence to support their supposed association...
June 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28611879/pitfalls-in-electrocardiographic-diagnosis-of-acute-coronary-syndrome-in-low-risk-chest-pain
#5
REVIEW
Semhar Z Tewelde, Amal Mattu, William J Brady
Less than half of patients with a chest pain history indicative of acute coronary syndrome have a diagnostic electrocardiogram (ECG) on initial presentation to the emergency department. The physician must dissect the ECG for elusive, but perilous, characteristics that are often missed by machine analysis. ST depression is interpreted and often suggestive of ischemia; however, when exclusive to leads V1-V3 with concomitant tall R waves and upright T waves, a posterior infarction should first and foremost be suspected...
June 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28435499/the-fast-and-the-furious-low-risk-chest-pain-and-the-rapid-rule-out-protocol
#6
REVIEW
Maite Anna Huis In 't Veld, Louise Cullen, Simon A Mahler, Barbra E Backus, Zachary D W Dezman, Amal Mattu
Accelerated diagnostic pathways (ADP) have been designed to identify low-risk chest pain patients in the emergency department. This review article discusses the Asia-Pacific Evaluation of Chest Pain Trial (ASPECT) score, the Accelerated Diagnostic Protocol for Chest Pain Trial (ADAPT) score, the Emergency Department Assessment of Chest Pain Score (EDACS), the HEARTScore and the HEART pathway. These ADPs have been validated in various studies and aid the emergency provider with identifying the low-risk chest pain patient who is appropriate for discharge home, while at the same time highlighting those patients who would benefit from further in-patient work up...
April 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28411940/wilderness-and-environmental-medicine
#7
EDITORIAL
Amal Mattu
No abstract text is available yet for this article.
May 2017: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/28283339/prinzmetal-angina-coronary-vasospasm-associated-with-5-fluorouracil-chemotherapy
#8
Maxim Ben-Yakov, Amal Mattu, William J Brady, Sarah B Dubbs
Several chemotherapeutic agents are known to be cardiotoxic. One of them, 5-fluorouracil (5-FU), has been associated with coronary ischemia and reversible vasospasm. In this report, we describe a 54-year-old man with rectal cancer who developed chest pain during 5-FU infusion. His initial electrocardiogram (ECG), obtained while he was experiencing chest pain, showed hyperacute T waves in the anterolateral leads. Those waves disappeared along with the chest pain after administration of sublingual nitroglycerine...
March 1, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27908341/severe-sepsis-care-in-the-emergency-department
#9
EDITORIAL
Amal Mattu
No abstract text is available yet for this article.
February 2017: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/27894624/female-with-palpitations-and-weakness
#10
William J Brady, Amal Mattu, Justin O Cook, Jeffrey Tabas
No abstract text is available yet for this article.
December 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27894623/female-with-chest-pain-and-nausea
#11
William J Brady, Amal Mattu, Jeffrey Tabas
No abstract text is available yet for this article.
December 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27741998/neurologic-emergencies
#12
EDITORIAL
Amal Mattu
No abstract text is available yet for this article.
November 2016: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/27475022/geriatric-emergency-medicine
#13
Amal Mattu
No abstract text is available yet for this article.
August 2016: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/27343639/young-male-with-weakness-and-dizziness
#14
William J Brady, Jeffrey Tabas, Amal Mattu
No abstract text is available yet for this article.
July 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27133254/-oh-my-aching-belly
#15
EDITORIAL
Amal Mattu
No abstract text is available yet for this article.
May 2016: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/27015919/young-male-with-altered-mental-status
#16
William J Brady, Amal Mattu, Jeffrey Tabas
No abstract text is available yet for this article.
April 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/26993075/ed-evaluation-and-management-of-implantable-cardiac-defibrillator-electrical-shocks
#17
REVIEW
Saher Iftikhar, Amal Mattu, William Brady
Patients with implantable cardiac defibrillators not infrequently present to the emergency department after experiencing an implantable cardiac defibrillator shock. This review considers the management of such patients in the emergency department, including appropriate, inappropriate, and phantom shocks as well as electrical storm.
June 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26742458/the-electrocardiogram-in-the-acs-patient-high-risk-electrocardiographic-presentations-lacking-anatomically-oriented-st-segment-elevation
#18
REVIEW
Mathew Macias, Jordan Peachey, Amal Mattu, William J Brady
ST-segment elevation myocardial infarction (STEMI) is defined as pathologic ST-segment elevation occurring in at least 2 anatomically contiguous leads in a patient with a clinical presentation consistent with acute myocardial infarction (AMI); these findings can suggest the need for urgent revascularization. Unfortunately, the electrocardiogram (ECG) may be nondiagnostic in a large portion of patients who initially present with AMI; furthermore, it is now recognized that ECG patterns that do not meet the traditional diagnostic criteria for STEMI may represent significant AMI--these patterns are generally referred to as the STEMI equivalent patterns in that they are caused by occlusion of an epicardial coronary artery, place significant portions of the left ventricle in jeopardy, and can result in a poor outcome if not recognized and treated appropriately...
March 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26614247/pulmonary-emergencies
#19
Amal Mattu
No abstract text is available yet for this article.
February 2016: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/26493531/behavioral-and-psychiatric-emergencies
#20
Amal Mattu
No abstract text is available yet for this article.
November 2015: Emergency Medicine Clinics of North America
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