Dr. Smith's ECG Blog

OCTOBER 12, 2024

A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. 2016 Nov;34(11):2182-2185. Epub 2016 Aug 27. Written by Bobby Nicholson What do you think of this “STEMI”? With EMS, patient had a GCS of 3 and was saturating 60% on room air. Am J Emerg Med.

EKG/ECG 116

EKG/ECG Documentation/Coding Emergency Department COPD 116

PulmCCM

SEPTEMBER 23, 2024

2016 Sep 20;11(9):e0163293. Daily duration of long-term oxygen therapy and risk of hospitalization in oxygen-dependent COPD patients. doi: 10.1183/13993003.02426-2016. Long-Term Oxygen Therapy 24 vs 15 h/day and Mortality in Chronic Obstructive Pulmonary Disease. doi: 10.1371/journal.pone.0163293. 2018 Aug 28;13:2623-2628.

COPD 52

COPD Research Academics Hospitals 52

Cook County EM Blog

APRIL 22, 2022

The Case: A 68-year-old male with a history of CHF, COPD, CAD s/p stenting, HTN, and DM presents to the emergency department with worsening dyspnea and bilateral lower extremity edema for one week with associated orthopnea, and increased home oxygen requirement. Published on April 12, 2016. VS: T 36.6, Ultrasound G.E.L. Podcast Blog.

Ultrasounds 40

Ultrasounds COPD Emergency Department 40

Taming the SRU

OCTOBER 1, 2023

It can be further divided into two types: primary--those that occur in generally healthy individuals without underlying lung disease, and secondary--those that occur in individuals with underlying lung disease such as COPD [1]. Trends in the Incidence and Recurrence of Inpatient-Treated Spontaneous Pneumothorax, 1968-2016.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

PulmCCM

JUNE 10, 2024

3 days for anoxic encephalopathy to regain pupillary responses after cardiac arrest, 4-7 days for a DNR/DNI patient to receive NIPPV for COPD exacerbation, etc.) 2016 May 17;315(19):2086-94. They proposed disease-specific intervals for TLTs (e.g., doi: 10.1001/jama.2016.5351. PMID: 27187301.

COPD 45

COPD Outcomes Hospitals EMS 45

Dr. Smith's ECG Blog

FEBRUARY 28, 2020

This clinical information followed: "The patient had a COPD exacerbation with a prehospital SpO2 of 60%. Many patients with acute COPD exacerbations present with a similar heart rate. This is NOT Wellens. Is the patient hypoxic? The answer was yes. He had respiratory failure, was intubated, and was diagnosed with pneumonia."

EKG/ECG 52

EKG/ECG COPD Documentation/Coding Shock 52

Emergency Medicine Ireland

JANUARY 23, 2023

Let’s say a COPD patient is emerging from propofol and fentanyl induced haze of 3 or 4 days on the vent for pneumonia. Curr Opin Crit Care 22, 246–253 (2016). A hand on the sternocleidomastoid or tummy might make patient generated effort easier to recognise. Rittayamai, N. & & Brochard, L. – Artigas, R.

COPD 52

COPD 52