Ken Grauer, MD

FEBRUARY 3, 2024

I i llustrate the ECG finding of T-QRS-D below in Figure-3 , which I've excerpted from My Comment i n the November 14, 2019 post in Dr. Smith's ECG Blog. The November 14, 2019 post in Dr. Smith’s ECG Blog ( Please scroll down to the BOTTOM of the page for My Comment and illustration of the phenomenon of T-QRS-D = T erminal QRS D istortion ).

EKG/ECG 378

EKG/ECG Resuscitation Hospitals Wellness 378

Pediatric EM Morsels

APRIL 5, 2024

Silva-Ramos 2021) Majority of cases arise from travel to South Africa. (Frean 2019) The classic triad described is fever, eschar and rash. Ricardi 2019) Tick-Borne Encephalitis has a biphasic pattern of symptoms. Ricardi 2019) Initial symptoms are nonspecific and include fever, malaise, headache, nausea, vomting and myalgias.

CDC 161

CDC Infectious Diseases Pediatrics Wellness 161

JournalFeed

NOVEMBER 14, 2020

We cover the importance of starting low tidal volume ventilation in the ED, fluid overload and ICU mortality, flying during COVID-19, the top critical care articles of 2019, and the accuracy (or lack thereof) of physician ECG interpretation. It’s the JournalFeed Podcast for the week of Nov 9-13, 2020.

EKG/ECG 52

EKG/ECG 52

Ken Grauer, MD

DECEMBER 1, 2023

For my clarifying Figure illustrating T-QRS-D ( 2nd bullet ) — See My Comment at the bottom of the page in Dr. Smith’s November 14, 2019 post. = The February 16, 2019 post in Dr. Smith's ECG Blog — My Comment ( at the bottom of the page ) emphasizes utility of the M irror T est for diagnosis of acute Posterior MI.

EKG/ECG 355

EKG/ECG EMS Wellness 355

First 10 EM

MAY 27, 2024

Connolly 2019) At that point, I concluded that andexanet alfa should clearly not be used (although our pharmacies didn’t listen and wasted a lot […] The post Andexanet alfa: expensive and harmful?

EMS 107

EMS 107

Pediatric EM Morsels

JULY 7, 2023

Horan, 2006 ] Anatomy of the PTF Joint [ Cunningham, 2019 ] The PTF joint is a synovial joint between the lateral condyle of the tibia and the head of the fibula. Cunningham, 2019 ] Treatment [ Horan, 2006 ] 1st option for Subluxation and Anterolateral Dislocation is Manual Reduction ( similar to reducing that Nursemaid’s Elbow ).

Dislocations 141

Dislocations Fractures Pediatrics EMS 141

Pediatric EM Morsels

JUNE 30, 2023

Fetal Congenital Cystic Adenomatoid Malformation (CCAM): Pathogenesis, Diagnosis, and Clinical Management: A Case Report. Clinical and Experimental Obstetrics & Gynecology. Dec 46 (6) 999–1002, [link]. Leblanc C, Baron M, Desselas, E, Phan, MH, Rybak A, Thouvenin G, Lauby C, Irtan S.

Ultrasounds 204

Ultrasounds Pediatrics Operations EMS 204

Emergency Live

MARCH 26, 2024

In 2019, according to the International Diabetes Federation, approximately 59.3 Prevention: a major challenge for health Diabetes affects many people in Europe. million adults were diagnosed with diabetes. An even larger number of people are at risk of developing it.

95

95

Ken Grauer, MD

DECEMBER 8, 2023

The January 9, 2019 post in Dr. Smith's ECG Blog ( Please scroll down to the bottom of the page to see My Comment ). ECG Blog #194 — Reviews how to tell IF the “culprit” ( ie, acutely occluded ) artery has reperfused using clinical and ECG data. ECG Blog #115 — Shows an example of how drastically the ECG may change in as little as 8 minutes.

EKG/ECG 335

EKG/ECG Hospitals 335

Pediatric EM Morsels

OCTOBER 27, 2023

2019 Jan;22(1):147-156. x exp[0.02 x length or height (cm)] There is a great review article that lists many other weight estimation formulae. Accuracy of the Broselow Tape in South Sudan, “The Hungriest Place on Earth” Acad Emerg Med. 2016;23(1):21-28. doi:10.1111/acem.12854 Public Health Nutr. doi: 10.1017/S1368980018002549.

Pediatrics 238

Pediatrics Resuscitation Documentation/Coding Wellness 238

Ken Grauer, MD

JUNE 14, 2024

I i llustrate the ECG finding of T-QRS-D below in Figure-3 , which I've excerpted from My Comment in the November 14, 2019 post in Dr. Smith's ECG Blog. Figure-3: Comparison between ST elevation in lead V3 due to a repolarization variant ( TOP — from 4/27/2019 ) — vs acute OMI ( BOTTOM — from 9/20/2015 ), which manifests T-QRS-D ( See text ).

EKG/ECG 327

EKG/ECG Wellness Hospitals 327

Pediatric EM Morsels

JUNE 21, 2024

Chaganti 2019] Other studies have not shown a difference in infection rates between silver-containing creams and antimicrobial ointments.

Burns 169

Burns Pediatrics Hospitals Wellness 169

Emergency Medicine Journal

JULY 22, 2024

Methods This was a retrospective data linkage study on consecutive adult EMS patients discharged at scene by paramedics in Victoria, Australia, between 1 January 2015 and 30 June 2019.

Outcomes 93

Outcomes EMS Hospitals Research 93

EMergucate

DECEMBER 3, 2019

You are shown and ECG on a 54 years of age male patient you have yet to review with decreased exercise tolerance with intermittent dizziness. Describe and discuss the abnormalities.

EKG/ECG 52

EKG/ECG EMS 52

EMergucate

NOVEMBER 5, 2019

Following ECG was obtained from a 24 years of age man complaining of a week history of intermittent chest pain. He is clinically well and his haemodynamics are all within normal limits. Describe t…

EKG/ECG 52

EKG/ECG Wellness 52

EMergucate

OCTOBER 29, 2019

You are reviewing the ECG of an 82 year old man who has had an episode of syncope after a herald of spinning and dizzyness. He has had similar symptoms for the last 4 days, particularly when gettin…

EKG/ECG 52

EKG/ECG EMS 52

EMergucate

OCTOBER 15, 2019

The following is an ECG of an 88 years of age man complaining of a lack of energy for the past 3 days. The nurse has mentioned that his initial observation are within normal limits with a blood pre…

EKG/ECG 52

EKG/ECG 52

Pediatric EM Morsels

OCTOBER 6, 2023

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective. Lancet Infect Dis.

Pediatrics 161

Pediatrics CDC Seizures Infectious Diseases 161

EMergucate

OCTOBER 8, 2019

You are seeing a 52 year old man who has had an MI 14 years ago secondary to a spontaneous RCA dissection. He presented late (with Q waves seen on ECG) and so was treated medically. 8 years later h…

EKG/ECG 52

EKG/ECG EMS 52

EMergucate

SEPTEMBER 24, 2019

The following ECG is shown to you at 0130 hours of a monday morning on a 49 years of man struggling with severe crushing central chest heaviness for 6 hours. He is unwell and clammy with stable hem…

EKG/ECG 52

EKG/ECG EMS 52

ER Nurses

MAY 6, 2019

High five a nurse. Give a hug to a nurse you love. Buy some flowers, or some beer.

52

52

EMergucate

AUGUST 27, 2019

58 years of age lady presented with being generally unwell for 2 days. She has had a renal transplant and at clinical examination was noted to be tachycardic , normotensive and febrile at 38.3

EKG/ECG 52

EKG/ECG EMS 52

EMergucate

AUGUST 13, 2019

61 years of age lady presented with an acute shortness of breath whilst walking her dog. She denied any chest pain nor any pre-syncope. She looked well from the end of the bed and at clinical exami…

EKG/ECG 52

EKG/ECG Wellness EMS 52

EMergucate

JULY 23, 2019

Following is an ECG of a 52 years of age man with a 3 day hx of intermittent chest discomfort. He is currently asymptomatic with a BP 150/95 mmHg. Describe the ECG abnormalities and what would you …

EKG/ECG 52

EKG/ECG EMS 52

EMergucate

JULY 2, 2019

You are asked to review an ECG of a 24 years of age man complaining of a two day history of a mild intermittent non cardiac sounding chest pain. En route you the noted on his CXR showed cardiomegal…

EKG/ECG 52

EKG/ECG EMS 52

EMergucate

APRIL 8, 2020

Following is an ECG of a 25 years old man with a four day history of left sided chest pain and its 0400 hours in the morning. He’s in a mild discomfort but looks well from the end of the bed and hi…

EKG/ECG 52

EKG/ECG Wellness 52

EMergucate

JUNE 25, 2019

Following is an ECG of a 63 years of age man complaining of a 45 minute duration of a chest discomfort. You find him in mild discomfort and apart for being mildly hypertensive all his other observa…

EKG/ECG 52

EKG/ECG EMS 52

Sensible Medicine

OCTOBER 18, 2023

2019 Nov 19;140(21):1706-1716. Epub 2019 Oct 21. Weissler-Snir A, Allan K, Cunningham K, Connelly KA, Lee DS, Spears DA, Rakowski H, Dorian P. Hypertrophic Cardiomyopathy-Related Sudden Cardiac Death in Young People in Ontario. Circulation. doi: 10.1161/CIRCULATIONAHA.119.040271. 119.040271. PMID: 31630535.

93

93

Pediatric EM Morsels

JUNE 9, 2023

Specific Therapies for Variceal Hemorrhage : [ Luoto, 2020 ; Castillo, 2019; Garcia-Tsao, 2007 ] Antibiotic prophylaxis (usually for 7 days) Ceftriaxone is reasonable 1st choice. Castillo, 2019 ] Somatostatin (or its analogues, like Octreotide) Guidelines do recommend this… There is great variability in its administration, though.

Pediatrics 152

Pediatrics Head Injuries Airway Management Administration 152

Ken Grauer, MD

OCTOBER 29, 2023

For my clarifying Figure illustrating T-QRS-D ( 2nd bullet ) — See My Comment at the bottom of the page in Dr. Smith’s November 14, 2019 post. Smith’s ECG Blog with 20-minute video talk by Dr. Meyers on The O MI M anifesto.

EKG/ECG 195

EKG/ECG 195

EMergucate

MAY 21, 2019

The ECG below is taken from an 83 year old man with a seizure history for the past 8 years. He presents after two 10 minute generalised tonic-conic seizures at home 10 days after self ceasing his C…

EKG/ECG 52

EKG/ECG Seizures 52

EMergucate

JUNE 18, 2019

An 86 year old diabetic man presents to ED with a 1 month history of diarrhoea and fatigue and intermittent upper abdominal pain over the last week. His ECG is as below.

EKG/ECG 52

EKG/ECG 52

EMergucate

MAY 6, 2019

You are shown an ECG of a 25 years of age Chinese female at 0200 hours on a saturday morning complaining of chest discomfort. Due to the department being busy a nurse has done her blood test prior…

EKG/ECG 52

EKG/ECG EMS 52

NIOSH Science Blog

SEPTEMBER 27, 2023

As of 2019, more than 18 million people, 11.5 % of the United States workforce, were employed in healthcare settings. Everyday healthcare workers face hazardous work conditions due to exposures to infectious agents and hazardous drugs and chemicals.

Outcomes 108

Outcomes 108

EMergucate

APRIL 30, 2019

The ECG below is taken from a man who has been referred by his GP after presenting symptom-free for a health check following an electric shock at work in a domestic current.

EKG/ECG 52

EKG/ECG Shock 52

EMergucate

DECEMBER 17, 2019

The ECG below is taken from a 36 year old patient found unconscious at home. Interpret the ECG. What is … Continue reading →

EKG/ECG 52

EKG/ECG 52

EMergucate

NOVEMBER 19, 2019

A 32 year old man has presented after developing left sided chest pain whilst shoveling in the garden. He feels sweaty and dizzy. He is a FIFO worker with no medical history.

EKG/ECG 52

EKG/ECG 52