Ken Grauer, MD

SEPTEMBER 1, 2023

This highlights the pros and cons for using Adenosine — which I review in Figure-5 and Figure-6 ( excerpted from my ACLS-2013-ePub ). Figure-5: Pages 1 and 2 on Pros & Cons of using Adenosine ( excerpted from my ACLS-2013-ePub ). Figure-6: Pages 3 and 4 on Pros & Cons of using Adenosine ( excerpted from my ACLS-2013-ePub ).

EKG/ECG 289

EKG/ECG Administration 289

RebelEM

NOVEMBER 13, 2024

cefazolin or cefuroxime) If risk factors for MRSA present, use agent with activity against MRSA (i.e. vancomycin) If significant soft tissue injury, add gram negative coverage like late generation cephalosporin, extended-spectrum penicillin, or aminoglycoside (i.e.

Soft Tissue Injuries 105

Soft Tissue Injuries Fractures EMS 105

Ken Grauer, MD

NOVEMBER 18, 2023

Section 20 ( 54 pages = the " long " Answer ) from my ACLS-2013-Arrhythmias Expanded Version provides detailed discussion of WHAT the AV Blocks are — and what they are not ! Section 2F ( 6 pages = the " short " Answer ) from my ECG-2014 Pocket Brain book provides quick written review of the AV Blocks ( This is a free download ).

EKG/ECG 248

EKG/ECG 248

Emergency Live

JULY 3, 2024

Established in 2013, this tool brings together and coordinates the resources of 27 member and participating states, providing rapid and effective assistance in the […] The post European Civil Protection Pool: member states united in emergency appeared first on Emergency Live.

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PEMBlog

OCTOBER 11, 2023

2013 Jan;189(1):288-93. 2013 Apr;32(2):239-46. Epub 2013 Feb 8. Pediatric genitourinary injuries in the United States from 2002 to 2010. doi: 10.1016/j.juro.2012.09.003. 2012.09.003. Epub 2012 Nov 19. PubMed PMID: 23174237; PubMed Central PMCID: PMC3565612. Guttmann I, Kerr HA. Blunt bladder injury. Clin Sports Med.

Fractures 98

Fractures Pediatrics 98

Emergency Live

JUNE 20, 2023

Compulsive Excision Disorder (DEC), also called 'Skin Picking' and 'dermatillomania', is a clinical condition characterised by constant picking at the skin causing skin lesions, and repeated attempts to curb this behaviour, according to the 2013 APA (American Psychiatric Association) guidelines The post Compulsive Excision Disorder (DEC): Skin Picking, (..)

Psychiatric 116

Psychiatric 116

Pediatric EM Morsels

SEPTEMBER 8, 2023

Epub 2013 Nov 5. Treatment is supportive. References: Schulert GS, Gigante J. Summer penile syndrome: an acute hypersensitivity reaction. J Emerg Med. 2014 Jan;46(1):e21-2. doi: 10.1016/j.jemermed.2013.08.081. 2013.08.081. PMID: 24199728. Shah A, Sobolewski B, Mittiga MR. Summer Penile Syndrome. In: Knoop KJ, Stack LB, Storrow AB, Thurman R.

Poisoning 275

Poisoning Pediatrics EMS 275

EM Ottawa

FEBRUARY 22, 2024

In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% Lacerations are a common presenting complaint to emergency department. of ED visits(1).

Emergency Department 89

Emergency Department 89

Pediatric EM Morsels

MAY 24, 2024

Low Risk Intra-Abdominal (IAI) Trauma – Derivation of the Rule The PECARN Group first released their derivation of a pediatric prediction rule for intra-abdominal injury in 2013. 2013 Aug 1;167(8):700-707. Lancet Child Adolesc Health. 2024;8:339-344. Miglioretti DL, Johnson E, Williams A, et al. JAMA Pediatr.

Pediatrics 161

Pediatrics Blood Transfusions EMS Fractures 161

Emergency Medicine Journal

OCTOBER 23, 2024

A 2013 census 2 by the Royal College of Emergency Medicine found variation across the UK in PEM provision and that the intercollegiate gold 3 standard of at least one PEM consultant in any department seeing>16 000 children was not being met.

Emergency Department 52

Emergency Department EMS 52

Broome Docs

MAY 31, 2024

2013 Sep;24(9):1848-53. Epub 2013 Jul 17. PMID: 37019501 Pulmonary primatology is harder than you may think Drew T, Võ ML, Wolfe JM. The invisible gorilla strikes again: sustained inattentional blindness in expert observers. Psychol Sci. doi: 10.1177/0956797613479386.

Airway Management 97

Airway Management Poisoning Pediatrics 97

Pediatric EM Morsels

MAY 5, 2023

2013 Aug;110(4):755-73. Epub 2013 Jan 14. Mensink GB, Fletcher R, Gurinovic M, Huybrechts I, Lafay L, Serra-Majem L, Szponar L, Tetens I, Verkaik-Kloosterman J, Baka A, Stephen AM. Mapping low intake of micronutrients across Europe. doi: 10.1017/S000711451200565X. PMID: 23312136; PMCID: PMC3785176. Messina V, Reed Mangels A.

Pediatrics 130

Pediatrics Documentation/Coding EMS 130

Ken Grauer, MD

NOVEMBER 25, 2023

Section 20 ( 54 pages = the " long " Answer ) from my ACLS-2013-Arrhythmias Expanded Version provides detailed discussion of WHAT the AV Blocks ar e — and what they are not ! Section 2F ( 6 pages = the " short " Answer ) from my ECG-2014 Pocket Brain book provides quick written review of the AV Blocks ( This is a free download ).

EKG/ECG 440

EKG/ECG 440

PulmCCM

OCTOBER 14, 2024

CRISTAL , another large international randomized trial (Annane et al JAMA 2013) did not show a benefit of colloids as compared to crystalloids. Some of its initial results were presented at a 2011 conference but were never published in a journal.

Resuscitation 52

Resuscitation Shock Wellness 52

The Trauma Pro

DECEMBER 19, 2023

J Trauma 74(1):84-91, 2013. I think we’ll have to look to our military colleagues to pull this one off! Reference: Better hemostatic profiles of never-frozen liquid plasma compared with thawed fresh frozen plasma.

Military 147

Military Hospitals Resuscitation 147

University of Maryland Department of Emergency Med

JULY 25, 2023

In a recent study of emergency physicians (EPs) who left the workforce between 2013 and 2020, authors sought to investigate their age and nu. Click to view the rest

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Pediatric EM Morsels

APRIL 5, 2024

Treatment : Supportive care Omsk hemorrhagic fever/Kyasanur Forest disease (CDC 2013) Causative Agent: Flavivirus Incubation period : 3-8 days Symptoms start with chills, fevers, headache and GI symptoms followed by symptoms of bleeding 3-4 days later including petechial rash, low hemoglobin and low WBC. Global Change Research Program.

CDC 161

CDC Infectious Diseases Pediatrics Wellness 161

PulmCCM

MAY 27, 2024

There are limits to these benefits: neither the INTERACT2 trial (NEJM 2013) nor the ATACH-2 trial (NEJM 2016) showed c… Read more Standard practice is to rapidly reduce elevated blood pressure in patients with intracerebral hemorrhage.

Stroke 52

Stroke Hospitals 52

RebelEM

SEPTEMBER 13, 2023

J Emerg Med 2013; 44 (4): 764-772. N Engl J Med. 2015; 372(5):418-25. PMID 25629740 Hassen GW et al. Fresh frozen plasma for progressive and refractory angiotensin-converting enzyme inhibitor-induced angioedema. PMID: 23114109 Hessert MJ and Bennett BL. Optimizing Emergent Surgical Cricothyrotomy for Austere Environments. 2013;24:53-66.

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

Pediatric EM Morsels

MAY 10, 2024

2013 Oct;132(4):e1010-7. Pediatrics. PMID: 24019419. PubMed] [Read by QxMD] Friedman KG1, Kane DA, Rathod RH, Renaud A, Farias M, Geggel R, Fulton DR, Lock JE, Saleeb SF. Management of pediatric chest pain using a standardized assessment and management plan.

EKG/ECG 268

EKG/ECG Pediatrics Ultrasounds Seizures 268

The Skeptics' Guide to EM

FEBRUARY 18, 2023

Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019.

Emergency Department 52

Emergency Department EMS Administration 52

EMDocs

APRIL 6, 2024

Source Adverse Tracheal Intubation Events in Critically Ill Underweight and Obese Children: Retrospective Study of the National Emergency Airway for Children Registry (2013-2020). Pediatr Crit Care Med. 2024 Feb 1;25(2):147-158. Doi: 10.1097/PCC.0000000000003387. 0000000000003387. #3:

Sepsis 76

Sepsis Pediatrics Shock 76

EMDocs

FEBRUARY 29, 2024

2013 Dec;45(6):835-41. 2013 Nov;126(11):962-3. -Rate control is the mainstay of treatment. References: Harrigan RA, Garg M. An interesting cause of wide complex tachycardia: Ashman’s phenomenon in atrial fibrillation. J Emerg Med. Kennedy LB, Leefe W, Leslie BR. The Ashman phenomenon. J La State Med Soc. PMID: 15233390.

EKG/ECG 81

EKG/ECG EMS Hospitals 81

ALiEM

FEBRUARY 20, 2024

2013 Dec;15(4):90-2. Epub 2013 Nov 7. Sivalingam SK, Gadiraju VT, Hariharan MV, Atreya AR, Flack JE, Aziz H. Flecainide toxicity–treatment with intravenous fat emulsion and extra corporeal life support. Acute Card Care. doi: 10.3109/17482941.2013.841949. PMID: 24200150. Bruccoleri RE, Burns MM. J Med Toxicol.

Shock 73

Shock EKG/ECG Poisoning Burns 73

Taming the SRU

SEPTEMBER 8, 2023

2013 Sep;145(3):695. 2013 May;58(5):1397-402. 2013 May;58(5):1397-402. Epub 2013 Jan 17. 2, 2013, pp. Erratum in: Gastroenterology. Dosage error in article text. PMID: 19524577; PMCID: PMC3189485. Singh S, Hynan LS, Lee WM; Acute Liver Failure Study Group. Dig Dis Sci. doi: 10.1007/s10620-012-2512-x. Dig Dis Sci.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

The Trauma Pro

OCTOBER 4, 2024

years from 2013 to 2016. A pediatric multi-center study of study on adherence to activity restrictions was published last year. Ten Level I pediatric trauma centers in the US tabulated their experience with solid organ injuries over 3.75

Pediatrics 147

Pediatrics Outcomes Operations Emergency Department 147

ALiEM

NOVEMBER 10, 2023

2013 Apr;168(4):726-32. Epub 2013 Feb 16. PMID: 34212341 Lipowicz S, Sekula P, Ingen-Housz-Oro S, Liss Y, Sassolas B, Dunant A, Roujeau JC, Mockenhaupt M. Prognosis of generalized bullous fixed drug eruption: comparison with Stevens-Johnson syndrome and toxic epidermal necrolysis. Br J Dermatol. doi: 10.1111/bjd.12133. PMID: 23413807.

Academics 64

Academics Emergency Department 64

Pediatric EM Morsels

JULY 26, 2024

Epub 2013 Dec 18. Antibody titres at diagnosis and during follow-up of anti-NMDA receptor encephalitis: a retrospective study. Lancet Neurol. 2014 Feb;13(2):167-77. doi: 10.1016/S1474-4422(13)70282-5. Erratum in: Lancet Neurol. 2014 Feb;13(2):135. PMID: 24360484; PMCID: PMC4006368.

Psychiatric 269

Psychiatric Seizures Outcomes Pediatrics 269

PHARM

SEPTEMBER 23, 2023

Dominique Lee, who was drugged and assaulted in Sydney in 2013, says it has taken 10 years ‘not to feel shame and hate’ at herself, but after reading of UK experiences it was time to speak out — Read on amp.theguardian.com/australia-news/2023/sep/24/the-system-teaches-you-to-be-quiet-doctor-indecently-assaulted-by-senior-colleague-identifies-herself (..)

Sexual Assault 40

Sexual Assault 40

Pediatric EM Morsels

NOVEMBER 3, 2023

2013 Sep 4; 89(3): 527–530. References Arends JE, Oosterheert JJ, Kraaij-Dirkzwager MM, Kaan JA, Fanoy EB, Haas PJ, Scholte EJ, Kortebeek LM, Sankatsing SUC. Two Cases of Plasmodium falciparum Malaria in the Netherlands without Recent Travel to a Malaria-Endemic Country. Am J Trop Med Hyg. PMID: 23857021 Centers for Disease Control.

Seizures 278

Seizures Pediatrics CDC Infectious Diseases 278

PEMBlog

FEBRUARY 8, 2024

2013 Nov;32(11):1295-6. You run the risk of breast hypoplasia and scarring even with a successful I&D. References Montague EC, Hilinski J, Andresen D, Cooley A. Evaluation and treatment of mastitis in infants. Pediatr Infect Dis J. doi: 10.1097/INF.0b013e3182a06448. 0b013e3182a06448.

Pediatrics 52

Pediatrics Wellness 52

EMDocs

DECEMBER 1, 2024

Flea-Borne Typhus: Epidemiology Summary 2013-2019. Rosh Review Website Link References: Texas Department of State Health Services. Flea-Borne Typhus. Accessed August 19, 2024. California Department of Public Health. Accessed August 19, 2024. Centers for Disease Control and Prevention. Murine Typhus—United States, 2002. 2003;52(50):1209-1211.

EMS 75

EMS Infectious Diseases Shock Resuscitation 75

Ken Grauer, MD

AUGUST 18, 2023

A DDENDUM ( 8/19/2023 ) In the following 3 Figures — I post written summary from my ACLS-2013-ePub regarding the basics of Aberrant Conduction. Figure-4: Aberrant Conduction — Refractory periods/Coupling intervals ( from my ACLS-2013-ePub ). See ECG Blog #253 — Reviews a case with multiple aberrantly-conducted beats. =

EKG/ECG 195

EKG/ECG Dehydration Wellness 195

Don't Forget the Bubbles

OCTOBER 25, 2023

2013 Sep 24;81(13):1159-65. Epub 2013 Aug 21. Better safe than tumour – Signs and Symptoms (headsmart.org.uk) Friedman DI, Liu GT, Digre KB. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. doi: 10.1212/WNL.0b013e3182a55f17. 0b013e3182a55f17. PMID: 23966248.

Pediatrics 123

Pediatrics 123

PHEM Cast

APRIL 27, 2023

: Anesthesia & Analgesia Blood pressure in trauma resuscitation: ‘pop the clot’ vs. ‘drain the brain’? – Wiles – 2017 – Anaesthesia Blood pressure management in trauma: from feast to famine?

Resuscitation 52

Resuscitation Shock Operations Hospitals 52

Emergency Medicine Journal

JULY 22, 2024

For those patients who had formal ultrasound, direct and indirect findings of ultrasound were abstracted from the ultrasound report. The surgical pathology report was established as the gold standard in patients who underwent an appendectomy.

Ultrasounds 52

Ultrasounds Radiology Radiology Emergency Department 52

American Medical Compliance

AUGUST 29, 2024

Enforcement Authority Over Business Associates According to the HITECH Act and the Office for Civil Rights’ (OCR’s) 2013 final rule, OCR has the authority to enforce compliance with the HIPAA Rules specifically against business associates.

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