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ECG Blog #415 — The Cath showed NO Occlusion!

Ken Grauer, MD

Today’s patient is an older woman who experienced a number of fainting epiodes over the previous week. No CP ( C hest P ain ). Shortly after arrival in the ED ( E mergency D epartment ) — she suffered a cardiac arrest. The ECG in Figure-1 was obtained following successful resuscitation. What is T-QRS-D? No chamber enlargement.

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Gelastic Seizures: No Laughing Matter

Pediatric EM Morsels

If you are concerned for a Gelastic Seizure, expedite actions to evaluate for Hypothalamic Hamartomas and know that the “simple laughter” can evolve into encephalopathy (which is no laughing matter.). References: Nicotera AG, Spoto G, Amore G, Butera A, Di Rosa G. Epilepsy Behav. 2024 Feb 29;153:109719. doi: 10.1016/j.yebeh.2024.109719.

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ECG Blog #390 — No Information Provided.

Ken Grauer, MD

Monitoring the patient on telemetry for just a little bit longer ( ie, another 20-30 seconds ) — is usually all that it takes to establish IF one or more PR intervals are truly repeating — in which case, it becomes likely that these beats that manifest the same PR interval are being conducted. There are no "earlier-than-expected" beats.

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New Study Finds No Link Between Autism and Acetaminophen Use During Pregnancy

Science Based Medicine

A new study designed to better account for hidden confounding factors has found no link between acetaminophen use during pregnancy and the risk of neurodevelopmental conditions in childhood. The post New Study Finds No Link Between Autism and Acetaminophen Use During Pregnancy first appeared on Science-Based Medicine.

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Are you a perfect diagnostician? No? Then give your patients a break

First 10 EM

However, if you listen to the subtext of breakroom complaints, it seems like we expect patients to be better diagnosticians […] The post Are you a perfect diagnostician? Then give your patients a break appeared first on First10EM.

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Medicare doesn't pay because there is no evidence you live longer or better as a result

Sensible Medicine

On Friday, the New York Times ran this story. The article begins by explaining that mammograms don’t find all breast tumors — of course they don’t! Even MRI and ultrasound do not. In fact, no imaging modality does. The only way to find all the tumors would be to remove the breast and have a pathologist examine every tiny bit of it.

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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Taming the SRU

She has taken a home pregnancy test which was positive, and her last menstrual period was over one month ago. She denies any fevers, nausea, or vomiting. She denies dysuria, hematuria, vaginal bleeding, discharge, or leakage of fluids. On exam, she is in no acute distress and her vital signs are within normal limits.