A 29-year-old male professional athlete presented to the emergency department complaining of visual changes. He described intermittent loss of vision in the right half of his visual field affecting only the right eye. The onset of the symptoms was approximately five minutes after neck manipulation by his chiropractor. While sitting in the chiropractor’s waiting room […]

By Anthony J. Hackett, DO There are several complications that should be considered when pacemakers go bad: lead failure, pocket complications and device complications.  Early post placement complications: pneumothorax, hemothorax and venous thrombosis and air emboli Lead failure: -Dislodgement: More common in ICD (10%) than in pacers (5%) -Fracture: occurs where kinks in wire are […]

Anthony J. Hackett, DO Given the increasing use of pacemakers and AICD’s in medicine, it is not uncommon to encounter these devices in clinical practice. Familiarity with common errors is paramount especially given their approximately 6% per year chance of malfunction. This brief review serves to help make sense of the letters, numbers and symptoms […]

Posted is a very informative review article discussing the role of corticosteroids in cardiac arrest and the post arrest period.  The review is open access and is attached here.  It is an informative discussion of the physiology behind the corticosteroid depletion related to arrest as well as the role of corticosteroids as inotropes and pressor […]