Mini Journal Club: Heparin

Bouncebacks: Toxicology- Methadone14:33 min – with Craig Pratt, MD, Hannah Hays, MD, Mike Weinstock, MD, and Sean Nordt, MD
Oxygenation! How Much?13:12 min – with Peter Deblieux, MD and Stuart Swadron, MD
Bouncebacks: Toxicology- Bath Salts11:17 min – with Craig Pratt, MD, Hannah Hays, MD, Mike Weinstock, MD, and Sean Nordt, MD
Telemetry Monitoring - Is it needed?21:12 min – with Jack Perkins, MD
RANT: Afib Cardioversion7:52 min – with Al Sacchetti, MD
Bouncebacks: Toxicology- Acetominophen10:54 min – with Craig Pratt, MD, Hannah Hays, MD, Mike Weinstock, MD, and Sean Nordt, MD
Mini Journal Club: Heparin21:19 min – with David Newman, MD
Pediatric Pearls:C-Spine Clearance31:06 min – with Ilene Claudius, MD and Solomon Behar, MD
Bouncebacks: Toxicology- Mixed OD & Suicide11:03 min – with Craig Pratt, MD, Hannah Hays, MD, Mike Weinstock, MD, and Sean Nordt, MD
Cardiology Corner-ACS in Women15:22 min – with Amal Mattu, MD and Mel Herbert, MD, MBBS
End Bits0:53 min – with Mel Herbert, MD, MBBS
Bonus Section: A report from Chile9:53 min – with Mel Herbert, MD, MBBS and Stuart Swadron, MD
C3 Project: Headache57:38 min – with Mel Herbert, MD, MBBS and Stuart Swadron, MD
C3 Project: Rhabdomyolysis20:06 min – with Rob Rogers, MD and Stuart Swadron, MD

Lots of data, some old and some new exists for the use of Heparin in ACS.. David rifled through all of it for this mini journal club segment. Maybe not ALL of it, but a lot of it and he did it for you!

Contributor

David Newman, MD

Comments on Mini Journal Club: Heparin

Henry S. August 15, 2012 4:28 PM

I really did not understand much of what he was saying as multiple times he spoke of preventing MI in NSTEMI patients. These patients are already having an MI. Did he mean preventing a STEMI? Did he mean preventing further troponin rise? I am no more clear on what the literature shows, although now I Suppose I should go read it for myself.

mark g. August 16, 2012 9:14 AM

that's a good point. Also, there's a couple of other reasons why delaying MI or progression of MI may be beneficial that he kindof brushed over. 1) If it buys time to get to cath or even bypass for defnitive opening of the coronary vessels, this may be a good thing. So perhaps we should strongly consider heparin in those pt's who we estimate having a high chance of being cathed that admission. 2) (less patient oriented, more doctor oriented) If the pt progresses to MI in 24 hours, that is medical/legally the responsibility of the initial treating physician. If the patient progresses to MI in 30 days, that's out of our window. I know that is slightly cynical but this is the world we live in.

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