Dr. Smith's ECG Blog

NOVEMBER 19, 2022

Written by Bobby Nicholson MD, with edits by Meyers A woman in her 50s with past medical history of heart failure, prior stroke, atrial fibrillation on Eliquis, lung cancer in remission, and CKD, presented to the emergency department for evaluation of cough and shortness of breath. Epub 2009 Sep 29. What do you think? Khouzam RN.

EKG/ECG 52

EKG/ECG Stroke Emergency Department Wellness 52

Pediatric Emergency Playbook

APRIL 1, 2016

Less common causes of troponemia are: Kawasaki disease, pediatric stroke, or neuromuscular disease. 2009; (55) 12:2098–2112. Don't go looking, if you won't do anything with the test. Brain natriuretic peptide (BNP) In adults, we typically think of a BNP Luckily, we have data in children with congenital heart disease as well.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

EMDocs

DECEMBER 16, 2023

Both can result in heat exhaustion and heat stroke and have many overlapping symptoms. Patients with heat stroke have hot, dry skin and altered mental status (e.g., C, and heat stroke occurs at a core temperature > 40°C. C, and heat stroke occurs at a core temperature > 40°C. Temps greater than 41.5C Bendall, J.

Hyperthermia / Hypothermia 95

Hyperthermia / Hypothermia EMS Stroke Seizures 95

Pediatric Emergency Playbook

JUNE 1, 2017

The previously well child now decompensated: undiagnosed thrombophilia Asymptomatic patent foramen ovale (PFO) is the cause of some cases of cryptogenic vascular disease, such as stroke and MI. 2009; 8:67-69. 2009; 24:156-8. 2009; 27:942-947. However, the presence of PFO alone does not connote higher risk. 2004; 90:e17.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Taming the SRU

OCTOBER 7, 2024

In 2009, a cross-sectional research study of pregnant patients with suspected DVT were evaluated, and used to derive three symptoms that are highly predictive of DVT in pregnancy ( L eft leg symptoms, >2 cm calf circumference difference or E dema, and F irst t rimester onset) called the LEFt clinical decision tool.

Ultrasounds 64

Ultrasounds CDC Research Stroke 64

Taming the SRU

APRIL 3, 2023

Cardiac Arrest in Pregnancy 1 in 30,000 pregnancies 800 maternal deaths globally Rates have nearly doubled between 1989 and 2009 Survival to hospital discharge after maternal in-hospital cardiac arrest 58.9% Do not prepare a sterile field (but be as clean as possible). Do not transport to an alternative location.

Blood Transfusions 40

Blood Transfusions Fluid Resuscitation Resuscitation Stroke 40

ACEP Now

APRIL 5, 2024

1 However, many clinical features are common: more than 60 percent of patients present with a degree of neurological involvement, ranging from confusion to stroke and coma. Even relatively small amounts of anti-ADAMTS13 autoantibodies can lead to TTP. 1 Pregnant patients are particularly vulnerable to misdiagnosis of TTP in the ED.

Domestic Violence 40

Domestic Violence Emergency Department Outcomes EKG/ECG 40

Pediatric Emergency Playbook

JANUARY 1, 2017

Further, children participate in and absorb their family’s culture and specific personality from a very young age ( Finley 2009 ). Use soothing sensory measures: speak softly, offer a pacifier, and stroke the skin softly. 2009 Aug 20;361(8):827-8. Knowing the context of the episode may help. Ann Emerg Med. 2004 Feb;43(2):256-62.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Dr. Smith's ECG Blog

APRIL 8, 2015

in 2010 EM Clinics of North America (full text link) For an Exhaustive Review of Syncope and its full management outside the ED environment, go to the 2009 European Society of Cardiology Guidelines (full text pdf). Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients Arch Intern Med 2009 Jul 27; 169:1299-1305.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 13, 2023

2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. Stroke Authors’ Recommendation: CTA head/neck should be acquired in patients with stroke symptoms presenting within 24 hours of symptom onset.

Stroke 106

Stroke Radiology Radiology Emergency Department 106

Sensible Medicine

DECEMBER 23, 2024

The primary endpoint of CV death, MI or stroke occurred in 9.8% KM curves for the primary endpoint of death, MI and stroke The PLATO Controversy Foy, Ruzieh and I have revised our PLATO coverage over at CardiologyTrials. 4 Lack of Replication of Ticagrelor superiority over Clopidogrel PLATO was published in 2009. The HR was 0.84

Stroke 119

Stroke Documentation/Coding Research Wellness 119

PulmCCM

JANUARY 2, 2025

Paraphrasing: A highly-cited 2009 paper by FDA-affiliated authors argued that a loss of efficacy over placebo by up to 50% and an absolute increase in mortality of 7% are acceptable to conclude a new treatment is “noninferior” when testing antibiotics for nosocomial pneumonia.

Sepsis 98

Sepsis Outcomes Stroke Shock 98

EMDocs

NOVEMBER 2, 2024

cognitive and behavioral impairment) – 33% Ataxia – 28% Stroke – 23% Ophthalmic symptoms (e.g., The early manifestations of neurosyphilis occur during the secondary stage and include headache , meningitis , stroke , hearing loss , and ocular findings. European journal of dermatology: EJD 19,5 (2009): 504-6. Medscape, 3 Oct.

EMS 115

EMS Infectious Diseases CDC Research 115

EB Medicine

DECEMBER 1, 2018

Jeff: In fact, a meta-analysis on vaccine effectiveness from 2004-2015 found that the pooled effectiveness against influenza B was 54%, against the H1N1 pandemic in 2009 was 61%, and against the H3N2 virus was 33%. To get this special deal, go to www.ebmedicine.net/APP. Again, that’s www.ebmedicine.net/APP.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40