Ken Grauer, MD

FEBRUARY 8, 2023

A 14-year old boy was forced to do numerous squats as a “punishment”. He woke up the next day with severe pain in his legs — and presented to the ED ( E mergency D epartment ). Renal function and serum electrolytes were normal — but CK was markedly elevated , leading to a diagnosis of Rhabdomyolysis. Cardiac monitoring revealed a series of interesting ( albeit asymptomatic ) rhythms, 2 of which are shown below in Figure-1.

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EKG/ECG Hospitals Wellness 195

NRC Health

FEBRUARY 8, 2023

NRC Health, the leading partner in building Human Understanding® through personalized healthcare solutions and data-driven insights, has received the Best in KLAS 2023 Award for Patient Experience Improvement. The post NRC Health recognized as Best in KLAS for Patient Experience Improvement appeared first on NRC Health.

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NIOSH Science Blog

FEBRUARY 6, 2023

Many workers who were on the frontlines during the COVID-19 pandemic experienced increased physical and mental stress. One study found that 70% of U.S. workers felt more stressed at work during COVID-19 than at any other point in their professional careers [1]. Public health workers, including epidemiologists, contact tracers, laboratory scientists, community health workers, and data analysts, served on the front lines of the pandemic delivering information, providing services, and conducting re

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Research 89

AED Leader

FEBRUARY 6, 2023

The early death of more than a dozen bodybuilders from heart attacks and other heart-related events over the past few years seems surprising given that we’re talking about young men and women who exercise regularly. However, looking a little more closely at the sport reveals several factors that contribute not only to an elevated risk Read More "Why Do So Many Bodybuilders Have Heart Attacks?

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Ken Grauer, MD

FEBRUARY 4, 2023

The ECG in Figure-1 is from a middle-aged man — who had just received thrombolytic therapy for presumed acute infarction. No other history available. QUESTIONS: How would YOU interpret this ECG? How certain are you of your answer? Figure-1: ECG obtained from a middle-aged man following thrombolytic therapy. ( To improve visualization — I've digitized the original ECG using PMcardio ).

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EKG/ECG 195

Dr. Smith's ECG Blog

FEBRUARY 10, 2023

I came across this ECG while reading ECGs for Cardiologs in order to train the Cardiologs Deep Convolutional Neural Network. I don't have any clinical information or any other associated ECGs on this case, but wanted to post it here because it is interesting and it is pathognomonic. What is it? This is a proximal LAD Occlusion. First, there are hyperacute T-waves in V2-V4.

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EKG/ECG 52

The Bottom Line

FEBRUARY 9, 2023

In patients with severe cardiogenic shock does immediate initiation of VA-ECMO, compared to a trial of conservative therapy and the possibility of rescue VA ECMO, reduce a composite outcome of death, resuscitated cardiac arrest or commencement of another mechanical circulatory support?

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Shock Resuscitation Outcomes 52

Intensive Blog

FEBRUARY 7, 2023

Everything ECMO 045: The role of ECPella in unloading the Left Ventricle Author: Dr Sneha Varkey Peer reviewer: Dr Vinodh Nanjayya A 44-year-old female patient suffered an out-of-hospital ventricular fibrillation (VF) arrest. The time from her arrest to return of spontaneous circulation was 20 minutes. Coronary angiography revealed multiple thrombotic lesions in the LAD/D1/D2.

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Shock Hospitals Operations Outcomes 52

Emergency Medicine Cases

FEBRUARY 8, 2023

If you missed The EM Cases Summit '23, no worries, we've got you covered! All the main stage talks of both the 2023 and 2021 Summits are now available for video streaming, on your own time, for a limited time only thru emcasessummit.com. Plus you get the 2023 and 2021 eBooks summarizing the talks as a bonus. New EM Cases swag too. The post EM Cases Summit Video Streaming Package Now Available appeared first on Emergency Medicine Cases.

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EMS 52

RebelEM

FEBRUARY 8, 2023

Take Home Points: Fluorescein is an essential tool in the diagnosis of HSV keratitis Identifying the type of HSV keratitis is crucial, as it will guide treatment Update tetanus vaccination Consult ophthalmology if there is concern for HSV keratitis as these patients require close and frequent follow-up REBEL Core Cast 95.0 – Herpetic Keratitis Click here for Direct Download of the Podcast Definition: An infection of the cornea caused by the herpes simplex virus (HSV).

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EMS 52

NRC Health

FEBRUARY 7, 2023

The NRC Health 2023 Pediatric Collaborative is truly a can’t-miss experience, with exceptional presentations that will stir innovative ideas for attendees to bring back to their larger PX and marketing teams. The post Pediatric Collab Preview: Reignite your motivation and find your unique I.M.P.A.C.T. appeared first on NRC Health.

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Pediatrics 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2023

Sent by anonymous, written by Pendell Meyers A man in his 60s presented with acute chest pain with diaphoresis. He had received aspirin and nitroglycerin by EMS, with some improvement. His vitals were within normal limits. Here is his triage ECG: 2045: What do you think? The ECG is subtle, but diagnostic of infero-posterior OMI. The QRS is normal, yet in aVL the normal upright small QRS complex is followed by in appropriately large-volume T wave inversion, which is reciprocal to the T waves in l

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EKG/ECG EMS Hospitals 52

Board Bombs

FEBRUARY 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. As Shakira says, the hips don't lie. So we've packed a lot of truthful information into this podcast. It's all in the hips- fractures and dislocations. We'll set the record straight. Cite this podcast as: Briggs, Blake; Wosiski-Kuhn, Marlena.

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Dislocations Fractures 52

EMergucate

FEBRUARY 6, 2023

ECG of the Week 1 February 2023 – Interpretation The patient is in sinus rhythm with a rate of approximately … Continue reading →

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EKG/ECG EMS 52

RCEM Learning

FEBRUARY 7, 2023

Geriatric Emergency Medicine Fellow. Keen interest in all things GEM and education. Passionate about palliative care.

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Geriatric Emergencies 52

JournalFeed

FEBRUARY 4, 2023

The JournalFeed podcast for the week of Jan 30 – Feb 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. WEST Aorta Guidelines Spoon Feed The Western Trauma Association Algorithms Committee has released new evaluation and management guidelines and a step-by-step algorithm (see below) surrounding blunt thoracic aortic injury.

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SCGH ED

FEBRUARY 9, 2023

The post Helicopter Interhospital Transfer Protocol appeared first on Charlie's ED.

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EMergucate

FEBRUARY 7, 2023

Left wrist pain following FOOSH. What can be seen? Answer will be posted in a few days.

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EMS 52

EMCrit

FEBRUARY 9, 2023

Who and When to Refer for VV ECMO EMCrit Project by Scott Weingart, MD FCCM.

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University of Maryland Department of Emergency Med

FEBRUARY 4, 2023

The classic teaching regarding penetrating neck trauma is violation of the platysma muscle in zones 1 and 3 requires angiography, endoscopy and b.

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The Bottom Line

FEBRUARY 9, 2023

What’s new in the Critical Care literature – monthly updates

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EMergucate

FEBRUARY 4, 2023

Question 1: PH = 7.32 ( less than 7.35) so, we have mild acidaemia. PCO2 = 48 (on arterial blood gas > 40), so we have respiratory acidosis.

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Emergency Medicine Ireland

FEBRUARY 6, 2023

Welcome back to the tasty morsels of critical care podcast. Nestled towards the end of Oh Chapter 51 we have a section dedicated to SAH. Given that a lot of ICU bed days are given over to managing SAH, I felt it might have warranted its own chapter. Indeed, looking at its prevalence in fellowship examinations it does seem that a fair deal of attention should be given to SAH.

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Stroke EMS Wellness Radiology 52

University of Maryland Department of Emergency Med

FEBRUARY 9, 2023

In December 2022, The American College of Surgeons released a practice guidine discussing screening trauma patients for mental health dis.

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The Bottom Line

FEBRUARY 9, 2023

What’s new in the Critical Care literature – monthly updates

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EMergucate

FEBRUARY 6, 2023

75 year old man was brought to ED by ambulance in VF cardiac arrest , CPR in progress. His venous blood gases showed the following PH = 7.

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CPR 40

Dr. Smith's ECG Blog

FEBRUARY 4, 2023

This was posted a few years ago. I'm highlighting it again, with comments from Ken Grauer below. This was sent to me by Jason Winter. @JasonWinterECG This is a 36 yo m with h/o TBI and epilepsy. He had a seizure this morning and rolled out of bed unable to get up. There were no injuries and no chest pain and he appeared well. He complained of 3 days of diarrhea and abdominal pain.

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EKG/ECG Seizures EMS Outcomes 52

University of Maryland Department of Emergency Med

FEBRUARY 10, 2023

Prolonged post-concussion symptoms are loosely defined as those lasting more than three or four weeks versus typical recovery, typic.

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Intensive Blog

FEBRUARY 9, 2023

Labs and Lytes 040 Author: Dr Nasreen Bahemia Peer reviewers: Dr Craig Johnston, A/Prof Chris Nickson A 56-year-old female presented to the Emergency Department (ED) with 2 days of severe nausea, vomiting and diarrhoea. She was also getting progressively drowsier while waiting in ED. Her last meal, a large quantity of homemade pasta with mushroom that she foraged, was 2 days prior to presentation.

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Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

University of Maryland Department of Emergency Med

FEBRUARY 7, 2023

Background: The use of sodium bicarbonate in the treatment of out-of-hospital cardiac arrest (OHCA) has been longstanding desp.

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Hospitals 40