Ken Grauer, MD

JANUARY 13, 2024

That said — distinction between "classic" HCM vs the apical HCM for m may be useful because: i ) ECG findings tend to be different ( Lyon et al — Europace 20:102-112iii, 2018 ) ; — ii ) Echo appearance is different when hypertrophy localizes to the apex; and , iii ) There is a significantly greater incidence of AFib with apical HCM.

EKG/ECG 399

EKG/ECG Hospitals 399

Pediatric EM Morsels

MARCH 1, 2024

Lung abscess is a rare subset of these (< 1% of admitted cases of pneumonia ( Wojsyk-Banaszak, 2018 ) Lung abscess = collection of fluid within a thick-walled localized area of necrotic lung parenchyma. 2018 May;24(5):376-382. Epub 2018 Feb 15. 2018 Jun;34(6):447-449. J Infect Chemother. doi: 10.1016/j.jiac.2017.12.020.

Ultrasounds 173

Ultrasounds Pediatrics Operations Hospitals 173

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

The Trauma Pro

MARCH 1, 2024

J Trauma 84(2):379-385, 2018. Reference: No intravenous access, no problem: Intraosseous administration of tranexamic acid is as effective as intravenous in a porcine hemorrhage model.

Military 279

Military Resuscitation Administration Hospitals 279

Pediatric EM Morsels

SEPTEMBER 22, 2023

2018 Oct;14(2):47-54. Epub 2018 Oct 31. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: [link] Ko HY. Revisit Spinal Shock: Pattern of Reflex Evolution during Spinal Shock. Korean J Neurotrauma. doi: 10.13004/kjnt.2018.14.2.47. 2018.14.2.47. PMID: 30402418; PMCID: PMC6218357.

Shock 304

Shock Pediatrics Dislocations Hyperthermia / Hypothermia 304

Ken Grauer, MD

APRIL 5, 2024

For additional examples of this phenomenon whereby automatic truncation of an EMS ECG may mistakenly result in LVH serving to mimi c ischemia — Check out My Comment at the bottom of the page of the following posts in Dr. Smith's ECG Blog — the November 29, 2023 post — June 20, 2020 — March 31, 2019 — March 29, 2019 — and t he December 27, 2018 post.

EKG/ECG 238

EKG/ECG EMS Hospitals 238

Ken Grauer, MD

DECEMBER 15, 2023

The July 31, 2018 post in Dr. Smith's ECG Blog ( Please scroll down to the bottom of the page to see My Comment ). The August 22, 2020 post in Dr. Smith's ECG Blog — which illustrates another case of dynamic ST-T wave changes that resulted from a repolarization variant.

EKG/ECG 371

EKG/ECG EMS Hospitals 371

Pediatric EM Morsels

AUGUST 4, 2023

Ganss, 2018) There are additional associations with scoliosis, burn injuries, and spinal cord injuries. (Oka, Ganss, 2018) At least one case of abdominal compartment syndrome noted in the literature. (Oka, 2023) Female to male predominance with a ratio of 3:2.

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

EMDocs

DECEMBER 1, 2024

2018 Oct-Dec;55(4):258-264. Answer : Murine Typhus Epidemiology: Murine typhus is endemic in several parts of the U.S.: Tello-Martin R, Dzul-Rosado K, Zavala-Castro J, Lugo-Caballero C. Approaches for the successful isolation and cell culture of American Rickettsia species. J Vector Borne Dis. doi: 10.4103/0972-9062.256560.

EMS 104

EMS Infectious Diseases Shock Airway Management 104

EMDocs

MARCH 18, 2025

A 2018 RCT included 47 patients with hemoptysis (excluded MH) evaluated nebulized TXA three times per day compared to normal saline and found reduced expectorated blood volume, greater chance of hemoptysis resolution (96% versus 50%), shorter hospital LOS, less need for procedures for hemoptysis control (0% vs. 18.2%) (17). microg/kg IV.

COPD 81

COPD Radiology Radiology PPE 81

Pediatric EM Morsels

JULY 21, 2023

cats and dogs have their own GCS scores [Lapsley 2019, Ash 2018] Moral of the Morsel Modified can make it Merrier! 2018 Jun;128(6):1612-1620. 2018): 192–200. Fun fact for animal lovers!- Brennan PM, Murray GD, Teasdale GM. Simplifying the use of prognostic information in traumatic brain injury. J Neurosurg.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Ken Grauer, MD

APRIL 26, 2024

An example of a case in which the diagnosis of acute OMI was made purely by assessment of ST-T wave morphology in a PVC can be found HERE ( See My Comment at the bottom of this page in the October 8, 2018 post in Dr. Smith's ECG Blog ). = A cknowledgment : My appreciation for this case that is anonymously contributed. =

EKG/ECG 387

EKG/ECG Resuscitation EMS Wellness 387

Pediatric EM Morsels

JUNE 14, 2024

Tavasoli 2018, Wolf 2012) More common in adults; children comprise 20% of total cases (Pidcock 2007, Wang 2019) Bimodal age distribution (Absoud 2016) Children < 5 years Children > 10 years Symptoms evolve over 2-4 days and peak at 5-6 days (Absoud 2016) ATM may occur alone OR as part of another disorders (e.g. 28,1 (2008): 105-20.

Pediatrics 143

Pediatrics EMS Outcomes 143

Sensible Medicine

MARCH 4, 2024

In 2018, the NEJM and the Lancet published three trials that randomized tens of thousands of patients without heart disease to either low-dose aspirin or a placebo. In the absence of heart disease, based on the 2018 trials, I had recommended patients stop taking aspirin. The ARRIVE trial excluded patients taking aspirin at baseline).

145

145

EMDocs

NOVEMBER 13, 2024

2018 Apr;36(4):689-698. 2018 Dec;15:41-47. EASL Clinical Practice Guidelines for the management of patients with decompensated cirrhosis. J Hepatol 2018;69:406–60. Long B, Koyfman A. The emergency medicine evaluation and management of the patient with cirrhosis. Am J Emerg Med. Arvaniti V, D’Amico G, Fede G, et al. Gastroenterology.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 105

Pediatric EM Morsels

JUNE 9, 2023

Carneiro de Moura, 2018 ] Seen in 57% of cohort. Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! 2018 Sep;67(3):371-376. Infections occurred in 30% of those with acute variceal bleeding. doi: 10.1097/MPG.0000000000002039.

Pediatrics 154

Pediatrics Head Injuries Airway Management Resuscitation 154

Ken Grauer, MD

APRIL 18, 2023

For review — Check Out My Comment — at the bottom of the page in the following posts on Dr. Smith's ECG Blog: The June 4, 2018 post ( LA-LL reversal ). The July 29, 2018 post ( LA-RA reversal ). The November 4, 2018 post ( Leads V1,V2 misplacement ). The February 11, 2020 post ( LA-RA reversal ).

EKG/ECG 195

EKG/ECG Wellness 195

Pediatric EM Morsels

JUNE 7, 2024

2018 Jun 19;6:170. References Licari A, Brambilla I, Marseglia A, De Filippo M, Paganelli V, Marseglia GL. Difficult vs. Severe Asthma: Definition and Limits of Asthma Control in the Pediatric Population. Front Pediatr. doi: 10.3389/fped.2018.00170. 2018.00170. PMID: 29971223; PMCID: PMC6018103. Clin Med Res. 2004 Aug;2(3):155-63. 2.3.155.

Pediatrics 208

Pediatrics Emergency Department Wellness EMS 208

Dr. Smith's ECG Blog

JUNE 5, 2024

Uncontrolled coronary spasm may be associated with serious arrhythmias , including cardiac arrest ( Looi et al — Postgrad Med, 2012 ; Tan et al — Eur Heart J Case Rep, 2018 ; Chevalier et al — JACC, 1998 ; Rodriguez-Manero — EP Europace, 2018 ). As a result — an ICD may need to be considered in selected cases.

EKG/ECG 122

EKG/ECG Outcomes 122

Emergency Live

DECEMBER 19, 2023

Research conducted by Tufts University revealed that in 2018, approximately 14.1 […] The post Diabetes and Lifestyles: A Global Correlation appeared first on Emergency Live.

Research 111

Research 111

EMDocs

JANUARY 11, 2025

Pediatric Emergency Care 34(9):p e159-e160, September 2018. | Fecal Impaction and Nonperforated Stercoral Colitis: Red Flags for Poor Outcomes. Cureus, 15(7), e41705. link] Proulx, Erik MD * ; Glass, Casey MD . Constipation-Associated Stercoral Colitis. DOI: 10.1097/PEC.0000000000001600 Abdom Radiol (NY). 2023 Oct;48(10):3050-3062.

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

EMCrit

JUNE 18, 2024

Part I: SUP-ICU (2018) This was a large multicenter RCT […] EMCrit Project by Josh Farkas. I would view this as the triquel following SUP-ICU and PEPTIC. In order to understand REVISE in context, let's briefly review SUP-ICU and PEPTIC trials, before discussing REVISE.

96

96

Pediatric EM Morsels

JULY 7, 2023

Cunningham, 2018 ] Account for less than 1% of all knee injuries. Epub 2018 Apr 19. The PTF joint is inherently stable with good ligamentous support, especially when the knee is in extension. Cunningham NJ, Farebrother N, Miles J. Review article: Isolated proximal tibiofibular joint dislocation. Emerg Med Australas. PMID: 29671944.

Dislocations 143

Dislocations Fractures Pediatrics EMS 143

ACEP Now

JANUARY 5, 2025

Published August 6, 2018. Anesthetic management of the pediatric bleeding tonsil. Paediatr Anaesth. 2010;20(11):982-986. Morgenstern J. Massive hemorrhage post-tonsillectomy. Accessed November 25, 2024. Dermendjieva M, Gopalsami, A, Glennon N, et al.

Airway Management 98

Airway Management Operations Resuscitation Pediatrics 98

Ken Grauer, MD

JUNE 6, 2023

A point may be reached in which even with valve replacement — pulmonary hypertension persists , which serves as a marker for a poor longterm prognosis ( Maeder et al — Frontiers in Cardiovasc Med 5(40):1-15, 2018 ). E CG F indings in Today's Tracing N ow M ake S ense ! ECG Blog #92 — Presents another perspective for ECG Diagnosis of LVH.

EKG/ECG 195

EKG/ECG Hospitals Resuscitation Wellness 195

Emergency Medicine Journal

DECEMBER 30, 2024

Data collection took place over 8 weeks between June and August 2018. Methods Non-random purposive sampling was used to recruit doctors and nurses from EDs in five hospitals in Cape Town. Participants were asked to tell a short descriptive narrative, provide a title for their story and create a metaphor to describe working in the ED.

Emergency Department 52

Emergency Department Hospitals 52

Emergency Live

FEBRUARY 29, 2024

This device, mandatory on all new models of cars and light vans since March 31, 2018, is designed to automatically send an emergency call to […] The post eCall: The Invisible Guardian of Europe's Roads appeared first on Emergency Live.

98

98

Pediatric EM Morsels

AUGUST 18, 2023

Wirth 2018) One study including 4.4 Meesters 2018) Resistance is growing (likely from inappropriate / overuse)! (Noel 2007) In a very robust, recent multicenter, randomized, double-blind controlled study Moxifloxacin was compared to a comparator drug (IV ertapenem followed by PO Augmentin) for complex intraabdominal infections.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Emergency Live

JUNE 22, 2023

Significant collaboration between ADAC Luftrettung and Volocopter for the development of electric vertical take-off and landing aircraft (eVTOL) for rescue services A step forward in air rescue and emergency medicine The collaboration is the result of a partnership that began in 2018, when ADAC Luftrettung, a German air rescue organisation, and Volocopter, (..)

98

98

The Trauma Pro

OCTOBER 18, 2024

Journal of Trauma Nursing, 25 (3), 192-195, 2018. If the score is less than 6 further scrutiny is needed to determine if a consult from or transfer to trauma should be recommended. References: Nonsurgical Admissions With Traumatic Injury: Medical Patients Are Trauma Patients Too. Am Surg, 88(7), 1537-1540, 2022.

Documentation/Coding 147

Documentation/Coding Emergency Department Hospitals 147

The Skeptics' Guide to EM

APRIL 13, 2024

hours from onset of symptoms.

Stroke 137

Stroke Documentation/Coding Emergency Department EMS 137

MEDEST118

MAY 14, 2024

2018 Sep;5(3):208-209. AJR Am J Roentgenol. 2014 Feb;202(2):418-25. 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. Clin Exp Emerg Med. doi: 10.15441/ceem.17.243. Epub […]

Pediatrics 81

Pediatrics 81

Total Medical ComplianceHIPAA

NOVEMBER 8, 2024

This marks OCR’s fourth ransomware-related settlement, as ransomware incidents in healthcare have increased by 264% since 2018. Following a ransomware attack that compromised nearly 291,000 patient records, Cascade agreed to a $250,000 settlement and a corrective action plan.

Risk Management 59

Risk Management Best Practices Documentation/Coding 59

Sensible Medicine

JUNE 17, 2024

Proponents wrote back in 2018 that longer-term safety studies are needed that specifically assess…”cerebral microemboli assessed by magnetic resonance imaging.” The bubbles seen on ultrasound imaging during PFA was enough for the proponents to write in 2018 that brain safety was an issue to be studied.

Shock 127

Shock Stroke Operations Ultrasounds 127

EM Literature of Note

SEPTEMBER 11, 2023

The population included for analysis is the Austrian Stroke Unit Registry from 2018 until 2019, an original cohort of 53,899 patients. Like MARISS, this is a retrospective dredge of patients selected by the treating clinicians to receive either intravenous thrombolysis or, in this case, dual-antiplatelet therapy with clopidogrel and aspirin.

Stroke 114

Stroke Outcomes Wellness 114

PEMBlog

DECEMBER 7, 2023

2018 Sep 01; 98 (5):283-291. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: [link] Trayes KP, Savage K, Studdiford JS. Annular Lesions: Diagnosis and Treatment. Am Fam Physician.

Infectious Diseases 125

Infectious Diseases 125

Mind The Bleep

FEBRUARY 2, 2025

I wish I had read this during foundation or medical school. Around 20 on Amazon. References Useful apps including Microguide: [link] SBAR format [link] Public Health England. Thirty-day all-cause mortality following MRSA, MSSA and Gram-negative bacteraemia and C. difficile infections. link] Written by Emma Chrisholm ST1 Radiology

Radiology 98

Radiology Radiology Documentation/Coding Hospitals 98