30. Brugada
•Likely common cause of SCD
•ICD only treatment
•presence of symptoms is important
•Quoted 10% mortality a year if untreated (though recent evidence
questions this...)
PMID 20100972
38. San Fran/CHESS
The rule performed with a sensitivity of 90% (44/49 outcomes; 95%
confidence interval [CI] 79% to 96%) and a specificity of 33% (95% CI 32% to
34%).
Rule performance to predict serious outcomes was sensitivity 74% (95% CI
61% to 84%), specificity 57% (95% CI 53% to 61%)
The rule was 98% sensitive (95% confidence interval [CI] 89% to 100%) and
56% specific (95% CI 52% to 60%) to predict these events.
39.
40. Falls in the elderly
Serious Benign
•Everything... •Nothing...
41. ACS
•Common
•Usually with an associated “anginal equivalent” (lethargy,
diaphoresis, shortness of breath)
•If isolated blackout with no symptoms prior or after then
unlikely (quoted <1% pick up rate for trops in syncope)
•Difficulty given baseline ECG changes and renal function
42. Found on the floor...
•Rhabdo
•Hypothermia
•Fractures