Vitals & Useful Links:

• Learn about management  and etiologies of a case of weakness and fatigue in an middle aged female


• EMCrit - Internet Book of Critical Care chapter on management of this patient's bradycardia

Jordan is back! EMJCCast's favorite PGY1 (almost 2!) is here to lay down some knowledge with Kyle (MS4) and Arman (MS4) in this case of weakness and fatigue in a middle aged female. How would you approach this case? As always, we learn some important management strategies for a specific etiology of weakness & fatigue. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com

*****EPISODE SPOILERS BELOW*****

Here is the ACLS Algorithm for management of bradycardia

Liu, L. A., RN. (2019, December 19). ACLS bradycardia Algorithm. Retrieved March 15, 2021, from https://www.acls.net/acls-bradycardia-algorithm.htm

Here is the AHA's article on management of symptomatic bradycardia

American Heart Association. (2005). Part 7.3: Management of symptomatic bradycardia and tachycardia. Circulation, 112(24 suppl).

EMCrit has a great brief chapter about bradycardia on the Internet Book of Critical Care here; Josh Farkas also covers why we should use epinephrine over atropine for initial management here

Here's an article on non-occlusive MI & vasospastic angina

Beijk, M. A., Vlastra, W. V., Delewi, R., van de Hoef, T. P., Boekholdt, S. M., Sjauw, K. D., & Piek, J. J. (2019). Myocardial infarction with non-obstructive coronary arteries: a focus on vasospastic angina. Netherlands Heart Journal, 27(5), 237-245.

And a great approach to bradycardia in the ED from our favorite EM Clerkship

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.