SheMD

DECEMBER 10, 2023

We are expert at taking a good history, looking for subtle clues that lead us to a diagnosis and conveying that information to our patients. One time, I spent ten minutes of a two year old well visit listening to nursery rhymes and songs on a portable karaoke machine. to doctor. A good internist encompasses all of these.

Pediatrics 98

Pediatrics EKG/ECG Wellness Psychiatric 98

Medagadget

JUNE 8, 2023

The goal for biomedical researchers is simple and at one time was considered fantastical – to create tiny machines that can perform functions within the body, such as drug delivery or even surgical procedures.

Research 90

Research 90

American Medical Compliance

FEBRUARY 27, 2023

To become certified, please visit us at American Medical Compliance (AMC). MRI Magnetic Force The magnetic force of an MRI machine is strongest at the side or opening of the machine. However, larger objects can crush or even trap the patient or employee inside the MRI machine.

Wellness 52

Wellness 52

CasesBlog

JULY 8, 2020

From CNN : "Handheld devices also cost much less than traditional ultrasound machines. A "major" limitation is the inability to perform the spectral Doppler test used to identify some more acute heart conditions." Stay updated and subscribe , follow us on Twitter and connect on Facebook. The Butterfly iQ costs $2,000.

Ultrasounds 52

Ultrasounds 52

American Medical Compliance

OCTOBER 27, 2023

To become certified, please visit us at: American Medical Compliance (AMC). Languages: American English Key features: Audio narration, learning activity, and post-assessment. Get Certified American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions.

Patient Safety 52

Patient Safety Hospitals 52

Medagadget

JULY 14, 2023

When the phone is placed on someone’s forehead it begins to heat up, and a machine learning algorithm then calculates how much of this heat is imparted by the person touching it, allowing the app to estimate their core body temperature. Running a fever is a common early sign of COVID-19 and many other viral diseases. .

Research 67

Research Telemedicine 67

Sensible Medicine

AUGUST 30, 2023

The basic problem is that although prostate cancer is the second most deadly cancer in men in the US, “more men die with prostate cancer than of prostate cancer.” We do not have nearly enough MRI machines to use them for disease screening. A trial is not necessary to know that MRI is not a feasible screening test.

Research 92

Research 92

Stop and Think

JANUARY 10, 2024

It is, basically, a heart-lung machine. It’s used to support the sickest patients. Two trials published this year provided clarity on whether it is useful. One scenario that doctors considered dire enough to use ECLS occurs when CPR does not work to restore circulation. These two RCTs show that it does not.

CPR 44

CPR Shock Outcomes Resuscitation 44

Taming the SRU

FEBRUARY 23, 2024

Be mindful of consults: sometimes this becomes a crutch to get out of things we would best be served learning to evaluate independently.

Pediatrics 68

Pediatrics Ultrasounds Wellness Fractures 68

Taming the SRU

SEPTEMBER 27, 2023

Benoit, Ferman, and Freiermuth and Heidi Sucharew, PhD It is important for us to understand which high impact studies have influenced our practice to be what it is today. You must understand the parts to understand the machine. landmark studies in em WITH Drs. Interpret in context… carefully. Practice struggling.

Stroke 52

Stroke EMS Pediatrics Outcomes 52

Cook County EM Blog

APRIL 22, 2022

Instead, ultrasound waves bounce back and forth between the highly reflective diaphragm before returning, leading the delayed echoes to be perceived as deeper structures by the ultrasound machine. Mirror artifact is a reassuring finding of normal lung, whereas the spine sign indicates pleural effusion.

Ultrasounds 40

Ultrasounds COPD Emergency Department 40

Dr. Smith's ECG Blog

JUNE 11, 2021

Below is the first ED ECG, labeled LBBB by the machine. The patient still had chest pain and the ECG was repeated one hour later, labeled LBBB by the machine. Meyers note: As Dr. McLaren points out, skilled ECG interpretation helps us see prospectively that the LAD was the clear culprit in this case.

EKG/ECG 52

EKG/ECG Documentation/Coding CPR Shock 52

ETM Course

DECEMBER 13, 2014

It’s a new simplified point of care TEG (thromboelastography) machine that runs with a simple cartridge. So I grabbed the Haemonetics rep Lisa for a quick interview and she runs us through the new machine and how to interpret the results.

Resuscitation 52

Resuscitation 52

Dr. Smith's ECG Blog

JULY 14, 2023

He underwent further standard resuscitation EXCEPT that we applied the Inspiratory Threshold Device ( ResQPod ) AND applied Dual Sequential Defibrillation (this simply means we applied 2 sets of pads, had 2 defib machines, and defibrillated with both with only a fraction of one second separating each defibrillation.

Resuscitation 82

Resuscitation EKG/ECG CPR Outcomes 82

EMDocs

APRIL 22, 2024

During this resuscitation two different ultrasound machines were used to capture images due to a malfunction with the first machine after initial images were captured. Office of the Surgeon General (US); National Heart, Lung, and Blood Institute (US). Rockville (MD): Office of the Surgeon General (US); 2008.

Ultrasounds 79

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Shock 79

Sensible Medicine

MAY 22, 2023

A true crisis in humanity goes unnoticed in nearly every US hospital. Patients who have no chance of meaningful survival get stuck on ventilators and dialysis machines. Routine is the image of people receiving brutal non-beneficial care at the end of their life. Frail patients made more frail with each chemo infusion.

Documentation/Coding 56

Documentation/Coding Hospitals Shock Outcomes 56

Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

Arrival at time 0 ECG 7 min Roomed in hallway at 17 min Moved to room with monitor at 37 min The patient was seen briefly by the physician, who then went to get an ultrasound machine. At 47 minutes, when the physician returned, the patient was found to be in ventricular fibrillation with agonal breathing.

EKG/ECG 120

EKG/ECG Resuscitation CPR Emergency Department 120

Emergency Medicine Ireland

FEBRUARY 1, 2021

With regards to the kidneys the ubiquitous presence of the green machine (CRRT) has allowed us to prioritise killing bugs before preserving renal function. The ototoxicty is somewhat more opaque to us in the ICU as pat. As a result we have a somewhat laissez faire attitude to nephrotoxicity which is probably not the best.

Sepsis 40

Sepsis Shock Wellness 40

American Medical Compliance

FEBRUARY 26, 2023

To become certified, please visit us at American Medical Compliance (AMC). Additionally, HCIRs provide product support for complex instrumentation and sophisticated equipment that is used in the OR. Reach out for other courses by visiting the AMC Course Library.

Operations 52

Operations Best Practices Administration Hospitals 52

Advanced Medical Reviews

MAY 2, 2019

The physical therapy industry has been focused on employer-based healthcare, artificial intelligence and machine learning, especially in the role of big data and enrollment in the Merit-based Incentive Payment System (MIPS) for billing. In addition, telehealth is presenting this industry with a lot more options with which to engage patients.

Hospitals 88

Hospitals Pediatrics Research 88

The Skeptics' Guide to EM

DECEMBER 2, 2017

JAMA 2017 Guest Skeptic: Dr. Bob Edmonds is an Emergency Physician in the US Air Force. JAMA 2017 Guest Skeptic: Dr. Bob Edmonds is an Emergency Physician in the US Air Force. DISCLAIMER: The views and opinions of this podcast do not represent the United States Government or the US Air Force.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

Emergency Medicine Ireland

JULY 3, 2023

This might allow us to effectively assess congestion while avoiding the terrors of hypoperfusion from volume removal. I took home from this discussion that as long as they are still diuresing effectively we shouldn’t be in a rush to hold the diuretics purely because the creatinine bumped.

Sepsis 96

Sepsis Shock Wellness Documentation/Coding 96

Canadian EM

NOVEMBER 7, 2023

For the October 2023 issue of CJEM, we collaborated with their team to present “Machine learning for the diagnosis of acute coronary syndrome using a 12-lead ECG: a systematic review”​1​​ in a visually simplified format. We often rely on our clinicians interpretation of the 12-lead, instead.

EKG/ECG 52

EKG/ECG 52

Ken Grauer, MD

JANUARY 26, 2023

The ST-T wave in the 3rd inferior lead ( = lead II ) is flat ( Note that the long lead II rhythm strip gives us a number of additional "looks" at the ST-T wave of lead II — which confirms that it is flat ). There are many different types of recording systems used in the too-numerous-to-count number of different ECG machine systems.

EKG/ECG 195

EKG/ECG Wellness 195

Dr. Smith's ECG Blog

MARCH 31, 2023

Finally, no matter what, it pays to record frequent serial ECGs, though using the bot will get the answer faster. = My Comment by K EN G RAUER, MD ( 3/31 /2023 ): = Computers are amazing machines.

EKG/ECG 52

EKG/ECG Academics Wellness Documentation/Coding 52

PulmCCM

NOVEMBER 27, 2023

He evangelized as late as 1990 for megadoses that he promised would let us live 25 years longer, “free of diseases.” Regarding the unequal randomization: the aforementioned REMAP-CAP platform acts sort of like a slots machine in Vegas, adjusting its randomization ratio based on its inputs.

Sepsis 52

Sepsis Shock Administration Outcomes 52

Dr. Smith's ECG Blog

OCTOBER 18, 2023

Posterior leads showed mild posterior ST elevation, labeled ‘nonspecific’ by machine but STEMI on final interpretation: Cath lab was activated and found 100% ramus intermedius occlusion. This will make expert OMI interpretation widely available, and help us continue to learn the subtleties of ECG interpretation 4.

EKG/ECG 111

EKG/ECG Documentation/Coding Emergency Department Outcomes 111

Dr. Smith's ECG Blog

JANUARY 15, 2024

Remember that ECG machines generally have modifiable gain. Setting our calipers to the interval between these complexes allows us to march out regularly-occurring deflections at a rate of ~130/minute thoughout the tracing = RED arrows ). Here is ECG 1 with gain increased to 20 mm/mV. As you may have guessed — this patient was fine.

EKG/ECG 61

EKG/ECG Wellness Point-of-Care Testing Shock 61

Thinking Critical Care

MAY 18, 2023

Only the Shock Team were allowed to do right heart catheter haemodynamic studies, and I was entrusted with Ed Sivak’s double indicator dilution machine that measured the extravascular thermal volume of the lungs. One of us would be the designated Ambulance driver. 10] He was using the Gurll model to investigate hypovolaemic shock.

Shock 40

Shock Research Sepsis Resuscitation 40

Emergency Medicine Ireland

SEPTEMBER 18, 2023

The prognosis here is dismal and adding more machines at the end of life is probably not going to help. However the more common scenario is the burnt out cirrhotic who is having increasing frequency of decompensations.

Wellness 52

Wellness Hospitals Outcomes 52

Dr. Smith's ECG Blog

APRIL 21, 2023

ECGs labeled as ‘normal’ by conventional machines (and confirmed by over-reads) can still be diagnostic of OMI, and identified by OMI experts and the AI they train 2. Taking Another LOOK at the ECGs in Figure-1: Today's case began with us first being shown ECG #2. The BOTTOM tracing ( = ECG #1 ) — was obtained the day before ECG #2.

EKG/ECG 52

EKG/ECG Outcomes Research Hospitals 52

EM Curious

JULY 24, 2015

One of our beloved colleagues from the community has recently declared to us his love of ultrasound guided nerve blocks--a skill that is established in the anesthesia world but is quickly gaining traction in our realm. These nerve blocks have the potential to be huge for us as emergentologists, but don't take our word for it.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Mount Sinai EM

OCTOBER 2, 2023

Common brands : Cordis, Arrow, Oscor In the US, it’s common for for any sheath introducer to colloquially be called a “Cordis” (Fun fact: in Australia they commonly say “Swann sheaths” instead just since they’re used to place Swann-Ganz catheters). PIV 16G IV: 13.2 L/hr 18G IV: 6.0 L/hr 20G IV: 3.6 L/hr 7 Fr TLC 16G distal port: 1.9

Resuscitation 240

Resuscitation Fluid Resuscitation Administration Shock 240

PulmCCM

JANUARY 29, 2022

Mpro cleaves into action various non-structural proteins that go on to form important viral replication machines within the infected cell. The EPIC-HR study [Evaluation of Protease Inhibition for COVID-19 in High-Risk patients] founded a very recent Emergency Use Authorization granted by the US FDA with for NIR-RIT.

Hospitals 40

Hospitals Outcomes Wellness Pediatrics 40

Don't Forget the Bubbles

DECEMBER 6, 2023

Yet those of us who frequently care for adolescents can attest that they are thankful patients when they feel you take them seriously. In the Lancet, Vrinten and colleagues examined the use of social media among children and young people and its associations with health behaviours. Eur J Pediatr. 2023 Nov 7. de Sonnaville ESV, et al.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Research Hospitals 52

Taming the SRU

AUGUST 25, 2023

doxycycline Consider a splint/cast window to allow direct monitoring mainly used for fracture blisters and/or open wounds yet takes away from the strength of the splint/cast Case #3 43yo with FOOSH injury and closed wrist deformity, yet no x-ray machine is available to you Least likely injuries to need an x-ray in a resource-limiting setting?

Seizures 66

Seizures Fractures EKG/ECG Resuscitation 66

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Note that the machine read is "normal sinus rhythm, normal ECG." However, it does give us some context for thinking about benign causes of ST elevation. Normal" machine read does not rule out OMI. The "onus of proof" remains on us as medical providers to objectively rule out ACS. The following ECG was obtained.

EKG/ECG 105

EKG/ECG Documentation/Coding Wellness Emergency Department 105