What's New In Emergency Cardiology? May 2026

Increases sensitivity for identifying acute coronary occlusions. Efficiency in the Emergency Department - ACEP

Epinephrine remains foundational, but routine use of calcium and sodium bicarbonate is discouraged unless specific indications (like hyperkalemia) are present. 🫀 Acute Heart Failure & Arrhythmias What's New in Emergency Cardiology?

Modern guidelines emphasize considering beta-blockers (e.g., esmolol) or double sequential external defibrillation (DSED) for shock-resistant rhythms. Continued debate between "rate vs

Continued debate between "rate vs. rhythm" control in the ED, with a growing trend toward early cardioversion for stable, recent-onset patients to reduce admissions. 🏥 New Technologies & Clinical Support ⚡ Cardiac Arrest & Resuscitation Early aggressive use

Bedside cardiac ultrasound is essential for differentiating undifferentiated shock and identifying regional wall motion abnormalities. ⚡ Cardiac Arrest & Resuscitation

Early aggressive use of nitroglycerin (often high-dose) for "SCAPE" (Sympathetic Crashing Acute Pulmonary Edema) cases to avoid intubation.

Strategies to reduce "boarding" include streamlined protocols for admitting patients who clearly meet inpatient criteria early in their visit. Innovation Impact on Care hs-cTn Protocols