Ken Grauer, MD

JUNE 22, 2024

A DDENDUM ( 6/21/2024 ) : I've excerpted below in Figure-3 and Figure-4 — several pages from my ECG-2014-ePub — that summarize the ECG findings of a cute P E ( P ulmonary E mbolus ) — as well as an Audio Pearl relevant to today's topic. ECG Blog #209 — Reviews the ECG diagnosis of Wellens’ Syndrome ( What it is — and what it is not! ).

EKG/ECG 433

EKG/ECG Stroke Documentation/Coding Wellness 433

Pediatric EM Morsels

JULY 21, 2023

doi: 10.1136/archdischild-2014-306851. Epub 2014 Sep 8. 2014 Oct;29(10):1299-304. Epub 2014 Feb 13. PMID: 31274797. Baldock AJ, Bennett T. Critical intracranial hypertension with Glasgow Coma Scale of 15. Arch Dis Child. 2015 Feb;100(2):207-8. PMID: 25202130. Conzelmann M, Hoidis A, Bruckner T , et al. J Child Neurol.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Pediatric Education

MARCH 16, 2025

During 2000-2014 there were an estimated 73,000 cases/year of acute aspiration/ingestion, with about 84% of these for ingestions. Most children during 2000-2014 were treated and released with about 11% requiring admission. This did not include organic items such as food. Almost all of the cases had occurred in a home environment.

Pediatrics 59

Pediatrics Radiology Radiology Operations 59

Ken Grauer, MD

MARCH 29, 2023

N OTE : In the A ddendum below — I've reproduced in Figures-4 , -5 , -6 and -7 ( from my ECG-2014-ePub ) — those Sections that review the basics for ECG diagnosis of WPW — and — assessment of the common arrhythmias expected with WPW. Figure-4: Review of the basics for ECG diagnosis of WPW ( Sections 05.36, 37, 38 — from ECG-2014-ePub ).

EKG/ECG 195

EKG/ECG Wellness Academics 195

PulmCCM

FEBRUARY 17, 2025

2014 Dec;3(6):e001044. Age, sex, and hospital factors are associated with the duration of cardiopulmonary resuscitation in hospitalized patients who do not experience sustained return of spontaneous circulation. J Am Heart Assoc. doi: 10.1161/JAHA.114.001044. 114.001044. PMID: 25520328; PMCID: PMC4338690.

CPR 112

CPR Hospitals Resuscitation Documentation/Coding 112

Pediatric EM Morsels

AUGUST 18, 2023

Rose 2014) They are the most frequently prescribed class of medications in adults; however, in children they are the least frequently prescribed class , <2% of antibiotics. Hersh 2014) Fluoroquinolone Use in Children: Indications for use Let’s keep this simple, Pseudomonas ! The low dose range (30 mg/kg) did show sporadic lesions.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Don't Forget the Bubbles

NOVEMBER 29, 2023

2014 May;32(5):452-6. Epub 2014 Jan 15. 2014 Oct;113(4):549-59. Epub 2014 Sep 9. . | DOI: 10.1097/PEC.0b013e3182713316 0b013e3182713316 Chong ID, Sandefur BJ, Rimmelin DE, Arbelaez C, Brown CA 3rd, Walls RM, Pallin DJ. Long-acting neuromuscular paralysis without concurrent sedation in emergency care. Am J Emerg Med.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

EMDocs

JANUARY 11, 2025

link] com staff (2014). “Medical gallery of Blausen Medical 2014” WikiJournal of Medicine 1 (2). Gill, M., & Ganti, L. Stercoral Colitis Secondary to Opiate-Induced Constipation. Cureus, 15(12), e50511. DOI:10.15347/wjm/2014.010. ISSN 2002-4436.

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

Pediatric EM Morsels

JUNE 16, 2023

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

Emergency Live

DECEMBER 22, 2023

Intensive Rescue Efforts and Climatic Challenges in Northwestern China Devastating Impact of the Earthquake and Initial Response The recent earthquake in northwestern China, one of the deadliest since 2014, has resulted in a tragic toll of over 130 casualties, with 113 people perishing in Gansu province and 18 in Qinghai province.

105

105

Emergency Live

DECEMBER 22, 2023

How a sedentary lifestyle can increase the risk of developing cancer Correlation between Sedentary Life and Cancer A 2014 meta-analysis examined data from over 68,000 cancer cases and found that prolonged sedentary behaviors, such as watching TV or sitting for work, are associated with an increased risk of colon, endometrial, and lung cancer.

105

105

Emergency Live

DECEMBER 15, 2023

Innovation and Challenges in the Future of Oncologic Treatment The Birth of a Revolution: Genenta and Genetic Therapy The story of Genenta began in 2014, as a spin-off from the San Raffaele Hospital in Milan.

Research 105

Research Hospitals 105

Emergency Live

MARCH 19, 2024

degrees, a figure not seen since 2014. On the day of the autumn equinox for the Southern Hemisphere, record temperatures continue to be recorded, especially in Brazil Sunday morning, around 10 a.m., perceived temperatures in Rio de Janeiro reached the record figure of 62.3

98

98

PEMBlog

OCTOBER 11, 2023

2014 Aug;192(2):327-35. Epub 2014 May 20. References Morey AF, Brandes S, Dugi DD 3rd, Armstrong JH, Breyer BN, Broghammer JA, Erickson BA, Holzbeierlein J, Hudak SJ, Pruitt JH, Reston JT, Santucci RA, Smith TG 3rd, Wessells H. Urotrauma: AUA guideline. doi: 10.1016/j.juro.2014.05.004. 2014.05.004.

Fractures 98

Fractures Pediatrics 98

The Skeptics' Guide to EM

OCTOBER 28, 2023

Acetaminophen ( Williams et al Lancet 2014) * Muscle relaxants ( Friedman et al JAMA 2015) * NSAIDs ( Machado et al Ann Rheum Dis 2017) * Steroids ( Balakrishnamoorthy et al Emerg Med J 2014) * Benzodiazepines ( Friedman et al Ann Emerg Med 2017) Many non-pharmacologic therapies have also been tried with limited efficacy.

Emergency Department 106

Emergency Department Research 106

Ken Grauer, MD

MARCH 18, 2023

FOR O ther E xamples of Acute RV MI: Discussion of the 12-lead ECG in Blog #187 — See Figure-4 in ECG Blog #80 ( More on the "culprit" artery in this post ) — See ECG Blog #141 — Figure-5 ( together with Figure-6 ): Reviews the ECG Essentials of RV MI ( Excerpted from my ECG-2014-ePub ).

EKG/ECG 195

EKG/ECG Wellness 195

Ken Grauer, MD

OCTOBER 13, 2023

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 ). . = A DDENDUM ( 10/14/2023 ) : This 15 -minute ECG Video ( M edia P EARL # 52) — Reviews the 3 Types of 2nd-Degree AV Block — plus — the hard-to-define term of "high-grade" AV block.

EKG/ECG 396

EKG/ECG 396

MEDEST118

MAY 14, 2024

2014 Feb;202(2):418-25. References: Kwong S, Kothary S, Poncinelli LL. Skeletal development of the proximal humerus in the pediatric population: MRI features. AJR Am J Roentgenol. doi: 10.2214/AJR.13.10711. PMID: 24450686. Reid C, Fogg T, Healy G. Deformation of a humeral intraosseous catheter due to positioning for thoracostomy.

Pediatrics 81

Pediatrics 81

EMDocs

DECEMBER 18, 2024

2014; 28(5): 401-410. Muncie H, Yasinian Y, Oge L. Outpatient management of alcohol withdrawal syndrome. Am Fam Physician. 2013; 88(9): 589-595. Inpatient management of acute alcohol withdrawal syndrome. Sullivan J, Sykora K, Schneiderman J, et al.

Seizures 105

Seizures Hyperthermia / Hypothermia Emergency Department EMS 105

RebelEM

DECEMBER 5, 2023

up to 23% ( Lieberman 2005 , Rohacek 2014 , Tole 2007 , Grunau 2014 ). Since half of biphasic reactions occur within the first 6-12 hrs ( Lee 2014 ) physicians often choose an observation time of 4-6 hrs. Biphasic anaphylactic reactions: occurrence and mortality Allergy 2014 Jun;69(6):791-7 Tole JW, Lieberman P.

Anaphylaxis 81

Anaphylaxis Allergic Reactions Emergency Department EMS 81

Ken Grauer, MD

MAY 11, 2024

CLICK HERE — for FREE download P DF of this 26-page file on BBB ( from my ECG-2014-ePub ) — with review on the Basics for ECG diagnosis of the B undle B ranch B locks ( including diagnosis of acute MI & LVH with BBB ).

EKG/ECG 274

EKG/ECG 274

Ken Grauer, MD

JANUARY 20, 2024

Free P DF D ownloads from relevant Sections in my ECG-2014-ePub: PDF File: Overview on the Cardiac Circulation and the “Culprit” Artery in Acute MI — PDF File: Posterior MI and the “Mirror Test” — Figure-5: ECG findings to look for when your patient with new-onset cardiac symptoms does not manifest STEMI-criteria ST elevation on ECG.

EKG/ECG 238

EKG/ECG 238

The Skeptics' Guide to EM

JULY 8, 2023

In 2009, the Cochrane group questioned Roche about the completeness of the data and after four years of requests, finally got access to all the data in 2013 and updated their review in 2014. We covered this SRMA on SGEM#98.

CDC 108

CDC Hospitals EMS Emergency Department 108

Ken Grauer, MD

JANUARY 5, 2024

Section 2F ( 6 pages = the " short " Answer ) from my ECG-2014 Pocket Brain book provides quick written review of the AV Blocks. . — — E CG M edia P EARL # 4 ( 4:3 0 minutes Audio ) : — takes a brief look at the AV Blocks — and focuses on WHEN to suspect Mobitz I.

EKG/ECG 444

EKG/ECG Wellness 444

Pediatric EM Morsels

MAY 12, 2023

doi: 10.1136/archdischild-2014-307119. 2014 Jan 25;383(9914):308. Burrows P, Trefan L, Houston R, Hughes J, Pearson G, Edwards RJ, Hyde P, Maconochie I, Parslow RC, Kemp AM. Head injury from falls in children younger than 6 years of age. Arch Dis Child. 2015 Nov;100(11):1032-7. Epub 2015 Aug 21. PMID: 26297697; PMCID: PMC4680174.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

RebelEM

JANUARY 9, 2024

This finding persists when looking at a number of other infections including skin and soft tissue infections (SSTI) ( First10EM ), pyelonephritis ( Strohmeier 2014 ) and even bone and joint infections ( Li 2019 ). 2014; PMID: 25066627 Li HK et al. 2014; 32(10):1195-9. Cochrane Database Syst Rev 2006(2). 2019; 380(5):425-436.

Infectious Diseases 98

Infectious Diseases Pediatrics EMS Administration 98

Don't Forget the Bubbles

MAY 29, 2023

BMJ Quality & Safety [Internet] 2014; 23:106-115. Acad Med [Internet] 2014; 89:5:817-827. BMC Health Serv Res [Internet] 2014:14:61 (2014). PLoS ONE [Internet] 2014 9(8): e104720. Available from: [link] Dixon-Woods M, Baker R, Charles K, et al. Available at: [link] Fehr R, Gelfand MJ, Nag M.

Leadership 98

Leadership Patient Safety Academics Research 98

Ken Grauer, MD

JULY 29, 2023

Another cause of variable ( sometimes unpredictable ) QRS morphology during ARVD-associated VT — is that some patients also have LV involvement, which can be the source of resultant VT ( Ghannudi et al — Clin Med Insights Cardiol 8(Suppl 4):27-36, 2014 ).

EKG/ECG 370

EKG/ECG Resuscitation Documentation/Coding Hospitals 370

Ken Grauer, MD

SEPTEMBER 29, 2023

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 ). A DDENDUM ( 9/30/2023 ) : This 15 -minute ECG Video ( M edia P EARL # 52) — Reviews the 3 Types of 2nd-Degree AV Block — plus — the hard-to-define term of "high-grade" AV block.

EKG/ECG 248

EKG/ECG 248

The Skeptics' Guide to EM

APRIL 20, 2024

A clinical decision tool called the STUMBL score was derived and validated by Battle et al in 2014 [3]. With the 2014 CDC declaration that prescription drug overdose is one of the five top health threats, there has been a movement away from opioids as the mainstay of pain management for rib fractures [6].

Fractures 86

Fractures Ultrasounds Emergency Department CDC 86

The Trauma Pro

MAY 9, 2023

Reference: Defining the optimal time to the operating room may salvage early trauma deaths, J Trauma 76(5):1251-1258, 2014. Remember, your patient is bleeding to death in front of your eyes, and the only place you can stop it is the OR!

Head Injuries 130

Head Injuries Operations Documentation/Coding Outcomes 130

PHARM

JUNE 3, 2023

References: Takuto Ishida, Takeshi Katagiri, Hiroyuki Uchida, Hiroyoshi Takeuchi, Hitoshi Sakurai, Koichiro Watanabe, Masaru Mimura, Incidence of Deep Vein Thrombosis in Restrained Psychiatric Patients, Psychosomatics, Volume 55, Issue 1, 2014, Pages 69-75, ISSN 0033-3182, [link] Michitaka Funayama, Taketo Takata, Psychiatric inpatients subjected to (..)

Psychiatric 98

Psychiatric Forensics Hospitals 98

EMDocs

NOVEMBER 13, 2024

2014 Sep;109(9):1436-42. Kim JJ, Tsukamoto MM, Mathur AK, et al. Delayed paracentesis is associated with increased in-hospital mortality in patients with spontaneous bacterial peritonitis. Am J Gastroenterol. Gaetano JN, Micic D, Aronsohn A, et al. The benefit of paracentesis on hospitalized adults with cirrhosis and ascites.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 105

EMDocs

JUNE 22, 2024

Epub 2014 Jun 30. J Matern Fetal Neonatal Med. 2015 May;28(7):793-8. doi: 10.3109/14767058.2014.932766. PMID: 24974876. Young BK, Florine Magdelijns P, Chervenak JL, Chan M. Amniotic fluid embolism: a reappraisal. J Perinat Med. 2023 Dec 13;52(2):126-135. doi: 10.1515/jpm-2023-0365. PMID: 38082418. “Amniotic fluid embolism.”

EMS 111

EMS Resuscitation Blood Transfusions Seizures 111

The Skeptics' Guide to EM

NOVEMBER 11, 2023

One of the best systematic reviews and meta-analyses on the topic discussing the diagnostic accuracy of the history, physical examination and imaging is by Carpenter et al from AEM 2014 [1]. We went into some detail on SGEM#385. Initial Xray’s pick up only about 17% of fractures [2].

Fractures 130

Fractures Military Radiology Radiology 130

Sensible Medicine

APRIL 14, 2024

For instance, CAR-T was given to myeloma patients in 2014, but we only learned it can cause Parkinsonism in 2021. My biggest concern with the change wasn’t the cost however, but the safety risk. It can take several years for the full safety profile of drugs to be known.

Patient Safety 145

Patient Safety Academics Outcomes Wellness 145

ACEP Now

AUGUST 14, 2024

This recommendation is a departure from the 2014 guideline iteration that only recommended against CCBs in patients with decompensated heart failure. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation. 3 The guideline cites low quality evidence from small studies and fear of negative ionotropic effects.

Emergency Department 105

Emergency Department Outcomes Research Wellness 105