Don’t make a lethal, critical mistake!
You need to ask anyone who presents to your Emergency Department with chest symptoms, whether it is chest pain, pressure, shortness of breath, indigestion or cough, “Who is your PAPPA?” I mean, look at them, and point to them and say, “Who’s your PAPPA?” PAPPA is a mnemonic for the high-risk, can’t-miss cause of chest pain, and is a must to assist you with finding the proper chest pain diagnosis. When I say, “can’t miss,” I mean that if you miss it and they go home, they could die.
If we play the odds, we are obligated to focus our attention toward the acute coronary syndrome. But, there are other causes of chest pain that are equally as lethal and more elusive.
You do not want to come to work and have someone say to you, “Hey, remember that patient you saw the other day?” because these conversations never end positively. You’re not about to hear that the patient sent you a thank you note. It’s more likely that the patient was admitted to another hospital with something bad, or came back to your hospital with something bad, or died!
The first two letters in PAAPA have to do with the heart. The next two have to do with the lungs. And the last “A” is an aneurysm. Here’s the code:
- P is Pericarditis
- A is as Acute coronary syndrome (or acute myocardial infarction,)
- P is Pneumothorax
- P is Pulmonary embolism
- A is Aneurysm
There are two main attack strategies to assess acute chest pain. One is a systematic evaluation, and the other is the emergency assessment by the assessment of cardiac enzymes, the EKG/ECG. That means you have to be a master at 12 lead EKG/EKG interpretation. What are the 6 causes of ST segment elevation? I cannot stress this enough.
Chest pain is a risky business. You need a system to apply 100% of the time in any patient that presents with chest symptoms. It has to be reproducible and easy to apply. Ask, “Who’s Your PAPPA?” This works. I swear by it. Then, you have to be strong at evaluating the 12 lead EKG/ECG. 25 percent of missed acute myocardial infarctions are directly due to the misinterpretation of the EKG/ECG. Sharpen your EKG/ECG skills at the Skin, Bones, Hearts & Private Parts® CME conference.
This DVD gives you a reproducible and simple approach to the patient with chest pain. We will discuss the 5 major causes of chest pain, and the diagnostic criteria. You will be saying, "Who's Your PAPPA."
We will cover a system to evaluate the EKG and explore:
- The 6 causes of ST segment elevation
- The 4 causes of T wave depression
- The 4 causes of T wave inversion
- The 6 causes of a wide QRS complex
With mnemonics and case studies to remember the information.
If you evaluate 12 lead EKGs, this will be one of the best educational DVDs you have ever watched.
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