Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

Instead, IR performed pulmonary thrombectomy and the patient did well. _ Here are some representative stills with red arrows pointing to the emboli. Thanks in part to rapid bedside diagnosis, the patient was able to avoid emergent coronary angiography.

EKG/ECG 128

EKG/ECG Ultrasounds Shock EMS 128

ALiEM

SEPTEMBER 27, 2023

What well-known adverse reaction results from ingestion of the pictured mushroom? Disulfiram-like reaction with ethanol consumption Coprinus atramentarius or Ink Cap mushroom is well known to cause a disulfiram-like reaction when it is consumed prior to ethanol. 2007 Mar;5(1):64-74. Antimicrob Agents Chemother. PMID: 31871085.

Seizures 67

Seizures Academics Wellness 67

ALiEM

JANUARY 22, 2024

The patient also complained of shortness of breath for one week associated with a dry cough, as well as an altered sensorium for one day. 2007 Dec;21(4):997-1011, ix. Fever was documented to be 102°F and was not associated with any chills or rigors. He was then extubated and discharged after 27 days. Infect Dis Clin North Am.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

Sensible Medicine

JULY 24, 2023

At the time, in 2007, the cardiology world was stunned to learn that opening partially blocked coronary arteries—in stable patients—did not lead to fewer heart attacks or less cardiac death compared to tablets alone. A later re-analysis increased the time to 21 seconds, which was still well below statistical significance.

Academics 98

Academics Documentation/Coding Ultrasounds Wellness 98

PEMBlog

AUGUST 14, 2024

Dosing and When to Use It For anxiolysis and minimal sedation, a dose of 1-2 mcg/kg intranasally works well. 2007 Mar;8(2):115-31. The duration of its effects can vary depending on the dose, but you can expect it to last up to 30 minutes, which is usually enough time for shorter, non-painful procedures. Curr Opin Anaesthesiol.

Pediatrics 59

Pediatrics Wellness 59

Don't Forget the Bubbles

NOVEMBER 8, 2023

Tilly is normally fit and well, with no significant past medical history. The Shera Score Children with a low Shera score (less than 3) who are otherwise systemically well may be suitable for discharge home with safety netting advice , whereas patients with high scores (8 or more) warrant immediate surgical referral. JAMA, 2007.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

PHEM Cast

JULY 14, 2016

Crane T, Cooke MW, Wellings R, Wayte S, Higgins J. 2007 Aug 1;:1–18. 2007 Jul 1;24(7):501–3. Value of a rigid collar: in need of more research and better devices. Emergency Medicine Journal. 2013 May 13;30(6):516–6. MRI study of effectiveness of cervical spine immobilisation- a pilot study. The University of Warwick.

Fractures 52

Fractures Hospitals Shock Research 52

EMDocs

APRIL 27, 2024

and Staphylococcus spp. 2 F ungal involvement (usually Aspergillus fumigatus ), especially in immunocompromised patients. Malignant external otitis: The shifting treatment paradigm. American journal of otolaryngology , 39 (1), 41–45. link] Franco-Vidal, V., Blanchet, H., Dutronc, H., & Darrouzet, V.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

EMDocs

AUGUST 22, 2024

Well-meaning providers who are not highly fluent may contribute to miscommunication and diagnostic errors. Providers should respect and utilize this mode of communication, as well as document the patient’s request for a non-certified interpreter. April 2007. 15 Ensuring bilingual providers are tested and credentialed.

Documentation/Coding 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

Critical Care Now

APRIL 5, 2022

The Excellence in Prehospital Injury (EPIC) Study The EPIC TBI study ran from 2007 to 2019 and involved an EMS and public health partnership in Arizona. The data was collected from 2007 until 2015, analyzed from 2015 until 2019, and then published in 2019.

Airway Management 52

Airway Management EMS CDC Pediatrics 52

American Medical Compliance

OCTOBER 17, 2023

Thousands of these infections result in death, as well. Food Safety Regulation Compliance Moreover, some of the applicable FDA regulations related to ISO 22000 include FDA FSMA, Hazard Analysis & Critical Control Points (HACCP), Retail Food Protection, and Food Protection Plan 2007.

Documentation/Coding 52

Documentation/Coding Wellness 52

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Dr. Smith's ECG Blog

AUGUST 19, 2023

Circulation 2007 2. Clinical characteristics of dialysis patients with acute myocardial infarction in the United States. A collaborative project of the United States Renal Data System and the National Registry of Myocardial Infarction. Khan et al.

EKG/ECG 98

EKG/ECG Wellness Outcomes Hospitals 98

ACEP Now

FEBRUARY 13, 2024

See below: Fascia iliaca Serratus anterior Erector spinae The risks of opioid medications, especially in the elderly, has been well described. Trends in opioid prescriptions among part D medicare recipients from 2007 to 2012. Opioid Prescribing at Hospital Discharge Contributes to Chronic Opioid Use. J Gen Intern Med. Goodwin J.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Wellness 52

PulmCCM

JUNE 10, 2024

Lecuyer et al (“The ICU Trial”, Crit Care Med 2007 ) In a prospective cohort study at one hospital in Paris, 188 cancer patients who developed critical illness midway through their treatment course were admitted to the ICU, with a reappraisal of the intensity of care on day 5. 2007 Dec 1;335(7630):1132. Epub 2007 Nov 1.

COPD 45

COPD Outcomes Hospitals EMS 45

Cook County EM Blog

MAY 15, 2023

His EKG suggested a posterior MI as well as other signs of ischemia. Repeat EKGs continued to show ST depression in V2, as well as a new q wave in lead II, and deeper, wider q waves in lead III and aVF. 2007 Jan;15(1):16-21. What does this EKG suggest? Posterior MI is suggested by large R waves (>30ms) in V2 and V3.

EKG/ECG 52

EKG/ECG Documentation/Coding Wellness 52

EMDocs

JANUARY 29, 2024

However, other sources suggest that the optimal blood pressure target is not well established and may vary depending on the individual patient’s characteristics and the type of hemorrhagic transformation [7]. 2007 Jul 18;2007(3):CD000277. This includes intraparenchymal hemorrhage and subarachnoid hemorrhage (SAH). doi: 10.1212/wnl.50.4.876.

Stroke 99

Stroke Outcomes EMS Seizures 99

RebelEM

DECEMBER 1, 2022

Regardless of the cause, a thoracostomy is often required for treatment (Currie 2007 ). PC performed as well as LBCT in terms of successful drainage and was associated with fewer complications, decreased drainage duration, and decreased length of hospital stay, driven by data on spontaneous pneumothorax. 2007 Nov;83(985):722].

Outcomes 52

Outcomes Hospitals Research Critical Access 52

Mind The Bleep

JULY 23, 2023

H, 2007) AXR will frequently be normal Management: Ladds procedure which involves untwisting the bowel, resecting any ischaemic / non viable bowel tissue. H, 2007) “Spiral sign” in malrotation: Duodenum and Proximal Jejunum have a Spiral configuration and are located in the right side of the abdomen. (H, Green for Danger!

Sepsis 52

Sepsis Blood Transfusions Dehydration Wellness 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Journals reviewed were Archives of Disease in Childhood, BMJ Emergency Medicine, and the Lancet Adolescent and Child Health; as well as published studies by the Paediatric Emergency Research in the UK and Ireland (PERUKI) Network. 2007 Oct 1; 12 (4):205–8. Acta Inform Medica. 2017; 25 (2):112. Murray S, Buller AM.

Research 40

Research Burns Wellness 40

Pediatric Emergency Playbook

AUGUST 1, 2017

2007; 16:27-33. 2007; 298(4):438-451. 2007; 25:1009-1040. Single-stage versus multi-stage pull-through for Hirschsprung's disease: practice trends and outcomes in infants. J Pediatr Surg 2014; 49:1619. Pyloric Stenosis Aspelund G, Langer JC. Current management of hypertrophic pyloric stenosis. Semin Pedaitr Surg. Dias SC et al.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

EMDocs

JANUARY 4, 2024

3 Bupropion blocks the reuptake of dopamine and norepinephrine, as well as antagonizes acetylcholine at nicotinic receptors. Epub 2007 Sep 4. Bupropion is a beta-keto amphetamine (a substituted cathinone like amphetamine and bath salt derivatives). Ann Emerg Med. 2008 Apr;51(4):412-5, 415.e1. doi: 10.1016/j.annemergmed.2007.06.004.

Seizures 92

Seizures EKG/ECG Poisoning Shock 92

Greater Sydney Area HEMS

APRIL 26, 2023

Both the stuff of legend and go by multiple names including harness hang syndrome and orthostatic intolerance, as well as bigfoot and the abominable snowman, respectively. Lee C, Porter KM (2007) Suspension trauma. What do suspension trauma (ST) and the Yeti have in common? I thought you’d never ask. That’s it? I haven’t finished.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Dr. Smith's ECG Blog

JULY 22, 2023

The patient did well and was ultimately discharged home. As for our patient, on discharge, her EKG had completed returned to her baseline morphology and she has been doing well in follow-up. Is there fever again? There were no dysrhythmias on cardiac monitor during observation. See more cases of Brugada due to fever here.

EKG/ECG 92

EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Wellness 92

PulmCCM

FEBRUARY 19, 2024

Well … no. Over six years of study (2007-2013): There were 83 MET calls activated by parents (~1.2 And you did read that right: patients activated their own rapid response evaluations in over half of the 25 RRT calls at Shands, authors reported.) per month, about 3% of all MET calls).

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

Taming the SRU

MARCH 14, 2023

He appears well and is triaged to an ESI 4. She was doing well, but recently has had the “stomach flu” with a couple weeks of abdominal pain, nausea and vomiting. More on this below as we work through a few cases…. Case 1 Fussy 1 month old A 1-month-old (ex-34 week premature) infant comes to your emergency department for fussiness.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

ACEP Now

AUGUST 1, 2023

A rural ED staffed by a well-trained EP is an essential resource in small communities that may be otherwise lacking in readily available healthcare resources. Coach John Wooden was famous for focusing on the fundamentals, sometimes called “little things.”

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

ACEP Now

SEPTEMBER 13, 2023

This funding expanded the committee’s work to include three reports: Hospital Based Emergency Care – at the Breaking Point ; Emergency Medical Services – at the Crossroads ; and Emergency Care for Children – Growing Pains ,” all released in 2007. Prescott, MD, another member of the committee. “We

EMS 45

EMS Research Military Academics 45

EMDocs

SEPTEMBER 25, 2023

They increase the risks of hypoxia and acidosis during the apneic period as well as hypotension and hypoperfusion caused by the abrupt transition from negative-pressure to positive-pressure ventilation (10). 2007): 748. PMID: 33308912 Neilipovitz, David T., and Edward T. ” Canadian Journal of Anesthesia 54.9 Wallace C, McGuire B.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. To reverse these effects as well as refractory hypotension, hydrocortisone is the preferred agent due to both its glucocorticoid and mineralocorticoid properties. 2007; 25: 309-331.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Pediatric Emergency Playbook

JUNE 1, 2017

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Pediatric Emergency Playbook

MAY 1, 2017

Home care The neonate who is safe to go home is well appearing, and not dehydrated. Make sure to enlist the family's help and support to keep Mom hydrated, eating well, and resting whenever she can. My take away: we now have some evidence basis for using filtered sunlight as an adjunct for babies well enough to go home.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

Don't Forget the Bubbles

FEBRUARY 26, 2024

Increasing PEEP is thought to cause bronchodilation by providing direct mechanical stimulus as well as secondary stimulation through pulmonary stretch receptors coupled with activation of the non-cholinergic parasympathetic pathway. 2007 Jan 1;25(1):6-9. This, in turn, inhibits the bronchoconstriction cholinergic pathway.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

Taming the SRU

APRIL 17, 2023

Thankfully, some of the more common and/or dangerous plant poisonings have been well-categorized, and are summarized below. Deadly Nightshade and Jimson Weed are well known among the poisonous plants. 2007 May;25(2):375-433; abstract ix. Now that is an interesting consult! Address life-threats. Plant poisoning. 2007.02.013.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

Don't Forget the Bubbles

JULY 26, 2023

A cardiac family history should of course be sought, but think a little outside the box as well. On arrival at hospital the child was well with normal observations. Claudius et al, Pediatrics 2007 here a US-based study showed that of all admitted patients only 14% had a subsequent clinical course requiring admission.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Dr. Smith's ECG Blog

JANUARY 17, 2023

My Comment by K EN G RAUER, MD ( 1/17 /2023 ): = As per Dr. Smith — pulse - tap artifact used to be a "new" phenomenon to us ( as well as to virtually all medical providers ). Did YOU Notice the change in both the baseline — as well as in the size of the ST-T wave alternating every-other-beat in the long lead II rhythm strip?

EKG/ECG 52

EKG/ECG Wellness 52

Mind The Bleep

JULY 15, 2023

As well as synthesising more albumin, the liver also increases its production of LDL and VDL and lipoprotein which causes hypercholesterolaemia and hypertriglyceridaemia. Reidy K, 2007) Membranoproliferative glomerulonephritis (MPGN) accounts for 6% of cases of nephrotic syndrome in children. Fronteirs in Immunology. Moroni G, P.

Allergic Reactions 52

Allergic Reactions Shock Hospitals Wellness 52