Emergency Medicine Journal

NOVEMBER 28, 2023

3–6 People with chronic obstructive pulmonary disease (COPD) often have hypoxaemia without signs of dyspnoea due to ventilation/perfusion mismatch and blunted ventilatory responses to hypoxaemia, 7 but the mechanism for.

COPD 40

COPD 40

EMergucate

JANUARY 17, 2023

72 year old man with history of COPD presented with shortness of breath. His chest auscultation revealed bilateral wheezes. His … Continue reading →

COPD 52

COPD 52

EMergucate

JULY 11, 2023

65 year old lady with history of COPD presented with shortness of breath. He chest auscultation revealed bilateral wheezes. Her … Continue reading →

COPD 40

COPD 40

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

COPD 143

COPD 143

EMergucate

MAY 9, 2023

60 year-year-old man with history of DM and x-smoker but not known to have COPD. Presented to an emergency department … Continue reading →

COPD 40

COPD Emergency Department 40

Emergency Medicine Journal

SEPTEMBER 27, 2023

He is a smoker, with a history of chronic obstructive pulmonary disease (COPD) and peripheral vascular disease, but no previous seizures. Clinical introduction A middle-aged man is brought to your ED following a self-limiting generalised tonic–clonic seizure. He is on aspirin and clopidogrel.

Seizures 40

Seizures COPD 40

Dr. Smith's ECG Blog

OCTOBER 21, 2023

He also had a history of lung cancer with pneumonectomy and COPD. His presentation was consistent with a severe COPD exacerbation. The providers were able to find some previous history: On chart review patient has a history of left bundle branch block and so this is likely sinus tachycardia in the setting of a left bundle branch block.

EKG/ECG 125

EKG/ECG COPD 125

Canadian EM

MAY 18, 2023

A majority of these patients are affected by chronic obstructive pulmonary disease (COPD). The post CJEM Visual Abstract – Emergency department crowding negatively influences outcomes for adults presenting with COPD first appeared on CanadiEM. The milder CTAS 4/5 patients you may see on your ambulatory side.

COPD 75

COPD Emergency Department Outcomes Resuscitation 75

Mount Sinai EM

JULY 30, 2023

Considerations: If concern for severe asthma/COPD, can use cardioselective beta blocker such as metoprolol. In addition, at high doses it inhibits the conversion of T4 to T3 PO Dose: 60 to 80 mg q4-6 hr, titrated to achieve rate control while ensuring blood pressure remains stable. IV dose: 0.5

COPD 185

COPD Administration Wellness 185

EB Medicine

AUGUST 6, 2022

Aortic Valve Disease Types and causes Mitral Valve Disease Types and causes Tricuspid and Pulmonic Disease Differential Diagnosis acute coronary syndromes (ACS) pulmonary embolism tamponade chronic obstructive pulmonary disease (COPD) pneumonia pneumothorax Prehospital Care Evaluation of chest pain History Shock ED Evaluation History Aortic Stenosis (..)

COPD 52

COPD EKG/ECG Emergency Department Shock 52

EMergucate

NOVEMBER 14, 2022

85 years old lady with history of COPD, brought to ED with low GCS after VF cardiac arrest followed by return of spontaneous circulation after 3 minutes of CPR and a single DC shock. Her VBG on arr…

COPD 40

COPD CPR Shock 40

EMergucate

OCTOBER 13, 2021

The patient has a background of COPD and … Continue reading → A 60 year old female presents to ED after a heroin OD.

EKG/ECG 52

EKG/ECG COPD 52

EMergucate

MAY 29, 2022

This patient had history of CHF and COPD. 80 year old man presented with shortness of breath. His venous blood gases showed the following PH = 7.409 pCO2 = 54 mmHg

COPD 40

COPD 40

EMergucate

JUNE 5, 2022

87 year old man with history of COPD and type 2 DM on insulin and metformin, was found unconscious. His VBG showed the following. pCO2 = 62 mmHg

COPD 40

COPD 40

EB Medicine

JULY 2, 2021

Are people with HIV more likely to develop: CAD, COPD, DVT and why? Are people with HIV more likely to develop: CAD, COPD, DVT and why?What What about chronic infection ?The The chronic phase can last 10 years or more and be asymptomatic. What if they are on medication for HIV? Screening in the ED, everyone?

COPD 52

COPD Psychiatric 52

EMergucate

JANUARY 16, 2022

73 years old patient with history of COPD on home oxygen. Presented to ED requesting antibiotics for cough. His blood … Continue reading →

COPD 40

COPD 40

Emergency Medicine Cases

JANUARY 25, 2021

What are the indications for steroids in patients with pneumonia besides those with concurrent COPD exacerbations, ARDS or adrenal shock? What is the evidence for benefit for steroids in CAP, the flu and COVID pneumonia? And if there is benefit, do those benefits outweigh the potential harms?

COPD 52

COPD Shock EMS 52

EMergucate

AUGUST 1, 2021

67 year old patient was brought as category 1 in a pre-arrest condition secondary to severe exacerbation of COPD. Her … Continue reading →

COPD 40

COPD 40

RebelEM

JULY 26, 2023

REBEL Core Cast 105.0 – Methylxanthine Toxicity Click here for Direct Download of the Podcast Definition and Physiology Historically, methylxanthines (caffeine, theophylline, and theobromine) were frequently used to treat lung disease such as asthma/COPD due to their beta-agonism. albuterol) and anti-cholinergics (ie. ipratropium).

Seizures 87

Seizures COPD Shock EMS 87

EMergucate

OCTOBER 10, 2021

The patient has a background of COPD and … Continue reading → A 60 year old female presents to ED after a heroin OD.

EKG/ECG 40

EKG/ECG COPD 40

EMergucate

MARCH 28, 2021

88 year old lady with known COPD was brought to ED by ambulance with shortness of breath. She was on 6L Oxygen. Arterial blood gas was obtained and it showed the following: PH = 7.25

COPD 40

COPD 40

EB Medicine

JULY 12, 2020

COPD Patients * Permissive Hypercapnia * Volume vs Respiratory Rate Adjustments * Asthma Patients * Respiratory Rate Adjustments Leave us a voicemail at 678-336-8466, ext 128 Write us at emplify@ebmedicine.net (mailto:emplify@ebmedicine.net)

COPD 40

COPD 40

EMergucate

APRIL 21, 2021

65 year old male known COPD, presents to ED as priority 1 with SOB and sats 60% RA. History not known as patient not able to talk.

COPD 40

COPD 40

EMergucate

AUGUST 30, 2020

65 year old lady with history of COPD presented with shortness of breath. He chest auscultation revealed bilateral wheezes. Her … Continue reading →

COPD 40

COPD 40

EMergucate

APRIL 20, 2021

65 year old male known COPD, presents to ED as priority 1 with SOB and sats 60% RA. History not known as patient not able to talk.

COPD 40

COPD 40

EB Medicine

OCTOBER 1, 2017

COPD has huge economic and human burdens in the US. In fact, in 2010, two studies estimated that COPD exacted a direct and indirect cost of somewhere between $36 and $50 billion dollars in the US. million ED visits for COPD - related problems, with nearly 1/5th requiring hospitalization.

COPD 40

COPD Hospitals 40

EMergucate

JULY 5, 2020

77 year old man with history of COPD and on chemotherapy presented with fever, SOB and hypotension. His VBG showed the following PH = 7.253 PCO2 = 61.5

COPD 40

COPD 40

EMergucate

JUNE 16, 2019

83 years old woman with history of COPD and still smokes. Presented with SOB and drowsiness. Her Arterial blood gas on room air showed the following Ph = 7.31 PO2 = 31 mmHg PCO2 = 76 mmHg HCO3 = 34…

COPD 40

COPD 40

Ken Grauer, MD

FEBRUARY 28, 2023

Applying the Above to Today's Case: In addition to being Covid-positive — the patient in today's case had longstanding COPD. He was wheezing, and required supplemental oxygen.

EKG/ECG 195

EKG/ECG Sepsis COPD Documentation/Coding 195

EMergucate

FEBRUARY 27, 2018

65 year old male known COPD, presents to ED as priority 1 with SOB and sats 60% RA. History not known as patient not able to talk.

COPD 40

COPD 40

EMergucate

FEBRUARY 27, 2018

65 year old male known COPD, presents to ED as priority 1 with SOB and sats 60% RA. History not known as patient not able to talk.

COPD 40

COPD 40

EMergucate

JANUARY 1, 2019

85 years old lady with history of COPD, brought to ED with low GCS after VF cardiac arrest and return of spontaneous circulation after 3 minutes of CPR and a single DC shock. Her VBG on arrival sho…

COPD 40

COPD CPR Shock 40

Dr. Smith's ECG Blog

APRIL 12, 2023

A 49 year old woman with h/o COPD only presented with sudden dyspnea. She had acute pulmonary edema on exam. Prehospital Conventional algorithm interpretation: ANTERIOR INFARCT, STEMI Transformed ECG by PM Cardio: PM Cardio AI Bot interpretation: OMI with High Confidence What do you think?

EKG/ECG 52

EKG/ECG COPD Ultrasounds Outcomes 52

The Skeptics' Guide to EM

APRIL 8, 2023

The dataset also reported increasing admissions, mixed results on length of stay, increasing readmission rates, increasing COPD deaths if transported by ambulance, and expected productivity benefits were not realized. This was not the only study to come out of the Danish reconfiguration initiative.

Stroke 54

Stroke Emergency Department Hospitals COPD 54

PulmCCM

OCTOBER 23, 2023

Even people with COPD or asthma under age 50 did not benefit from Paxlovid, in that analysis. Another observational cohort showed no reduction in hospitalization associated with Paxlovid use among vaccinated patients contracting Covid-19 in the Omicron era , except for the immunocompromised or high-risk patients over age 70.

Hospitals 98

Hospitals Emergency Department Sepsis COPD 98

EM Curious

JUNE 3, 2015

FUEL FOR THE PE FIRE PE IN COPD: [BLOG]: How often do you think about PE in a clear COPD exacerbation? EM Crit features a new article on the prevalence of PE in COPD exacerbations which found it to be an astounding 18%(N=49). Be sure to check out the on-going discussion in the comments section.

Ultrasounds 52

Ultrasounds COPD EMS EKG/ECG 52

Sensible Medicine

AUGUST 21, 2023

This is a common probably insurmountable problem with morbidities, such as hypertension, diabetes , COPD , etc. A second major problem with administrative data is that it fails to account for the severity of underlying disease or morbidities, as opposed to their presence or absence.

Outcomes 78

Outcomes COPD Administration EKG/ECG 78