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Week 37: Vascular clots and heart valves

Welcome to the final block of Cardiology. This week will cover all things valvular and clot related in the ED. Special guests include Dr. Lieberman to talk about cardiogenic syncope and Dr. Griffiths to talk about pulmonary hypertension. Also we will have a wellness discussion on sleep and diet, followed by an admin lecture by Dr. Berk.

Good news- no quiz this week!

Mandatory Reading:

HARWOOD & NUSS
Chapter 87: Valvular Heart Disease
Chapter 95: Peripheral Arterial Disease
Chapter 96: Deep Venous Thrombosis and Thrombophlebitis

Wellness Readings:

Sleep:

Eastman CI, Stewart KT, Mahoney MP, et al. Dark goggles and bright light improve circadian rhythm adaptation to night-shift work. Sleep. 1994 Sep;17(6):535-43. PMID 7809567

Kuhn G. Circadian rhythm, shift work, and emergency medicine. Ann Emerg Med. 2001 Jan;37(1):88-98. PMID 11145778 Brewster J.

Nutrition:

Beginning Nutrition: The Facts About Protein, Carbs & Fat. Bodybuilding.com website. https://www.bodybuilding.com/content/beginning- nutrition-the-facts-about-protein-carbs-fat.html. January 1, 2016. Accessed August 6, 2017.

Nutrition. Biolayne website. https://www.biolayne.com/articles/nutrition/. Accessed August 6, 2017.

Physician Resources. Physicians Committee for Responsible Medicine website. http://www.pcrm.org/for_physicians. Accessed August 6, 2017.

Extra resources:

CORE EM – DVT Overview and Management
emDocs – DVT

FOAMCast – Anticoagulation!
EMRAP – Syncope and PE (PESIT study)
REBEL EM – review of anticoagulating first time acute leg DVTs

Extra Text Material

ROSENS

83. Infective Endocarditis and Valvular Heart Disease (CRACKCast)
87. Peripheral Arteriovascular Disease (CRACKCast)
88. Pulmonary Embolism and Deep Vein Thrombosis (CRACKCast)