Ken Grauer, MD
MARCH 7, 2023
You are given this ECG to review. No history is provided — except knowing that this patient was seen in the ED ( E mergency D epartment ). QUESTION: Is there a potential problem with this ECG? Figure-1: The initial ECG in today's case. == N OTE : Many of us are charged with reviewing ECGs that have been interpreted by other clinicians — often without the benefit of much ( or any ) history.
Dr. Smith's ECG Blog
MARCH 9, 2023
Sent by anonymous, written by Pendell Meyers A man in his 50s with no prior known medical history presented to the Emergency Department with severe intermittent chest pain. He had episodes of chest pain off and on all night, until about 1 hour prior to arrival when the pain became constant, crushing, 10/10 chest pain that radiated to both arms. He denied any lightheadedness, shortness of breath, vomiting, or abdominal pain.
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RebelEM
MARCH 9, 2023
Background: Acute alcohol intoxication is often identified early in a patient’s visit by behavioral changes accompanied by slurred speech, ataxia, nystagmus, or the smell of alcohol. However, evaluating and managing patients with acute alcohol intoxication in the emergency department can be challenging. Patients may be agitated or altered, hindering their initial evaluation and diagnostic workup.
NRC Health
MARCH 9, 2023
Recently, the Becker’s Healthcare Podcast interviewed Dr. Peggy Greco, Chief Patient Experience Officer at Nemours Children’s Health, and NRC Health Customer Success Manager Cami Mitelman to discuss what diversity, equity, and inclusion outcomes look like in patient experience. The post The interesting connection between pediatric outcomes and DEI appeared first on NRC Health.
Medical Law
MARCH 6, 2023
College is a wonderful place to meet a diverse group of people while you develop essential skills and discover knowledge that will benefit you for a lifetime. It takes a lot of hard work, but earning your college degree will put you on the road to success. At NordstrandBlack PC, we’re proud of the work we do to help our friends and neighbors in the Santa Barbara area.
AED Leader
MARCH 7, 2023
You’re lying there, all is quiet, and suddenly you notice a feeling of heart palpitations—it might feel like your heart flutters, does flip flops, pounds, or races. Is this something you should be worried about? Should you call 9-1-1? Usually, heart palpitations at night aren’t anything to worry about, but they can be an indication Read More "What Causes Heart Palpitations at Night?
RebelEM
MARCH 8, 2023
Take Home Points: Assess patients with floaters or flashers for retinal or vitreous detachment. Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. CRAO is a stroke of the eye; patients should be considered for a complete stroke work up. REBEL Core Cast 97.0 – Acute Vision Loss II Click here for Direct Download of the Podcast Definition: Decrease of visual acuity due to a non-traumatic cause.
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Dr. Smith's ECG Blog
MARCH 6, 2023
If you saw this ECG only knowing that it is an acute chest pain patient, what would be your interpretation? This is a trick question, as you will see below. But you can make a diagnosis here, and Pendell and I do this all the time when reading ECGs from databases. I sent this to Pendell without any information at all, and he replied "Postero-lateral Reperfusion.
Clinical Correlations
MARCH 6, 2023
By Raymond Barry Peer Reviewed A 2020 report published by the American Heart Association (AHA) in conjunction with the National Institutes of Health (NIH) found that an estimated 6.2 million American adults had heart failure between.
Board Bombs
MARCH 5, 2023
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. ACLS drugs for the pulseless patient are always frustrating to learn. They are tested on, but in real life they leave much to be desired for. Let’s quickly review what’s you need to know for the boards, but also emphasize what’s more important when running a code.
JournalFeed
MARCH 4, 2023
The JournalFeed podcast for the week of Feb 27 – Oct 3, 2023. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Fake HyperK, Repeat? Spoon Feed There is rarely any need to repeat potassium testing when the laboratory reports hyperkalemia on a hemolyzed sample in a child with a normal blood urea nitrogen (BUN) and creatinine (Cr).
EMCrit
MARCH 10, 2023
CLOVERS Trial Primer and Fluids in Septic Shock EMCrit Project by Scott Weingart, MD FCCM.
EMergucate
MARCH 7, 2023
Chest x-ray from an adult female with dry retching. What can be seen? Answer will be posted later.
Kings County Downstate EM
MARCH 9, 2023
Author: Ryan Walsh, MD Editor: Nicole Anthony, MD THE CASE A 33-year-old woman with unspecified developmental delay is brought to the ED after her friend called EMS for a wellness check and for poor living conditions. There is no collateral information available and the friend (the patient’s only listed contact) […] The post Metformin Toxicity appeared first on County EM.
Emergency Medicine Education
MARCH 6, 2023
This is a good controversial review in favor or against Intravenous haloperidol. It is important to know that IV haloperidol is not FDA approved. QT Prolongation, Torsades de pointes, and alternative agents for sedation always should be considered.
The Skeptics' Guide to EM
MARCH 4, 2023
Date: March 3, 2023 Reference: Hosseinialhashemi et al. Intranasal Topical Application of Tranexamic Acid in Atraumatic Anterior Epistaxis: A Double-Blind Randomized Clinical Trial. Ann Emerg Med. 2022 Guest Skeptic: Dr. Dominique Trudel is a CCFP-EM resident in Ottawa, Ontario. Her interest is serving French minority communities delivering care at the Montfort Hospital in Ottawa.
University of Maryland Department of Emergency Med
MARCH 4, 2023
Applying a cervical collar to all patients involved in motor vehicle collisions and mechanical falls has been shown to add to patient disco.
Dr. Smith's ECG Blog
MARCH 4, 2023
A 30-something with h/o DM and HTN presents with CP and SOB and cough. The ECG is rather classic for pulmonary embolism, and indeed this was a large acute PE. This is a classic S1Q3T3. Most S1Q3T3 is not due to PE. This one is far more specific, as it is combined with sinus tachycardia and some T-wave inversion in V1-V3. So this entire ECG is very high probability for PE in a patient with acute dyspnea.
University of Maryland Department of Emergency Med
MARCH 6, 2023
Title: Electrocardiographic Changes at the Early Stage of Status Epilepticus: First Insights From the ICTAL Registry. As the s.
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