Category Archives: Cardiology and Pulmonology

Are Orthostatic Vital Signs Helpful in the ED?

There is some confusion, disagreement, and misunderstanding surrounding orthostatic vitals in the ED. Older patients have a high rate of incidentally-found positive orthostatic vital signs, typically because of heart-rate changes. So emergency physicians may be reluctant to request orthostatics. However, … Continue reading

Posted in Cardiology and Pulmonology, Medications and Adverse Drug Events, Neurology and Psychiatry, Trauma | 1 Comment

The Atypical is Typical for ACS in Older Adults

Chest pain is one of the most common reasons why people present to the ED. The chief complaint of “Chest Pain” typically triggers an automatic EKG, and potentially a workup for acute coronary syndrome (ACS). However, many patients who are … Continue reading

Posted in Cardiology and Pulmonology | 2 Comments

Pulmonary Emboli in Older Adults

Not a day goes by that an Emergency Physician doesn’t at least consider PE in a patient who presents with chest pain, dyspnea, or syncope. We have become familiar with using risk stratification tools like the Wells Score and the … Continue reading

Posted in Cardiology and Pulmonology | 2 Comments