Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Methods STEMI activations between January 2014 and April 2018 at the University of Arizona Medical Center were identified. Widespread ST-depression with reciprocal aVR ST-elevation can be cause by: Heart rate related: tachyarrhythmia (e.g.,

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EKG/ECG Shock Sepsis Emergency Department 52

Dr. Smith's ECG Blog

FEBRUARY 12, 2023

I went to the chart and found that the patient was a sepsis patient with hypotension and a K of 3.0. So we did a bedside cardiac ultrasound. A DDENDUM : “My Take” on the ECG diagnosis of RVH appears in the following 4 Figures ( from Grauer K: ECG-2014 e-Pub ). There was no chest pain. Figure-3: ECG Criteria for RVH.

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EKG/ECG Sepsis Ultrasounds 40

EMDocs

DECEMBER 18, 2023

Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician. vs. 0.91), positive predictive value (0.27

Sepsis 90

Sepsis Fluid Resuscitation Resuscitation Shock 90

Northwestern EM Blog

MAY 16, 2022

What is your initial imaging test of choice, ultrasound (US) or non-contrast CT, and why? Would you be confident in a point-of-care-ultrasound evaluation or a formal ultrasound? Many patients in the ultrasound groups did get additional imaging, but this was not the majority. How do you proceed? In this study, 40.7%

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

EMDocs

JULY 15, 2023

A lower extremity radiograph does not reveal any gas formation and an ultrasound of the lower extremity is negative for DVT or cobblestoning, WBC is within normal limits and there are mild elevations in ESR and CRP. 2014 Jul 15;59(2):e10-52. No fungal infections are identified on the feet. What is the most likely diagnosis?

EMS 91

EMS Infectious Diseases Shock Ultrasounds 91

Taming the SRU

MAY 5, 2023

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. 2014, Hjortrup, Haase et al. N Engl J Med.

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Sepsis Shock Administration Resuscitation 52

EB Medicine

OCTOBER 1, 2018

This month, we’ll be talking Updates and Controversies in the Early Management of Sepsis and Septic Shock. We have a special episode for you this month… We’ve brought Dr. Jeremy Rose, one of the peer reviewers, and a sepsis expert, on with us to talk through the content this month. Jeff : Sepsis chair. Sepsis-3!!

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Sepsis Shock Fluid Resuscitation Hospitals 40

Don't Forget the Bubbles

NOVEMBER 1, 2023

No CT or ultrasound evidence of complications (including appendicolith, perforation, abscess or peritonitis). No diagnosis of sepsis (defined as ‘good general condition, normal haemodynamic status, normal diuresis’). The initial study success rate was 100% and was assessed at 2 weeks after discharge with an ultrasound and CRP.

Emergency Department 140

Emergency Department Hospitals Resuscitation Administration 140

RebelEM

JANUARY 29, 2024

Randomized, Controlled Trial of Ultrasound-Assisted Catheter-Directed Thrombolysis for Acute Intermediate-Risk Pulmonary Embolism. A prospective, Single-Arm Multicenter Trial of Ultrasound-Facilitated, Catheter-Directed, Low-Dose Fibrinolysis for Acute Massive and Submassive Pulmonary Embolism: The SEATTLE II Study. CHEST 2010.

Stroke 136

Stroke Outcomes Hospitals Administration 136

EMDocs

OCTOBER 23, 2023

Diagnosis can be confirmed with ultrasound (for deep vein thrombosis) or CT angiography (CTA) chest (for pulmonary embolism) and patients treated with anticoagulants. This may also predispose a patient to sepsis, peritonitis, or bowel infarction, which need to be recognized quickly. March 2014. 57 (1) 43-57.

OB/GYN 92

OB/GYN Operations EMS Ultrasounds 92

PulmCCM

SEPTEMBER 23, 2021

With the explosion of bedside ultrasound and automated methods to capture LVEF, the ejection fraction will grow in clinical prominence and affect decisions for the acutely-ill. Critical Care 2014, 18(2):R80. Marik P, Bellomo R: A rational approach to fluid therapy in sepsis. Jon-Emile S. Critical care 2016, 20(1):270.

Stroke 40

Stroke Sepsis Shock Ultrasounds 40

Mind The Bleep

JANUARY 24, 2025

Blood cultures in cases of suspected sepsis. Ultrasound : To assess underlying abscesses or fluid collections if present. Serum albumin and prealbumin levels to evaluate nutritional status. Imaging Studies : X-rays : May indicate osteomyelitis in deep or chronic ulcers. Rehabilitation Nursing , 12(1), 8-12. Clinical guideline CG179.

Sepsis 52

Sepsis Documentation/Coding Outcomes Ultrasounds 52

PEMBlog

JANUARY 17, 2024

Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis 2014; 59:e10. Full blown sepsis and toxic shock syndrome. You’re concerned about SIRS or sepsis. Clin Infect Dis 2011; 52:e18. Bilateral red limbs?

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

EMDocs

JANUARY 20, 2025

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. 2024, 33 use of ultrasound may lead to a reduction in mortality, less volume of fluids given, and decreased hospital stay.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Don't Forget the Bubbles

JULY 17, 2023

Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. Evaluating the Impact of the 2017 Dutch Neonatal Early-Onset Sepsis Guideline. 2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. Sethi SK, et al.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Consider sepsis and treat it accordingly. An ultrasound scan of the graft is usually sufficient to rule out these complications. Changes in TAC concentrations related to changes in haematocrit should not lead to a prompt dose adjustment. Creatinine is the primary biochemical marker for assessing renal function. and Hirsch, H.H.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Don't Forget the Bubbles

JULY 5, 2023

Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. Sickle cell patients also qualify to receive the annual influenza vaccine, since influenza virus infection predisposes to bacterial pneumonia and sepsis caused by S. Pneumococcal sepsis B.

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Blood Transfusions Stroke Dehydration Sepsis 126

RebelEM

FEBRUARY 7, 2024

Philadelphia, PA: Elsevier Saunders; 2014: 2282-2299. Gorgas, D. “Infections related to pregnancy.” ” Emerg Med Clin North Am 26 (2): 345-366, viii. PMID: 18406978 Houry, D and B. Acute Complications of Pregnancy. In: Marx, J et al, ed. Rosen’s Emergency Medicine. Post Peer Reviewed By: Salim R.

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Sepsis Shock Hospitals Ultrasounds 99