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. The providers documented concern for ST elevation in the precordial and lateral leads as well as a concern for hyperkalemic T waves in the setting of succinylcholine administration. Epub 2016 Aug 27.

EKG/ECG 116

EKG/ECG Documentation/Coding Emergency Department COPD 116

Taming the SRU

OCTOBER 1, 2023

This topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world. Trends in the Incidence and Recurrence of Inpatient-Treated Spontaneous Pneumothorax, 1968-2016. Smoking is a known risk factor, as is cannabis use [2,5, 7-8].

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.) But there’s no alarm that beeps when well-intentioned care with an indeterminate prognosis crosses into something else, something darker. 2016 May 17;315(19):2086-94.

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

EB Medicine

OCTOBER 1, 2018

Jeff : So as well all know Sepsis is bread and butter emergency medicine, but, what is sepsis? In 2014, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine started a task force, and by 2016, updated definitions were out again! Meaning, you’ve tried everything else, so you might as well try.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EMDocs

FEBRUARY 12, 2024

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min). proning patients, ECMO) (12).

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

RebelEM

MAY 15, 2024

The loss of these cells leads to immunosuppression as well as decreased responsiveness of the immune system as a whole Patients with neutropenia will not only get very sick very quickly, but also will have blunted immune response and may not localize signs of infection well Fever or malaise may be their only presenting symptoms.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101