Ken Grauer, MD

MAY 17, 2025

== P lease N OTE : After today No new ECG Blog posts for 3- to -4 weeks. I will also not be prompt in replying to emails. == All material on this ECG Blog site remains open! The INDEX tab ( in the upper right of each page ) has linked Contents, listed by subject. So IF you are looking for ECG material There is plenty on this web site! And IF you look at the TOP of every page in this blog You'll see a Menu of Tabs that link to a variety of blog features, including my ECG podcasts, Audios &a

EKG/ECG 393

EKG/ECG EMS Administration Wellness 393

Sensible Medicine

MAY 17, 2025

On a recent shift, I received sign-out for Room 20, a 46 year old man with a history of schizophrenia as well as alcohol and cannabis abuse. He came to us from a nursing home where he lives. He accidentally set his room on fire with a cigarette, prompting the nursing home to kick him out for being a risk to the facility. Although he had no acute medical issues, he was sent to the emergency department so “the health care system” could find him a new home.

Psychiatric 91

Psychiatric COPD Emergency Department Hospitals 91

The Skeptics' Guide to EM

MAY 17, 2025

Reference: Cohen et al; SUSPECT study group. Can we avoid casting for suspected scaphoid fractures? A multicenter randomized controlled trial. J Orthop Traumatol. 2025 Date: May 1, 2025 Guest Skeptic: Dr. Matt Schmitz is an orthopedic surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. He practices at the Rady Childrens Hospital in San Diego and is Professor of Orthopedics at UC San Diego.

Fractures 85

Fractures Emergency Department Research Outcomes 85

Taming the SRU

MAY 18, 2025

The adrenal system allows our bodies to respond to physiologic stressors and to regulate multiple metabolic processes within the body. Disorders of the adrenal axis can be chronic in onset, causing subacute or subclinical presentations, or acute, leading to frank clinical presentations that need to be managed more emergently by ER physicians. Recognition and diagnosis of these disorders can be difficult as the presenting symptoms are often subtle and nonspecific, making it all the more important

Emergency Department 52

Emergency Department Stroke Administration COPD 52

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

JournalFeed

MAY 17, 2025

The JournalFeed podcast for the week of May 12-16, 2025. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Monday Spoon Feed : Short-term ambulatory cardiac monitoring has diagnostic usefulness, although limited, in patients discharged from the emergency department.

Emergency Department 52

Emergency Department 52

Mind The Bleep

MAY 19, 2025

Whether you’re chasing a better work-life balance , lucrative opportunities, scenic landscapes or a new clinical challenge, Canada is becoming an increasingly attractive destination for international medical graduates (IMGs), especially UK doctors. Canada offers multiple pathways for to work in Canada either as an attending (consultant) doctor or entering into a residency (training) program.

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Sensible Medicine

MAY 17, 2025

This is a long one! 83 minutes. This is the second podcast in which we answer questions from a our “ask us anything” post. We recorded this one before our most recent podcast — kind of like Abbey Road and Let it Be — so we were still graced by Vinay’s presence. In fact, we recorded it in his studio. We still have about a half dozen questions to answer; we will cover those on an upcoming podcast.

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Pediatric Education

MAY 18, 2025

Patient Presentation During continuity clinic, one of the residents shared that he had seen a 17-year-old female in cardiology clinic for follow up of Marfan syndrome. He said that she had some stable aortic root dilatation on echocardiogram, but no problems with the rest of her cardiac anatomy. “We really looked at her mitral valve because if you remember that is commonly affected,” he said.

Pediatrics 40

Pediatrics Research 40

Mind The Bleep

MAY 18, 2025

It is very common that we perform a cardiovascular examination in paediatrics, particularly in babies, but we will often leave out key steps which would be expected in a clinical exam setting.

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EMDocs

MAY 18, 2025

Hello World The post Hello WOrld appeared first on emDocs.

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Dr. Smith's ECG Blog

MAY 17, 2025

Many authors state that if troponins are undetectable and ECG is normal, no further testing should be done. For example, in JACC: Bandstein N, Ljung R, Johansson M, Holzmann MJ. Undetectable high-sensitivity cardiac troponin T level in the emergency department and risk of myocardial infarction. J Am Coll Cardiol [Internet] 2014;63(23):256978. Available from: [link] Conclusions All patients with chest pain who have an initial hs-cTnT level of 1 = Moderately suspicious (I put this because the pain

EKG/ECG 71

EKG/ECG Emergency Department 71