Dr. Smith's ECG Blog

AUGUST 4, 2024

Written by Pendell Meyers Try first to interpret the ECG without any clinical context: What do you think? Sinus rhythm with abnormal STE in V2-V6, and I, II, aVF. Reciprocal STD in aVR and V1. Most leads with STE have remarkably non-hyperacute, flat T waves. Most would say that there is Spodick's sign. The PR depression in II (and its reciprocal PR elevation in aVR) is probably beyond normal baseline values.

EKG/ECG 95

EKG/ECG Wellness Emergency Department Operations 95

Sensible Medicine

AUGUST 4, 2024

I’ve got a pretty stable approach to reading the medical literature. I even have a talk, “keeping up on the literature.” I have the JAMA, NEJM, and JAMA IM email me their TOC. I then use my other “media” – NYT, NPR, twitter, office chatter – to find other articles I should be reading. Last week, there were no articles that changed my practice but there were a few that I found interesting.

Academics 91

Academics Outcomes Wellness 91

St. Emlyn

AUGUST 4, 2024

St.Emlyn's - Emergency Medicine #FOAMed Background Smoking is a leading cause of preventable morbidity and mortality worldwide. In the words of the packaging: ‘Smoking Kills’ If we could persuade more people to give up, it […] The post Cessation of Smoking Trial in the Emergency Department (COSTED): A Critical Appraisal appeared first on St.Emlyn's.

Emergency Department 90

Emergency Department 90

Taming the SRU

AUGUST 4, 2024

Capacity Management - Sports medicine grand rounds - introduction to bedside teaching - skin adhesives - hypertensive emergency - ultrasound qa review - how to give a presentation capacity management WITH Dr. lane Emergency Department flow can be characterized as Input - Throughput - Output In the ED, we do not have much control over patient input or output, but we do have control over patient throughput Simulation modeling was used in our Emergency Department to determine our threshold for “at

Emergency Department 80

Emergency Department Dislocations Documentation/Coding Burns 80

PulmCCM

AUGUST 4, 2024

In the 1980s and 1990s, physicians and PhD colleagues at Vanderbilt University published papers establishing associations between patients’ complaints about feeling disrespected and their subsequent malpractice lawsuits. Further work explored the interconnections between unprofessional behavior, patient complaints, and malpractice risk.

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Pediatric Education

AUGUST 4, 2024

Patient Presentation Within the span of one week, a pediatrician encountered two teenage females who had come to clinic for other problems but who had the diagnosis of thoracic outlet syndrome. One had already had surgery and the other was planned within the next month. He thought this was unusual and didn’t remember seeing anyone with this problem for several years.

Pediatrics 52

Pediatrics Radiology Radiology Operations 52

PulmCCM

AUGUST 4, 2024

Minimizing sedation is a touchstone of critical care for patients requiring invasive mechanical ventilation. Systematic efforts to reduce sedation (e.g., limiting continuous infusions and prioritizing daily interruptions) are strongly associated with reduced duration of ventilation and shorter ICU stays and are recommended in critical care guidelines.

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Don't Forget the Bubbles

AUGUST 4, 2024

Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly Paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics Burns Sepsis 52