Dr. Smith's ECG Blog

AUGUST 3, 2017

Furthermore although there is no literature on morphology of ST-elevation in posterior leads, it is interesting to note that the morphologies of these elevations are in and of themselves concerning as well. So treating these as STEMI is well within the bounds of guideline recommendations (6). J Emerg Med 2001; 20:391-401.

EKG/ECG 52

EKG/ECG Outcomes Wellness 52

RebelEM

JANUARY 19, 2023

If aspiration is unsuccessful based on the criteria above → Chest tube is inserted (size 8-14Fr) and admitted to the hospital. Outcomes: Primary Outcome: Total length of hospital stay up to 30 days after randomization, including initial hospital stay and readmissions. Investigators asked a patient-oriented research question.

Outcomes 52

Outcomes Hospitals Research EMS 52

PulmCCM

APRIL 1, 2024

Physical therapy is probably under-provided to critically ill patients, and improving this might improve outcomes for many. That could (and should) change if improved functional outcomes, persisting for months after hospital discharge, are ever confirmed in large, well-conducted trials.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Brief aside: "Early repolarization" is a frequently proclaimed and poorly understood electrocardiographic phenomenon which mostly serves to reassure clinicians that not all ST elevations are ischemic (something readers of this blog know well). linking the finding with long term risk of idiopathic ventricular fibrillation. Stuckey, T.,

EKG/ECG 113

EKG/ECG Documentation/Coding Wellness Emergency Department 113

RebelEM

AUGUST 7, 2023

Outcome of delirium in critically ill patients: systematic review and meta-analysis. No mention was made of what kind, how much or how often Critical Results: Median time from ICU admission to randomization was 3.9 days (1.8 – 9.7 IQR) in the haloperidol group and 4.1 days (1.6 – 8.9 IQR) in the placebo group. N Engl J Med.

Outcomes 52

Outcomes Hospitals EMS Administration 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

This definition includes clinically apparent seizures as well as those seen only on EEG.) Or… is it something else as well? Incidence, cause, and short-term outcome of convulsive status epilepticus in childhood: prospective population-based study. 2001; 32: 1458-1471 Rosati A et al. In other words – time is brain.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

RebelEM

JANUARY 23, 2023

Health care professional involved in patient management and outcome assessment was completely blinded. 2, 2001, pp. The effectiveness of IV cetirizine was determined to be statistically non-inferior. Clinical Bottom Line This trial was funded, designed, and written with direction from a pharmaceutical company.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Urgent Care Emergency Department 52

EM Updates

MARCH 24, 2021

The age of VL was ushered in by the 2001 Glidescope, which simultaneously introduced two technologies: video (putting a camera at the end of the blade and projecting the image onto a screen), and hyperangulated geometry (blades with a much steeper curve that are designed not to move the tongue out of the way, but to advance around the tongue).

Operations 52

Operations Airway Management EMS Wellness 52

EB Medicine

OCTOBER 1, 2018

Jeff : So as well all know Sepsis is bread and butter emergency medicine, but, what is sepsis? Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Then in 2001, sepsis-2 was introduced. Jeremy, can you give us a little historical context there?

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

PHEM Cast

SEPTEMBER 6, 2017

trauma 2004) showed that end-tidal CO2 may be of value in predicting outcome from major trauma (19). H Spontaneously breathing carbon dioxide waveforms where phase III is not well delineated. In a study of 191 blunt trauma patients, only 5% of patients with an end-tidal CO2 determination of 3.25

CPR 52

CPR Resuscitation Operations Wellness 52

Dr. Smith's ECG Blog

OCTOBER 6, 2018

The patient did well at least in the short term. Chest 2001 1788 patients with acute MI (diagnosed by clinical symptoms and positive CK-MB) were prospectively enrolled and all underwent emergent coronary angiography. EF was 55%. High Lateral OMI: The high lateral wall is often aptly called "electrocardiographically silent."

EKG/ECG 40

EKG/ECG Seizures Documentation/Coding Outcomes 40

PulmCCM

APRIL 18, 2024

Video laryngoscopy was introduced in 2001 as a technique for orotracheal intubation. This outcome measure was less robust than intubation attempts, because the “failure” definition included simply switching devices, which the intubator was permitted to do at any time for any reason.

Airway Management 98

Airway Management Operations EMS Research 98

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). While ABGs and VBGs usually correlate well, there are a few situations where this correlation is disturbed.

Emergency Department 94

Emergency Department Resuscitation COPD Shock 94

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S.,

Psychiatric 87

Psychiatric Seizures Emergency Department Pediatrics 87

EB Medicine

DECEMBER 4, 2019

Well, with that, let’s get started on our final scheduled episode of EMplify ! Thanks as well to the peer editors, Dr. Knight, and Dr. Hill of the University of Cincinnati. Show More v Jeff: Well, this is a first! Jeff: Just as on the ground, shockable rhythms do well with good BLS care.

Dehydration 40

Dehydration Wellness EMS Burns 40

EB Medicine

AUGUST 1, 2018

Jeff: Because the current DEA controlled substances schedule designations are based on original chemical names, synthetics have gained popularity as manufacturers are able to produce newer compounds and circumvent DEA designation as well as routine urine drug screening tests. Jeff: And the etiology of CHS is not well understood.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

RebelEM

NOVEMBER 11, 2024

Outcomes: Primary outcome: All-cause mortality within 90 days of ED presentation Secondary outcomes: Organ-failure-free days at 28 days, that is how many days in the first 28 after arriving in the ED not requiring mechanical ventilation, vasopressors, or dialysis. Variations in compliance could have impacted patient outcomes.

Sepsis 84

Sepsis Outcomes Administration Shock 84

Dr. Smith's ECG Blog

APRIL 8, 2015

True Syncope: If, on the other hand, the patient is well, had no other serious symptoms , has a normal sinus rhythm, and normal physical exam , then you need to be certain the syncope was not due to a dangerous brady- or tachydysrhythmia that could recur. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 25, 2024

volvulus as well as improvements in the diagnosis and treatment of this morbid disease. Vision loss carries a high degree of morbidity and is associated with higher all-cause mortality, 4 and it is our role as emergency providers to recognize potentially reversible causes of such adverse outcomes. 7 Approximately 14.6 Image source: 1.

Infectious Diseases 54

Infectious Diseases Emergency Department EMS Administration 54

EMDocs

JANUARY 20, 2025

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.

Dehydration 40

Dehydration Fluid Resuscitation Sepsis Resuscitation 40