Ken Grauer, MD

MAY 26, 2023

The ECG in Figure-1 was obtained from a 60-ish year old man with a history of coronary disease ( including prior CABG ) — who presented to the ED ( E mergency D epartment ) with new CP ( C hest P ain ) of 3 hours duration , diaphoresis and nausea/vomiting. The patient was hypotensive at the time his initial ECG in Figure-1 was obtained. The decision was made not to immediately perform cardiac cath — because there is no ST elevation in Figure-1 — and because the initial troponin was negative.

EKG/ECG 195

EKG/ECG Wellness Resuscitation 195

The Trauma Pro

MAY 26, 2023

Here’s the final post on my series covering serial hemoglobin testing in the management of solid organ injury. We developed our first iteration of a solid organ injury practice guideline at Regions Hospital way back in 2002. It was borne out of the enormous degree of clinical variability I saw among my partners. We based it on what little was publicly available, including an EAST practice guideline.

Blood Transfusions 130

Blood Transfusions Operations Pediatrics Hospitals 130

Medagadget

MAY 26, 2023

Researchers at the Hubrecht Institute in the Netherlands have developed a biobank of cancer organoids using tissue samples obtained from head and neck cancer patients. So far, the team used the biobank to validate tumor biomarkers. Excitingly, they also correlated patient treatment responses with organoid treatment responses, suggesting that the organoids provide a good proxy for testing new treatments and for designing a personalized treatment plan for individual patients.

Outcomes 94

Outcomes Research 94

PEMBlog

MAY 26, 2023

I recorded this episode of the Cincinnati Children’s podcast Young & Healthy with Hannah Carron, one of the Pediatric Emergency Medicine at our institution. It provides succinct recommendations on when to call 911, seek care in the Emergency Department or Urgent Care, when to ask the advice of your primary care provider, and even when virtual urgent care visits are appropriate.

Urgent Care 78

Urgent Care Emergency Department Pediatrics 78

Science Based Medicine

MAY 26, 2023

An outbreak of deadly ocular infections, which have cost some people their vision and even their life, has been traced to contaminated eye drops. The post CDC Reports Fourth Death Blamed on Contaminated Eye Drops first appeared on Science-Based Medicine.

CDC 76

CDC 76

University of Maryland CC Project

MAY 26, 2023

Dr. Paul Marino, Critical Care Specialist at Cayuga Medical Center, and esteemed author of "The ICU Book", the largest-selling textbook on Critical Care medicine in the United States, presents a lecture entitled Oxygen: Creating a New Paradigm Part II. This lecture is based on his new book that challenges the traditional notion that the human body thrives on oxygen and that promoting tissue oxygenation is necessary for promoting life.

53

53

Sensible Medicine

MAY 26, 2023

Like the paper book, the vinyl record, and Facebook, we’ve heard for years that the primary care general internist is not long for this word. However, unlike the first three in this list, I am actually worried that the fourth (otherwise known as me) is truly at risk. By way of introduction, I’ll save myself time and energy by quoting from a JGIM article (minus references), A National Survey of Internal Medicine Primary Care Residency Program Directors : Primary care has been associat

COPD 50

COPD Wellness Outcomes Operations 50

Dr. Smith's ECG Blog

MAY 26, 2023

A 20-something presented after a huge verapamil overdose in cardiogenic shock. He had been seen at an outside institution and been given 6 g calcium gluconate, KCl, and a norepinephrine drip. The initial K was 3.0 mEq/L and ionized calcium was 5.5 mg/dL (sorry, Europeans, for the weird units) Here was the initial ED ECG: There is a junctional rhythm with retrograde P-waves (see the dip in the T-wave in lead II across the bottom; you can follow that up to all the other leads and see the retrograd

Shock 80

Shock EKG/ECG Documentation/Coding Resuscitation 80

University of Maryland CC Project

MAY 26, 2023

Disease/Critical Care Medicine at MedStar Washington Hospital Center presents a talk entitled "Ethical Issues in the ICU" as part of the DC5 lecture series. Dr. Matthew Schreiber, the associate director of the Medical ICU and an attending physician in Pulmonary Disease/Critical Care Medicine at MedStar Washington Hospital Center presents a talk entitled “Ethical Issues in the ICU” as part of the DC5 lecture series.

Ethical Issues 40

Ethical Issues Hospitals 40

EMDocs

MAY 26, 2023

Original podcast posted on PEM Currents – Hosted by Brad Sobolewski ( @PEMTweets ) and co-authored by Dennis Ren ( @DennisRenMD ) This podcast series by PEM Currents is a co-production with the Emergency Medical Services for Children Innovation and Improvement Center (EMSC IIC), whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum.

Pediatrics 74

Pediatrics Emergency Department Psychiatric Documentation/Coding 74

University of Maryland CC Project

MAY 26, 2023

Dr. Glenn W. Wortmann, FIDSA, FACP is the Section Director of Infectious Diseases at MedStar Washington Hospital Center and the Medical Director of Infection Prevention at the MedStar Institute of Quality and Safety. He maintains academic appointments at Georgetown University Hospital as a Professor of Clinical Medicine and at the Uniformed Services University of the Health Sciences as Professor of Medicine.

Infectious Diseases 40

Infectious Diseases Academics Hospitals 40

University of Maryland CC Project

MAY 26, 2023

Dr. Michael Keller is a Staff Clinician in the Critical Care Medicine Department at the NIH Clinical Center and Instructor of Medicine in Pulmonary and Critical Care Medicine at Johns Hopkins Hospital. He presents a lecture entitled "Heart-Lung Interactions in Spontaneous and Mechanical Ventilation" as part of the DC5 lecture series. Dr. Michael Keller is a Staff Clinician in the Critical Care Medicine Department at the NIH Clinical Center and Instructor of Medicine in Pulmonary and Critical Car

Hospitals 40

Hospitals 40