Getinge’s Post

🔎 Scan of the Week In this series, we share real cases where NG2 made the difference in monitoring and patient care. This week’s case comes from Royal Canadian Hospital, focusing on PFO detection after initial negative results. A 67-year-old patient presented with right face, arm, and leg hemisensory loss, mild weakness, and dysarthria, with no confusion or cortical features. Initial thought was a small vessel disease mechanism. Given her borderline age, a transthoracic echocardiogram (TTE) bubble study was performed on 9/7/23, which was negative for PFO. She was later assessed in the Neuro OP clinic using the NG2 Intelligent Ultrasound for a TCD bubble study. This revealed a right-to-left shunt: Grade 3 at rest and Grade 4 with Valsalva. The standard of care TTE had missed a large PFO. The patient has since been referred to cardiology for a TEE to confirm the PFO and determine next steps. This case highlights how NG2 can uncover significant shunts that may be overlooked by TTE, ensuring patients receive the right follow-up and intervention. #NeuraSignal #PFOClosure #stroke #brainhealth #criticalcare #medtech

Did you know that Southwest Healthcare Palmdale Regional Medical Center is a STEMI-certified facility? Certified STEMI facilities are fully equipped to deliver emergency coronary care with maximum speed and efficiency. The term "ST-Elevation Myocardial Infarction," the technical name for a heart attack, describes the EKG finding that confirms the presence of this emergency heart condition. In order to be certified as a STEMI Receiving Center, a cardiac catheterization laboratory must work toward the goal of providing treatment to a patient within 90 minutes after arrival. Read more: http://spklr.io/6040BydKO

Atypical Atrial Flutter Ablation Norfolk and Norwich University Hospitals NHS Foundation Trust 🫀 Case Summary: Previous PVI with roof, low posterior, and anterior mitral lines. Patient returned with atypical flutter: distal-to-proximal CS activation and long PPI-TCL from both. 🗺️ Mapping using Carto OCTARAY (Johnson & Johnson MedTech). Dual-loop tachycardia involving both left and right pulmonary veins via the carinas. Signals consistent with a septopulmonary bundle on the posterior wall. ⚡ Ablation Strategy: Performed with CardioFocus point-by-point PFA. Right pulmonary vein, then reinforcement of the roof and anterior lines. Continued tach so low posterior line reinforced from right to left. Termination of tachy (unexpectedly) to sinus at the lower LIPV. Continued to complete left carina isolation. Veins, PW and anterior line confirmed acutely blocked. 🌟 A great example of how advanced mapping and ablation technologies are helping us tackle complex arrhythmias. Daniel Raine Richard Till Alexandra Tucker Jessica Spencer Mathew Powell

Today on World CABG Day, we honor the importance of continuous learning in cardiovascular care. We’re proud to share clinical education resources for healthcare professionals covering #CABG. From disease mechanisms to post-op management. Learn more here: https://lnkd.in/eXS3ZMBF #Teleflex #Surgical #CoronaryBypass #HeartSurgery #HeartHealth

What once felt like a distant milestone in aortic disease treatment is now reality — innovation is moving faster than we ever imagined. And our patients are the real winners. But speed isn’t enough. The real challenge ahead is making repairs more durable and reducing the need for repeat interventions. With better materials and stronger collaboration between physicians and industry, we’re already getting there. Soon, most patients could receive ready-to-go treatment solutions immediately, with only a few needing custom options. That means faster care. Better outcomes. More lives changed. Watch the full story from Dr. Said Abisi (Consultant vascular and endovascular surgeon) and see how the future of aortic care is taking shape: https://lnkd.in/e2_fekUJ #MSSImpact #AorticInnovation #PatientCare #MedicalProgress

How many IV lines do we place in a single ED shift? 10? 20? I just went through a sobering case report published today by Drs. Nirajan Nepal and Paul Schunk. 👉 ( https://lnkd.in/dMEjsNyR ) It details a 39-year-old man who came in with simple gastroenteritis, received a "routine" peripheral IV for fluids, and ended up with an extensive deep vein thrombosis (DVT) that progressed to a life-threatening pulmonary embolism (PE). This case is a powerful gut-check. It reminds me that there is no risk-free procedure in medicine. It forces us to confront a habit we've all developed in our fast-paced environment: the IV. We often reach for an IV to give fluids or medications, telling ourselves it's faster. But is the 10-minute gain in onset for an antiemetic or analgesic (e.g., 20 minutes for IV vs. 30-40 minutes for PO) worth the small—but very real—risk of thrombophlebitis, cellulitis, DVT, and even PE? This isn't to say we should abandon IVs—they are absolutely life-saving tools. But this case is a critical reminder to pause and ask the right questions before every intervention and order: - Does this patient truly need it right now? - Is there any safer alternative, e.g., can they tolerate oral intake? - Is the oral alternative just as effective for their condition? - Are we choosing the IV route for the patient's genuine clinical benefit or for our own workflow and convenience? The principle of 'primum non nocere' (first, do no harm) applies to everything we do. This case proves that even our most "routine" actions carry weight and consequence. Let's recommit to choosing the least invasive, safest, and most effective path for our patients, every single time. Our practice can always be safer. Follow me AbdolGhader Pakniyat, and EM Mastery Academy for futhure in emergency medicine #EmergencyMedicine #PatientSafety #CriticalThinking #Medicine #Healthcare #VTE #MedicalEducation

🎧 CardiaCast brings together a powerhouse panel of critical care cardiologists—Drs. Shashank Sinha, Ann Gage, Anthony Carnicelli, and David Berg—for a deep dive into: ▪️ The latest findings from the Altshock-2 study ▪️ Highlights from the 2025 Acute Coronary Syndromes (ACS) Guidelines ▪️ Practical takeaways for clinicians working in high-acuity settings This episode is a valuable listen for professionals in cardiovascular medicine, emergency care, and beyond. 🎙️ Listen here: https://bit.ly/45rWsxh #CardiologyLeadership #ACSGuidelines #CriticalCareCardiology #CardioX #MedicalPodcast

🎧 CardiaCast brings together a powerhouse panel of critical care cardiologists—Drs. Shashank Sinha, Ann Gage, Anthony Carnicelli, and David Berg—for a deep dive into: ▪️ The latest findings from the Altshock-2 study ▪️ Highlights from the 2025 Acute Coronary Syndromes (ACS) Guidelines ▪️ Practical takeaways for clinicians working in high-acuity settings This episode is a valuable listen for professionals in cardiovascular medicine, emergency care, and beyond. 🎙️ Listen here: https://bit.ly/45rWsxh #CardiologyLeadership #ACSGuidelines #CriticalCareCardiology #CardioX #MedicalPodcast

🎧 CardiaCast brings together a powerhouse panel of critical care cardiologists—Drs. Shashank Sinha, Ann Gage, Anthony Carnicelli, and David Berg—for a deep dive into: ▪️ The latest findings from the Altshock-2 study ▪️ Highlights from the 2025 Acute Coronary Syndromes (ACS) Guidelines ▪️ Practical takeaways for clinicians working in high-acuity settings This episode is a valuable listen for professionals in cardiovascular medicine, emergency care, and beyond. 🎙️ Listen here: https://bit.ly/45rWsxh #CardiologyLeadership #ACSGuidelines #CriticalCareCardiology #CardioX #MedicalPodcast

🚨 When a patient walks into the ED with chest pain and shortness of breath, seconds matter. That’s what happened last week for B, an ED physician using AISAP. A man with ischemic cardiomyopathy, ischemic heart disease, and a pacemaker came in. What would you do? B quickly performed a POCAD exam with AISAP, that found: - Moderate RV dysfunction - Dilated right ventricle CT angiography confirmed it - a significant pulmonary embolism with pulmonary infarction and signs of elevated right-sided heart pressures. The impact? The patient was admitted to the cardiac ICU and underwent urgent clot removal. 💡 Even on imperfect images, AISAP helps clinicians get the clarity they need - fast - to save lives in the ED. 👉 ED physicians, come see us at #ACEP25, Booth #519, Salt Palace Convention Center, we're here until September 10th. Want to be the first to know and learn more about POCUS? Sign up for our monthly newsletter: https://lnkd.in/dnn3Bpci #AISAP #POCUS #EmergencyMedicine #ACEP25 #PulmonaryEmbolism #CriticalCare #AIinHealthcare #PatientCare