If
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ACEP Now: Vol 41 – No 07 – July 2022you have a story idea or drafted article, e-mail the word document file to Editor Danielle Galian-Coologeorgen, MPS, and Medical Editor in Chief Cedric Dark, MD, MPH, FACEP. We’ll review your submission and update you on next steps.
To submit a story pitch, please send a 250 word summary along with bullet points of the following:
Why our readers would value the story.
How the story would influence the provision of emergency medicine.
What you hope the reader would learn from your article.
Potential outside experts or sources for the story.
The usual length of standard articles (departments, columns, one- to two-page articles) is about 800 words. The usual length of feature articles (two or more pages) is about 1,200 words. A reference list is also required to support researched material and the practice of evidence based medicine.
Preference will be given to new voices.
Submit a Case Report
To be considered for publication, send your case presentation to Medical Editor in Chief Cedric Dark, MD, MPH, FACEP, with the following:
200-word introduction of the patient’s presentation, followed by,
600 word description of the diagnosis and management of the case including up to three bulleted teaching points,
10 reference maximum.
Rare, but not unusual, cases with clinical importance to emergency medicine will be considered. Those with clinical images preferred.
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ACEP Now welcomes letters to the editor from our readers. Letters should be 250 words or less, may be edited for length and style, and are published online and/or in print at the editorial team’s discretion. Submit your letter including your name, title, organization, and contact information to Editor Danielle Galian-Coologeorgen, MPS.
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One Response to “Have an Idea? Submit Your Story Pitch to ACEP Now”
January 15, 2023
Stephen W. SmithI read with interest the nice article by Lauren Westafer: “The Guidelines Finally Catch Up. New STEMI activation criteria on.” As one of the founders of the new Occlusion MI – Non-Occlusion MI (OMI/NOMI) paradigm to replace the STEMI – Non-STEMI paradigm, I am delighted that the ACC/AHA is de-emphasizing ST Elevation in the diagnosis of occlusion. There are so many features of the ECG that are important. Among them, Dr. Westafer discusses posterior OMI; however, she propagates old dogma: that posterior OMI has a horizontal ST segment, a large R-wave, and an upright T-wave. We have proven all of this false in this paper:
Ischemic ST-Segment Depression Maximal in V1–V4 (Versus V5–V6) of Any Amplitude
Is Specific for Occlusion Myocardial Infarction (Versus Nonocclusive Ischemia)
(full text: https://www.ahajournals.org/doi/pdf/10.1161/JAHA.121.022866).
We showed that acute posterior OMI may have a flat, upsloping, or downsloping ST segment, may have a small or large R-wave, may have inverted, biphasic, or upright T-waves. These features have no value in diagnosing posterior OMI. What does matter is whether the ST depression is maximal in V1-V4 vs. V5-6. The R-wave only enlarges AFTER there is myocardial damage. The T-wave is more likely to be upright if there is prolonged infarction or reperfusion. The ST segment is downsloping in cases with a negative or biphasic T-wave.
So ACEP Now Readers: do not let a normal R-wave, an up- or down-sloping ST segment, or a negative or biphasic T-wave prevent you from diagnosing a posterior OMI!