Ken Grauer, MD

AUGUST 16, 2024

The ECG in Figure-1 was obtained from a man in his 40s — who presented to the ED ( E mergency D epartment ) because of CP ( C hest P ain ) and shortness of breath. QUESTIONS: In view of the above history — How would YOU interpret the ECG in Figure-1 ? Based on the history and the patient's initial ECG — the cath lab was activated. Do you agree? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ).

EKG/ECG 391

EKG/ECG Wellness Shock 391

The Trauma Pro

AUGUST 16, 2024

And another law to end the first week! Any time I give a pediatric talk, I mention it. This one applies to anyone who takes care of children, and is particularly important to EMS / prehospital providers and emergency physicians. On occasion, medics are called to a home to treat a child in extremis, or occasionally in arrest. Similarly, extremely sick children are often brought to the ED by parents or other caregivers.

Pediatrics 203

Pediatrics Sepsis EMS 203

Sensible Medicine

AUGUST 16, 2024

I’d been certain that all would be well in medicine in the age of AI. I had been telling myself that the addition of AI to medical practice would be a net positive. AI would assist with some of the drudgery that is part of every doctor’s job. We would also incorporate AI into our decision making. AI would help us read X-rays or pathology specimens.

Documentation/Coding 116

Documentation/Coding Wellness 116

First 10 EM

AUGUST 12, 2024

The concept of a “deepity” was, I believe, coined by Daniel Dennet in his great book “Intuition pumps and other tools for thinking”. He says, “a deepity is a proposition that seems both important and true – and profound – but achieves this effect by being ambiguous. On one reading it is manifestly false, but […] The post Is “First do no harm” a “deepity”?

117

117

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

Outcomes

ACEP Now

AUGUST 12, 2024

Every once in a while, I get a text from a friend of a meme decrying the inevitability of becoming interested in birds as you age. In a way, it’s true; it came out of nowhere for me. And granted it can seem peculiar to the uninitiated. But now that I have been indoctrinated for a couple of years, it has become much more than a hobby to me. I see it as a healthful exercise, a practice in mindfulness.

Ultrasounds 116

Ultrasounds Emergency Department Wellness 116

The Trauma Pro

AUGUST 12, 2024

Let’s get started with the Laws of Trauma! After pursuing any discipline for an extended period, one begins to see the common threads and underlying principles of their area of expertise. I’ve been trying to crystallize these for years, and today I’m going to share one of the most basic laws of trauma care. The First Law of Trauma Any anomaly in your trauma patient is due to trauma, no matter how unlikely it may seem.

Stroke 203

Stroke 203

Life in the Fast Lane

AUGUST 11, 2024

Jeremy Rogers and Chris Moseley High Flow Nasal Cannula

115

115

Dr. Smith's ECG Blog

AUGUST 16, 2024

Written by Pendell Meyers A man in his 60s presented with acute chest pain and normal vital signs. Here is his triage ECG: What do you think? The ECG shows massively hyperacute T waves of LAD OMI, plus WPW. V3-V5 also have the depressed HATW takeoff which qualifies them as the rare de Winter subtype of HATWs. Its hard to measure the STE in I exactly with the moving baseline, but there is almost certainly not enough STE to meet STEMI criteria.

EKG/ECG 111

EKG/ECG Wellness 111

ACEP Now

AUGUST 13, 2024

The inclusion of diversity, equity, and inclusion (DEI) principles in undergraduate medical education is considered crucial for creating a just and fair health care system. Though DEI education, including critical race theory and its derivatives, is still a topic of public debate, many industry specialists and educators believe that it forms the foundation of high quality health care practices and the achievement of health equity.

Leadership 111

Leadership Outcomes Academics Emergency Department 111

American Medical Compliance

AUGUST 15, 2024

In the healthcare industry, where sensitive financial and personal information is regularly processed, maintaining secure Payment Card Industry (PCI) compliance is critical. PCI compliance not only protects patient payment data but also ensures that healthcare organizations meet stringent regulatory requirements. Failure to comply with PCI standards can lead to severe financial penalties, legal repercussions, and damage to the organization’s reputation.

105

105

St. Emlyn

AUGUST 13, 2024

St.Emlyn's - Emergency Medicine #FOAMed Some expert guidance and top tips about how to care for a child with lifelimiting illness who presents to the Emergency Department The post Podcast – Paediatric Palliative Care in the ED appeared first on St.Emlyn's.

Emergency Department 100

Emergency Department 100

Dr. Smith's ECG Blog

AUGUST 14, 2024

Written by Willy Frick I was reading through ECGs in the queue when I saw the following. What do you think of the rhythm? At first glance there seems to be a lot of variation happening, but by focusing on one part of the ECG at a time we can make sense of it. Ignore the first QRS complex and look at beats 2 through 5. I have labeled them below for ease of reference: We see P waves which are upright in leads I, II, and aVF, and upside down in aVR.

EKG/ECG 110

EKG/ECG Outcomes Wellness 110

ACEP Now

AUGUST 14, 2024

The American Heart Association and American College of Cardiology released a comprehensive guideline on the management of atrial fibrillation (AF). 1 Most of the AHA/ACC recommendations are either irrelevant to the general emergency physician or common sense. For example, if a patient has hemodynamic instability attributable to AF, perform immediate electrical cardioversion.

Emergency Department 105

Emergency Department Outcomes Research Wellness 105

American Medical Compliance

AUGUST 14, 2024

As healthcare professionals, especially within the dental field, you play a crucial role in the early detection and prevention of abuse and neglect. This P.A.N.D.A. (Preventing Abuse and Neglect Through Dental Awareness) Training program is designed to equip dental professionals with the knowledge and tools necessary to recognize the signs of abuse and neglect in patients, particularly those who may be vulnerable or unable to speak up for themselves.

Burns 105

Burns Documentation/Coding Wellness 105

Life in the Fast Lane

AUGUST 14, 2024

Mike Cadogan Top 20 Online ECG Courses We take a Google deep dive to evaluate you the Top 20 of the the best #FOAMed and paid ECG courses available online.

EKG/ECG 98

EKG/ECG 98

Dr. Smith's ECG Blog

AUGUST 11, 2024

Written by Jesse McLaren A healthy 75 year old developed 7/10 chest pain associated with diaphoresis and nausea, which began on exertion but persisted. Below is the first ECG recorded by paramedics after 2 hours of chest pain, interpreted by the machine as “possible inferior ischemia”. What do you think? There’s competing sinus bradycardia and junctional rhythm, with otherwise normal conduction, borderline right axis, normal R wave progression and voltages.

EKG/ECG 100

EKG/ECG EMS Hospitals 100

EMDocs

AUGUST 13, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association released an updated scientific statement on management of elevated blood pressure. This post will provide the key points for emergency clinicians. Background Hypertension (HTN) is significant issue globally and a leading risk factor for cardiovascular disease.

Stroke 98

Stroke Administration Outcomes Hospitals 98

American Medical Compliance

AUGUST 14, 2024

In the demanding environment of healthcare, maintaining a safe and professional workplace is paramount. The presence of drugs and alcohol in the workplace not only jeopardizes the well-being of healthcare personnel but also poses significant risks to patient safety and care quality. This Drugs and Alcohol in the Workplace Training for Healthcare Personnel is designed to equip healthcare professionals with the knowledge and tools necessary to recognize, address, and prevent substance abuse in the

Patient Safety 105

Patient Safety Wellness 105

ACEP Now

AUGUST 13, 2024

Question My new employer wants to make me a “1099.” What do I need to know as I transition away from being a true employee? Answer First, let’s make sure we understand the terminology. Emergency physicians are typically “paid on” one of three types of tax forms: W-2, K-1, or 1099. Those who receive a W-2 at the end of the year are employees, those paid on a K-1 are partners, and those paid on a 1099 are independent contractors.

Best Practices 98

Best Practices Hospitals 98

EMCrit

AUGUST 10, 2024

Penetrating Neck Trauma and how to leave the zone EMCrit Project by Scott Weingart, MD FCCM.

98

98

Critical Care Now

AUGUST 10, 2024

Reading Time: 2 minutes Marx T, Joly LM, Parmentier AL, et al. Simple Aspiration versus Drainage for Complete Pneumothorax: A Randomized Noninferiority Trial. Am J Respir Crit Care Med. 2023;207(11):1475-1485. PMID: 36693146 Background The optimal management of primary spontaneous pneumothorax (sPTX) remains a subject of ongoing debate. The British Thoracic Society advocates for the least invasive approach possible, while the American College of Chest Physicians recommends first-line chest tube

Research 98

Research EMS Outcomes Hospitals 98

American Medical Compliance

AUGUST 15, 2024

In today’s complex and rapidly evolving healthcare environment, the safety and security of both patients and staff are of the utmost importance. Healthcare professionals must be equipped not only with the latest medical knowledge but also with the skills to handle a wide range of challenges, from IT security threats to emergency situations like active shooter incidents.

Leadership 104

Leadership Best Practices Operations Outcomes 104

Life in the Fast Lane

AUGUST 13, 2024

Sheralyn Guilleminot and Mike Cadogan Navigating the Risks of Artificial Intelligence in Healthcare Do you know about these common risks of artificial intelligence in healthcare? Learn to mitigate them successfully and with confidence!

98

98

Mind The Bleep

AUGUST 12, 2024

As you transition from medical school to your first year as an FY1 doctor, it’s important to recognise the challenges you’ll face and prioritize your well-being. The shift from student to doctor is significant, and maintaining your mental and physical health is crucial for both your personal and professional success. Here are some key insights and tips to help you navigate this period effectively.

Wellness 96

Wellness 96

EMCrit

AUGUST 15, 2024

Getting sued in the maelstrom that is the US malpractice system is horrible!! Let's talk about how to make it better. EMCrit Project by Scott Weingart, MD FCCM.

95

95

American Medical Compliance

AUGUST 14, 2024

The HIPAA Refresher training reinforces your understanding of key HIPAA provisions, highlights recent updates, and provides practical tips for maintaining compliance in your daily operations. Whether you’re new to HIPAA or need a quick review, this HIPAA Refresher training will ensure you have the knowledge to protect patient privacy effectively.

Operations 104

Operations Outcomes 104

EB Medicine

AUGUST 14, 2024

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the August 2024 Emergency Medicine Practice article, Emergency Department Management of Patients With Sickle Cell Disease Epidemiology Common Presentation of Sickle Cell Disease in the ED Screening and Diagnosis Differences Epidemiology: 200,000 ED Visits Annually, 85% for Pain Pathophysiology Life Expectancy and Complications Vado-Occlusive Crises and Pathophysiology Sequestration Crisis in Sickle Cell Patients Acute Chest Syndrome a

Critical Access 91

Critical Access Emergency Department Hospitals 91

EM Ottawa

AUGUST 15, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and unclear. This is largely due to the lack of guidelines around pleural effusions in the ED. In this post, I’ve tried to highlight some key information about an approach to patients presenting with a new pleural effusion. This is not all-encompassing, […] The post By the Hammer of Thora: Pleural Effusions in the ED (part 1) appeared first on EMOttawa Blog.

Emergency Department 78

Emergency Department Infectious Diseases Resuscitation 78

PulmCCM

AUGUST 12, 2024

There was a terrible case in 2019 of a police officer who cracked his neck to relieve some discomfort and dissected his vertebral artery. He immediately felt and looked bad and his coworkers had an ambulance take him to the ED. The initial CT read suggested vertebral artery stenosis but used equivocal language.

75

75

American Medical Compliance

AUGUST 14, 2024

The Managing Aggressive Behaviors in Assisted Living Facilities Training equips caregivers and staff with the knowledge and skills to recognize, de-escalate, and manage aggressive behaviors in a compassionate and effective manner. This training will not only enhance your ability to maintain a safe environment but also improve the overall care experience for residents.

Psychiatric 104

Psychiatric Outcomes 104

Emergency Medicine News

AUGUST 13, 2024

An abstract is unavailable.

75

75

Total Medical ComplianceHIPAA

AUGUST 15, 2024

Creating a Disaster Recovery Plan (DRP) is a significant achievement for any organization, especially for those handling sensitive data such as healthcare providers. However, having a plan is only the beginning. Ensuring the plan’s effectiveness and compliance with HIPAA regulations requires ongoing actions and detailed attention. Regular Testing and Updates Scheduled Testing : A DRP must be regularly tested to ensure its viability.

Documentation/Coding 59

Documentation/Coding Best Practices Risk Management Wellness 59

PEMBlog

AUGUST 14, 2024

Intranasal dexmedetomidine is one of the latest sedative options that’s gaining traction, especially for non-painful procedures. Let’s take a closer look at what makes this medication so useful, particularly when given intranasally. What is Dexmedetomidine? Dexmedetomidine, often known by its brand name Precedex, is a fascinating medication. It’s a highly selective central alpha-2 agonist that’s able to induce a state of sedation that closely mimics natural sleep.

Pediatrics 59

Pediatrics Wellness 59

American Medical Compliance

AUGUST 15, 2024

In the healthcare industry, ethical behavior is the cornerstone of trust between providers and patients. This training serves as a guiding framework that ensures healthcare professionals uphold the highest standards of integrity, respect, and compassion in their interactions with patients, colleagues, and the broader community. Adhering to the code of conduct is not only a legal and professional obligation but also a mortal duty that fosters a culture of accountability and excellence in patient

Documentation/Coding 98

Documentation/Coding Outcomes Wellness 98

Emergency Medicine News

AUGUST 13, 2024

An abstract is unavailable.

74

74

NRC Health

AUGUST 13, 2024

We are excited to welcome Human Understanding Beyond | HUB24 attendees to San Diego with an unforgettable sunset harbor cruise on Wednesday, August 21. The post Join us for a sunset cruise to celebrate excellence at HUB24 appeared first on NRC Health.

59

59