Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

This was sent by anonymous The patient is a 55-year-old male who presented to the emergency department after approximately 3 to 4 days of intermittent central boring chest pain initially responsive to nitroglycerin, but is now more constant and not responsive to nitroglycerin. It is unknown when this pain recurred and became constant. More past history: hypertension, tobacco use, coronary artery disease with two vessel PCI to the right coronary artery and circumflex artery several years prior.

EKG/ECG 120

EKG/ECG Resuscitation CPR Emergency Department 120

PulmCCM

SEPTEMBER 3, 2023

Pulse oximeters overestimated oxygen saturation in darker-skinned patients with Covid, causing treatment delays. It was a bit of a national and professional embarrassment when after many decades of ubiquitous use of pulse oximetry, calibrated on patients with light skin, someone finally thought to validate it with arterial blood gases in darker-skinned patients in clinical settings — and found pulse oximetry may dangerously overestimate those patients’ arterial oxygen saturation.

CDC 98

CDC Hospitals 98

Life in the Fast Lane

SEPTEMBER 3, 2023

Pramod Chandru Network Five: Emergency Medicine Conversations Network Five Emergency Medicine Conversations Episode 24 - an interview with Dr Amith Shetty on medical administration, leadership, and more!

Leadership 98

Leadership Administration Patient Safety Research 98

SheMD

SEPTEMBER 3, 2023

Disclaimer: This post was written before the COVID-19 pandemic. Some of the interview information may not be relevant during the 2020-2021 academic year. This is part 4 of a 4-part series on residency interview strategies from Dr. Stacy Goldbaum. If you’re just joining us, make sure to check ( Part 2 , Part 3 , and Part 4 ) to learn about questions you may be asked on the big day, and questions to ask the residents and program director.

Academics 81

Academics Hospitals Wellness 81

Pediatric Education

SEPTEMBER 3, 2023

Patient Presentation A 15-year-old male came to clinic for his health supervision visit and sports physical examination. He had no concerns and he was doing well in school and with his friends. He had a sprained ankle the previous year that he says was well-healed. The past medical history was positive for sickle cell trait. The pertinent physical exam showed a healthy male with growth parameters in the 50% and normal vital signs.

Dehydration 40

Dehydration Hyperthermia / Hypothermia Pediatrics Military 40

EMCrit

SEPTEMBER 3, 2023

In many countries, pulmonary and critical care are commonly bundled together. Consequently, a single person will often be responsible for both inpatient ICU management as well as inpatient pulmonary consultation. Honestly, I have some doubts about whether this is an ideal system. As both pulmonology and critical care medicine become increasingly complex, it's becoming impossible […] EMCrit Project by Josh Farkas.

Hospitals 134

Hospitals Wellness 134