Enhancing Sgarbossa Criteria for STEMI

Enhancing Sgarbossa Criteria for STEMI

The original Sgarbossa criteria have a high specificity (96%) but low sensitivity (36%), meaning it is useful when positive, but a negative result does not rule out MI. The modified Sgarbossa criteria by Smith et al., have a much better sensitivity (91%) with a slight decrease in specificity (90%). You should apply the modified Sgarbossa criteria to evaluate for MI in LBBB and paced rhythms.

Shockingly Ineffective - Double Sequential Defibrillation for Refractory Vfib and Vtach

Shockingly Ineffective - Double Sequential Defibrillation for Refractory Vfib and Vtach

Prehospital double sequential defibrillation was not associated with improved survival for out-of-hospital cardiac arrest patients with refractory ventricular fibrillation or pulseless ventricular tachycardia.

New AHA Bradycardia Guidelines

New AHA Bradycardia Guidelines

The newest AHA guidelines address the evaluation and management of bradycardia and conduction disorders. This includes sinus node dysfunction, AV blocks, and bundle branch blocks.  Here’s what you need to know as an emergency physician.

Member Login
Welcome, (First Name)!

Forgot? Show
Log In
Enter Member Area
My Profile Sign up to get full access. Log Out