Join Drs. Lauren Rosenfeld and Dr. Arman Hussain cut through the confusion surrounding high sensitivity troponin (hs-Tn) in the Emergency Department. They break down what this cardiac injury marker actually measures, why the new assays allow for faster ACS screening (often in 1–2 hours) at the cost of more "false positives," and the practical application of 0/1h and 0/2h algorithms. They also dive into key pitfalls, including why cutoffs vary between hospitals, how to approach special populations like those with CKD.
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This production is done in partnership with Urgent Matters. Since 2002 Urgent matters has served as a premier dissemination vehicle for strategies on emergency department patient flow and quality.If you want to work with us to produce an episode or have any suggestions please reach out at gwemblog@gmail.com or aloganathan@mfa.gwu.edu.And finally to stay up to date on this podcast and our related efforts subscribe to our newsletter at https://urgentmatters.smhs.gwu.edu/.
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Mel's back at it from the past with then intern Hashem covering the common anticoagulants we encounter in the ED and reversal agents, along with a failed attempt by Arman to talk about leeches. If you have any questions/comments/requests/feedback, please email gwemblog@gmail.com.
Hosts: Drs. Melanie Schroeder, Hashem Hraky, Arman Hussain
Content: Melanie Schroeder
Production: Arman Hussain *** This podcast is not endorsed by or sponsored by the George Washington University School of Medicine and Health Sciences, George Washington University Hospital or any other affiliate. All opinions expressed are those of the individuals and not of their employer or affiliated training institutions. The information provided here is for educational purposes only and is not intended to provide any medical advice.
Captain Blackwell takes us through everything you ever wanted to know about Wolff-Parkinson-White syndrome and LGL (I'm not even going to try since it might not even be real). If you have any questions/comments/requests/feedback, please email gwemblog@gmail.com. Show Notes/Resources/References:
Stat pearls chapter on WPW - https://www.ncbi.nlm.nih.gov/books/NBK554437/
Life in the Fast Lane on LGL -
https://litfl.com/lown-ganong-levine-syndrome/
Hosts: Drs. Taylor Blackwell and Arman Hussain
Content: Taylor Blackwell
Production: Arman Hussain *** This podcast is not endorsed by or sponsored by the George Washington University School of Medicine and Health Sciences, George Washington University Hospital or any other affiliate. All opinions expressed are those of the individuals and not of their employer or affiliated training institutions. The information provided here is for educational purposes only and is not intended to provide any medical advice.
Resident Report Dr. Lauren Rosenfeld walks us (Dr. Hashem Hraky and Dr. Arman Hussain) through a late night talk show host's harrowing case of ring avulsion and how to manage it in the ED. If you have any questions/comments/requests/feedback, please email gwemblog@gmail.com. Show Notes/Resources/References: Bamba R, Malhotra G, Bueno RA Jr, Thayer WP, Shack RB. Ring Avulsion Injuries: A Systematic Review. Hand (N Y). 2018 Jan;13(1):15-22. doi: 10.1177/1558944717692094. Epub 2017 Feb 16. PMID: 28720047; PMCID: PMC5755869. Urbaniak JR, Evans JP, Bright DS. Microvascular management of ring avulsion injuries. J Hand Surg Am. 1981 Jan;6(1):25-30. doi: 10.1016/s0363-5023(81)80006-8. PMID: 7204914.
Cleveland Clinic on Ring Avulsion - https://my.clevelandclinic.org/health/diseases/22368-ring-avulsion Jimmy Fallon on Ring Avulsion clip - https://www.youtube.com/watch?v=CztT_pBFQv8&ab_channel=TheTonightShowStarringJimmyFallon
Hosts: Drs. Lauren Rosenfeld, Hashem Hraky, and Arman Hussain
Content: Lauren Rosenfeld
Production: Arman Hussain *** This podcast is not endorsed by or sponsored by the George Washington University School of Medicine and Health Sciences, George Washington University Hospital or any other affiliate. All opinions expressed are those of the individuals and not of their employer or affiliated training institutions. The information provided here is for educational purposes only and is not intended to provide any medical advice.
Resident Report We're moving to more BITE sized episodes! Check out this conversation covering US snake bites with our future tox fellow Dr. Katherine Markin. If you have any questions/comments/requests/feedback, please email gwemblog@gmail.com. Show Notes/Resources/References: ALiEM Snake Bites - https://www.aliem.com/envenomations-snakebites/https://www.aliem.com/envenomations-snakebites/
Journal of Emergency, Trauma, and Shock: Snake Bites - Pearls form the Literature - https://pmc.ncbi.nlm.nih.gov/articles/PMC2700615/
Hosts: Drs. Melanie Schroeder, Katherine Markin, Arman Hussain
Content: Katherine Markin
Production: Melanie Schoeder *** This podcast is not endorsed by or sponsored by the George Washington University School of Medicine and Health Sciences, George Washington University Hospital or any other affiliate. All opinions expressed are those of the individuals and not of their employer or affiliated training institutions. The information provided here is for educational purposes only and is not intended to provide any medical advice.
Chapters:
GW Resident Report It's sweater weather (brr) - we're back this month with a lighter episode of Resident Report podcast! In this episode cover risk stratification of angioedema patients, get back to reading EKGs with a deep dive on AV blocks, talk about how to do a needle drainage of peritonsillar abscess, and lastly Arman suggests something you can do to help learn a little bit about your patients who are unfortunately passing away in the ED. If you have any questions/comments/requests, please email gwemblog@gmail.com.
Show Notes/Resources/References:
*** This podcast is not endorsed by or sponsored by the George Washington University School of Medicine and Health Sciences, George Washington University Hospital or any other affiliate. All opinions expressed are those of the individuals and not of their employer or affiliated training institutions. The information provided here is for educational purposes only and is not intended to provide any medical advice.
Chapters:
GW Resident Report It's spooky season! That means it's the October episode of the Resident Report podcast! In this episode we give an overview on how to read an EKG, finish out our Lyme and tick series, cover spider bites, mushrooms, and the death exam, and lastly cover subtle anterior STEMIs that may get mistaken as benign early repolarization. If you have any questions/comments/requests, please email gwemblog@gmail.com.
Show Notes/Resources/References:
*** This podcast is not endorsed by or sponsored by the George Washington University School of Medicine and Health Sciences, George Washington University Hospital or any other affiliate. All opinions expressed are those of the individuals and not of their employer or affiliated training institutions. The information provided here is for educational purposes only and is not intended to provide any medical advice.
Chapters:
GW Resident Report It's the September episode of the Resident Report podcast! In this episode we quickly cover a hypertension and headache case, cover the rise of the (macrolide) resistance in Strep pneumo in pneumonia, get down into the nitty gritty of hyperthermia, talk about Lyme disease in a two parter (second part comes next month), and end with how to do an incision and drainage. If you have any questions/comments/requests, please email gwemblog@gmail.com.
Show Notes/Resources/References:
*** This podcast is not endorsed by or sponsored by the George Washington University School of Medicine and Health Sciences, George Washington University Hospital or any other affiliate. All opinions expressed are those of the individuals and not of their employer or affiliated training institutions. The information provided here is for educational purposes only and is not intended to provide any medical advice.
Chapters:
GW Resident Report It's the first episode of the Resident Report podcast! In this episode we cover an interesting derm case, we welcome the interns, talk the basics and the 'more than the basics' of pelvic exams in the ED, talk tick borne diseases that aren't Lyme disease, and end with some guidance on a little known method of anesthetizing the finger. If you have any questions/comments/requests, please email gwemblog@gmail.com.
Show Notes/Resources/References:
*** This podcast is not endorsed by or sponsored by the George Washington University School of Medicine and Health Sciences, George Washington University Hospital or any other affiliate. All opinions expressed are those of the individuals and not of their employer or affiliated training institutions. The information provided here is for educational purposes only and is not intended to provide any medical advice.