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So, lots of big things were discussed today, but I’m going to focus on Dr. Judd Hollander’s talk, as it was crammed with insight on a very common problem – achieving disposition on the 8 million patients we seen annually with chest pain (this is national, not just Sinai). Of these 8 million, 3 million are sent home and so we admit 60-65% of chest pain, of which only 15% have real disease… Cardiologists hate us for this, but is there an alternative? What’s the evidence behind what we do?

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Hello everyone,

We had an enjoyable conference this week. Thank you to our resident speakers, Sheler and Shawn, and to our faculty presenters — Dr. Ginsburg, Dr. Strayer, Dr. Weingart and Dr. Andrus. Also thanks to the cardiology department for their participation in Sheler’s joint conference, and to Sohan, our graduating conference chief, who was on hand to lend his expertise with AV and other issues.

Below are some topics from conference that I wanted to touch upon — stuff that struck my fancy, really. Feel free to add your own in the comments section below.

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This month’s journal club presentation began with what I believe was a discussion of blood clots in Cro-Mags before touching upon late 19th century versions of CPR, the landmark closed-chest cardiac massage paper, and eventually, a comparison of ROSC (return of spontaneous circulation) in real patients vs. as seen on television. Chad then led the group in a discussion of a new meta-analysis by Xin Li et al appearing in a recent issue of Resuscitation (2006: Vol 70, pp31-36) on the topic of CPR with and without thrombolytics.

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Dinali did a stellar job this month at Journal Club; not only was her talk thought-provoking and clinically relevant, but I learned more about the history of of our world’s 8th most abundant element than I would have ever thought possible.

This month’s JC was primarily about Davey and Teubner’s AEM paper on using Magnesium sulfate as an adjunct to “usual care” for rate control in atrial fibrillation (AEM Vol 45, No 4, April ‘05, p347-353). We also touched upon some data from an all-Greek study in the Int’l Journal of Cardiology on Mg alone vs diltiazem alone in A-fib (Chilidakis, IJC 79 2001 p287-291).

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