Emergency Live

FEBRUARY 17, 2024

A Comprehensive Overview of the Most Common Cancer Adenocarcinoma poses one of the most complex challenges in the field of modern medicine. Its complexity lies in the variety of its forms […] The post Adenocarcinoma: the silent challenge appeared first on Emergency Live.

89

89

Ken Grauer, MD

APRIL 18, 2023

My favorite on-line “Quick GO-TO” reference for the most common types of lead misplacement comes from LITFL ( = L ife- I n- T he- F ast- L ane ). This LITFL web page describes the 7 most common lead reversals. By far (!) — the most common lead reversal is mix-up of the LA ( L eft A rm ) and RA ( R ight A rm ) electrodes.

EKG/ECG 195

EKG/ECG Wellness 195

Ken Grauer, MD

MARCH 23, 2023

By definition, this defines the rhythm as some form of SVT ( that is, some form of S upra V entricular T achycardia ). There is some form of atrial activity! PEARL # 2: Awareness of the common causes of a bigeminal rhythm helps to quickly narrow our differential diagnosis. PEARL # 6: Common things are common.

EKG/ECG 195

EKG/ECG Resuscitation Hospitals 195

Emergency Live

JANUARY 23, 2024

An Innovative Approach in Liver Cancer Treatment New Developments in Hepatic Immunotherapy Recent research in oncology has highlighted significant advancements in the application of immunotherapy in the treatment of hepatocellular carcinoma, a common form of liver cancer.

Research 83

Research 83

Emergency Live

JANUARY 23, 2024

Various forms of radiotherapy utilize different types of radiation, such as X-rays, electron beams, gamma rays, […] The post Radiotherapy: a milestone in the fight against cancer appeared first on Emergency Live. It uses focused radiation to destroy or damage cancer cells, thus preventing cancer from growing and spreading.

72

72

Ken Grauer, MD

FEBRUARY 28, 2023

PEARLS about MAT: Consider the following features regarding MAT: MAT is not a common diagnosis. MAT almost always occurs in one of 2 common predisposing settings. This is another way to confirm that we are indeed seeing P waves arising from different atrial sites that change from one-beat-to-the-next.

EKG/ECG 195

EKG/ECG Documentation/Coding Sepsis COPD 195

Ken Grauer, MD

FEBRUARY 3, 2024

B OTTOM in Figure-3 — This is T-QRS-D , because in this V3 lead there is no J-point notching — and, there is no S wave ( RED arrow showing that the last QRS deflection never descends below the baseline to form an S wave ).

EKG/ECG 382

EKG/ECG Resuscitation Hospitals Wellness 382

Ken Grauer, MD

JANUARY 20, 2024

BOTTOM Line: Since many of the P waves in this long lead II rhythm strip occur at points within the R-R interval where they appear to have more than ample opportunity to conduct — yet still fail to do so — some form of 2nd-degree ( if not, 3rd-degree ) AV block is present, in association with marked bradycardia.

EKG/ECG 231

EKG/ECG 231

Greater Sydney Area HEMS

NOVEMBER 4, 2023

These learning points form part of our commitments to excellence, governance and education. All CMAC videos are shared under a Creative Commons Licence: Attribution 4.0 This second video shows the best view achieved on second look – secretions form a veil around a very swollen epiglottis – the laryngeal inlet is not seen.

Burns 144

Burns Airway Management Operations Resuscitation 144

Emergency Live

DECEMBER 18, 2023

Essential Information and the Importance of Self-Examination Understanding Testicular Cancer Testicular cancer is a relatively rare but significant form of cancer that primarily affects young adults and teenage males.

52

52

Ken Grauer, MD

MARCH 1, 2024

Atrial activity is present in ECG #1 — in the form of seemingly regular upright P waves in each of the inferior leads — at a regular rate of ~115/minute. NOTE: Variations on this above "theme" of MBBB are common. I suspect that none of the P waves in ECG #1 are conducted.

EKG/ECG 458

EKG/ECG EMS Wellness 458

Ken Grauer, MD

SEPTEMBER 29, 2023

PEARL # 2: The most common cause of a pause in an otherwise regular rhythm — is a blocked PAC ( See ECG Blog #66 and ECG Blog #147 ). To emphasize — blocked PACs are a much more common cause of one or more relative pauses in a rhythm than AV block! Although this is not common — it does occur.

EKG/ECG 239

EKG/ECG 239

Dr. Smith's ECG Blog

DECEMBER 26, 2023

And so it is with today's tracing — that Dr. Smith instantly recognized as indicative of the apical form of HCM ( H ypertrophic C ardio M yopathy ) — until proven otherwise. Accompanying LAA ( L eft A trial A bnormality ) — in the form a widened, notched P wave in lead II ( ≥0.12 PEARL #1: Truly “giant” T waves are not overly common.

EKG/ECG 103

EKG/ECG 103

Don't Forget the Bubbles

JANUARY 15, 2024

Types of Scabies Infestation Simple Scabies: Also known as ordinary scabies, this form is characterized by a limited number of mites on the body, usually less than 15. This indirect transmission is more common with crusted scabies due to the higher number of mites. How do we treat scabies ?

Infectious Diseases 101

Infectious Diseases Pediatrics Telemedicine Leadership 101

Dr. Smith's ECG Blog

OCTOBER 23, 2023

QT prolonging medications and electrolyte derangement are two common causes of QT prolongation and T wave alternans References: 1. Pulsus alternans — is a mechanical form of alternans. A common cellular mechanism may underlie each of these processes relating to abnormal calcium release or reuptake within the sarcoplasmic reticulum.

EKG/ECG 108

EKG/ECG Documentation/Coding Psychiatric EMS 108

ALiEM

SEPTEMBER 1, 2023

Rupture of gas-forming pyogenic liver abscess complicated by necrotizing fasciitis. The most common pathogen is Klebsiella pneumoniae, and diabetes mellitus is the most common risk factor. Case Discussion Take-Home Points Gas-forming pyogenic liver abscess is a rare but life-threatening disease. mg/dL Ketone body : 5.9

Academics 64

Academics Hospitals 64

The Trauma Pro

DECEMBER 26, 2023

Nearly every trauma program uses some form of screening and prophylaxis in an attempt to reduce the occurrence of this problem, which can result in deep venous thrombosis (DVT) and/or pulmonary embolism (PE). But we know that often, our common sense about things is completely wrong. Seems logical, right?

Documentation/Coding 162

Documentation/Coding Fractures Hospitals Research 162

Don't Forget the Bubbles

NOVEMBER 20, 2023

Neck lumps are a common presenting complaint to the paediatric emergency department with many aetiologies, sometimes resulting in a diagnostic conundrum. Clinicians dread missing that last one, and with increasing age becomes increasingly more common. Thorough history taking and detailed examination can aid in diagnosis.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Hospitals 124

Ken Grauer, MD

FEBRUARY 13, 2023

This differs from the "usual" bigeminal rhythm — in which we typically see a "regular regularity" in the form of alternating shorter-then-longer R-R intervals. I revie w these terms in the June 1, 2020 post of Dr. Smith's ECG Blog — and limit my comments here to BDVT: BiDirectional VT — is by far the least common form of morphologic VT.

EKG/ECG 195

EKG/ECG Poisoning 195

Medagadget

AUGUST 8, 2023

This forms the basis for a diagnostic technology for bladder infections, whereby in just a few hours after administering the phages, the researchers can investigate a urine sample for a bioluminescent signal, and identify the infective bacteria.

Research 82

Research Wellness 82

Pediatric EM Morsels

AUGUST 11, 2023

Coli Proteus species Non-Abscess infection: Staphylococcus aures = the most common Pseudomonas aeruginosa and others still may be seen Perichondritis of the Ear: Presentation Redness , Pain , and Swelling of the pinna Typically spares the lobule ! Consult your Friendly ENT Surgeon. Moral of the Morsel The Ear Is Complex!

Burns 130

Burns Pediatrics EMS Outcomes 130

Sensible Medicine

FEBRUARY 12, 2024

Old thinking held that clots formed in the left atrium during periods of irregular rapid fibrillatory activity. Dilation, fibrosis, and poor contractile function in the left atrium all created a milieu in which clots could form. It is common to not find an obvious source for stroke. The main problem was the aberrant rhythm.

Wellness 124

Wellness Stroke EKG/ECG Academics 124

Taming the SRU

NOVEMBER 27, 2023

image from wikimedia commons [link] under CC Attribution 3.0 Paronychias are most commonly caused by minor trauma to the perionychium, often in the form of nail biting or manicures. Other common causes include systemic inflammatory conditions or soft tissue irritation from cleaning products / frequent hand washing [4].

Soft Tissue Injuries 83

Soft Tissue Injuries Emergency Department EMS Fractures 83

Emergency Medicine Ireland

JANUARY 22, 2024

The active forms are T3 and T4. In reality this is an incredibly rare diagnosis, one which in its fulminant form i have yet to see. The active forms are T3 and T4. Thyroid hormones are essential for all organ systems. T3 is generally the more active one. Hence how iodine deficiency can cause a deficit in thyroid hromone.

Sepsis 52

Sepsis Resuscitation Wellness Administration 52

Mind The Bleep

FEBRUARY 12, 2024

There are different subtypes: nodular (most common), superficial, morphoeic, infiltrative and basosquamous. Squamous cell carcinoma SCC’s are the second most common type of skin cancer. Malignant melanoma Although it is the least common form of skin cancer, it represents the majority of skin cancer related deaths.

52

52

EB Medicine

DECEMBER 1, 2022

Urticaria, speed of onset) Histamine Mediated Most common form: 40%-70% Can be triggered by NSAIDs Can be induced by physical mechanism like cold, vibration Is rash a reliable method of distinguishing the types?

Emergency Department 52

Emergency Department Pediatrics 52

ALiEM

JUNE 5, 2023

Steele, Public domain via Wikimedia Commons) Reveal the Answer Answer: 1. There are several forms of anthrax, however cutaneous is the most common (95% of cases) and the least complicated to treat [2]. Which of the following is the most likely explanation for this skin lesion in a worker handling sheep hides?

Infectious Diseases 102

Infectious Diseases CDC PPE Military 102

EMDocs

MARCH 25, 2024

Video 4: Duodenum and Gallbladder After a short distance, the cystic duct joins the common hepatic duct to form the common bile duct (CBD), usually coursing with the hepatic artery and the portal vein, which serves as one of the primary landmarks for the gallbladder. American journal of roentgenology. 1980;134:141-144.

Ultrasounds 85

Ultrasounds Radiology Radiology Operations 85

Pediatric Education

SEPTEMBER 10, 2023

Discussion Vascular rings and slings are not that common a congenital heart problem (about 1% of all congenital heart defects), but do occur and arise from abnormal embryological development of the major vascular structures. The aortic sac forms two horns – a right and a left. These horns then form aortic arches.

Pediatrics 40

Pediatrics Radiology Radiology Wellness 40

Pediatric Education

MAY 12, 2024

Discussion The Bristol Stool Scale (BSS) is a tool to assist patients, family members and health care providers to share common language about stool consistency. “Especially the form of soft stools is altered when it is pressed together between the buttocks and is spread out in the diaper. Lewis SJ, Heaton KW. 1997;32(9):920-924.

Pediatrics 40

Pediatrics Infectious Diseases Research Outcomes 40

Mount Sinai EM

APRIL 7, 2023

Here’s a list on how TB might present: Region Symptoms Imaging Pulmonary – apical and posterior upper lobes, superior segment of lower lobe Productive cough, dyspnea, hemoptysis, pleuritic chest pain Immunocompromised may have more atypical findings Lymph Tends to be unilateral and non-tender Can develop scrofula= enlarged cervical nodes that (..)

Shock 130

Shock Hospitals 130

Don't Forget the Bubbles

APRIL 22, 2024

This oval-shaped structure receives tear drainage from the eye and sits in a groove formed by the lacrimal bone and frontal process of the maxilla. Dacryolith Formation: Chronic inflammation can lead to dacryoliths (lacrimal stones) forming within the lacrimal sac or nasolacrimal duct, further obstructing tear drainage. What do you do?

Infectious Diseases 85

Infectious Diseases Sepsis Pediatrics Operations 85

Sensible Medicine

NOVEMBER 6, 2023

The idea behind stroke reduction is that occluding the appendage takes away a common area where clots form. Today I will tell you about one-year results of the SWISS-APERO trial—which compared outcomes with the two most common types of closure devices. These are nice ideas.

Stroke 128

Stroke Outcomes Ultrasounds Wellness 128

ACEP Now

MAY 10, 2024

Chronic knee pain is common and debilitating. 4 The inferomedial genicular nerve is about 3 cm medial to the tibial tuberosity (similar to the site used for intra-osseous access), where the surface of the tibia forms a shallow bowl. The genicular nerve block offers a simplified, safe alternative for treating severe knee pain.

Ultrasounds 92

Ultrasounds Emergency Department Hospitals Wellness 92

Emergency Medicine Journal

MARCH 21, 2024

Data were analysed using a directive content analysis to identify common themes. Results Of the 116 clinical staff who completed the eligibility and consent forms, 46 met criteria and consented, of those, 33 participants took part. Participants were predominantly white British (85%), females (73%) and doctors (61%).

Emergency Department 52

Emergency Department Leadership EMS Wellness 52

Ken Grauer, MD

JUNE 2, 2023

That said — Common things are Common. Although there are a number of ECG findings that characterize S SS ( S ick S inus S yndrome ) — by far, the most common initial rhythm of this syndrome will be sinus bradycardia and arrhythmia. Occasional PVCs throughout the day without sustained repetitive forms. No pause beyond 2.0

EKG/ECG 195

EKG/ECG Wellness 195

Taming the SRU

AUGUST 6, 2023

Kletsel Pustular psoriasis Psoriasis is characterized by discrete plaques of erythema, scales, and fissures of the extremities It is associated with significant morbidity & treatment consists of topical steroids, along with referral to establish with dermatology Use caution with systemic steroids as they can potentially worsen flares While rare, (..)

Infectious Diseases 74

Infectious Diseases Pediatrics Fractures Wellness 74