Dr. Smith's ECG Blog

AUGUST 18, 2024

We've periodically reviewed cases regarding Pacemaker Troubleshooting ( See the February 18, 2024 post — the January 13, 2024 post — the October 19, 2022 post — the August 3, 2022 post — the May 21, 2023 post — the June 19, 2024 post — and the November 9, 2018 post , to name a number of them ).

EKG/ECG 112

EKG/ECG Fractures Burns Wellness 112

ACEP Now

MARCH 14, 2024

Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. FIGURE 1: Electrical burns of the patient’s bilateral feet. FIGURE 2: Traumatic amputation and electrical burn of the patient’s left arm. He was intubated by EMS due to the extent of his injuries.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

EMDocs

JULY 9, 2024

Epub 2018 Nov 22. Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. 2018 Jul;84(1):10-21. Epub 2018 May 23. Community Resource Needs Assessment Among Families Presenting to a Pediatric Emergency Department. Acad Pediatr. 2019 May-Jun;19(4):378-385. doi: 10.1016/j.acap.2018.11.009.

Pediatrics 70

Pediatrics Emergency Department Research Burns 70

EB Medicine

MARCH 1, 2018

When treating patients who have suffered injury in a fire, managing their airway is as critical as treating their burns. When treating patients who have suffered injury in a fire, managing their airway is as critical as treating their burns. This month’s issue was authored by Dr. Nelson of Rutgers New Jersey Medical School.

Emergency Department 40

Emergency Department Burns 40

Don't Forget the Bubbles

JUNE 30, 2023

published in 2018, looked at 1900 matched pairs of injured children under 12, half of whom received TXA. 2018 Dec;19(12):e637-e642. Or is there a risk TXA could cause harm?” Well, one study in Kornelson’s systematic review and meta-analysis is interesting. A retrospective cohort study in Japan by Maeda et al. Pediatr Crit Care Med.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

EMDocs

DECEMBER 19, 2023

Possible early antibiotic treatment Minor Marine Trauma Mechanism: Bites, Stings, Nematocysts Envenomation Presentation: All can cause localized pain, erythema, and warmth Dermatologic: Urticaria, burning, pruritus, localized paresthesia. link] Published December 30, 2018. McGraw Hill; 2019. Accessed August 28, 2022. link] Yip K.

Poisoning 105

Poisoning Seizures Anaphylaxis Burns 105

Emergency Medicine Journal

OCTOBER 26, 2023

Methods Victorian State Trauma Registry data on all adult major trauma patients from 1 January 2018 to 31 December 2021 were used. In this study, we aimed to understand potential biases in current data on the completion of blood alcohol tests for major trauma patients at hospitals in Victoria, Australia. to 3.48).

Burns 52

Burns Hospitals 52

ACEP Now

APRIL 2, 2024

degress Fahrenheit), caustics (low pH), and voltage—causing a Ca++ and Na+ action potential influx that confers the sensation of pain and burning to the brain. Oral exposure creates a spicy burning sensation (or pungency) in the mouth that can extend to the throat and stomach (and eventually the rectum—“ fire tuchus ”).

Burns 40

Burns Poisoning Seizures Stroke 40

EB Medicine

NOVEMBER 1, 2018

In total, they pulled references from 1966 until 2018. Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. You’re probably familiar with this concept when you see high voltages arcing through the air without direct contact with the actual electrical source, leading to diffuse burns.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

ACEP Now

AUGUST 15, 2023

The impact of burn-out on emergency physicians and emergency medicine residents: a systematic review. New York, New York, Avery: Penguin Random House ; 2018. References Verougstraete D, Hachimi Idrissi S. Acta Clin Belg. 2020;75(1):57-79. Lloyd S, Streiner D, Shannon S. Centers for Disease Control and Prevention.

Emergency Department 90

Emergency Department Military Resuscitation Wellness 90

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. A 2018 USA multi-center prospective RCT involving 1,656 adult patients published in NEJM used varying PCT cut-offs to guide antibiotic initiation in the emergency department. 2018 Aug 1;10(8):a028456. Epub 2018 Oct 19. 2018 May;18(5):496-497.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

EMDocs

DECEMBER 4, 2023

When US is available, but the tech would be required to come in at night, we don’t want to burn them out when we can use an approach with a temporizing measure so the patient can get their study safely n a less emergent timeframe. Ultrasound. 2020;28(1):23-29. doi:10.1177/1742271X19865000 Needleman L, Cronan JJ, Lilly MP, et al. Circulation.

Ultrasounds 90

Ultrasounds Documentation/Coding Wellness EMS 90

Northwestern EM Blog

FEBRUARY 28, 2022

As your post alludes to, sometimes patients remain hypoxemic despite our usual efforts and refractory hypoxemia can be an intimidating beast when you’ve got a busy ED burning down around you. Published online May 23, 2018. Lancet Lond Engl. 2009;374(9698):1351-1363. N Engl J Med. Akehtuamhen, A. 2022, Feb 28). NUEM Blog.

Emergency Department 52

Emergency Department Burns Resuscitation Outcomes 52

Pediatric Education

MAY 14, 2023

Trauma Burns Chest Inhalation Neurogenic due to increased intracranial pressure. Published online October 21, 2018:bcr-2018-225389. doi:10.1136/bcr-2018-225389 Saguil A, Fargo MV. Reexpansion pulmonary edema is not very common but occurs after rapid reexpansion of the lung after a few days of collapse. Pediatr Emerg Care.

Pediatrics 40

Pediatrics Infectious Diseases Burns Wellness 40

Don't Forget the Bubbles

FEBRUARY 5, 2025

E.g. burns, neurosurgery, interventional radiology. Don’t Forget the Bubbles, 2018. (All hospitals will have different makeups of trauma teams and possibly different levels of activation) Do I need any additional expertise outside of who would typically be in the trauma team? TXA in head injuries. Stabbings in Adolescents.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

RebelEM

MARCH 23, 2023

Buell D, Filewod N, Ailon J, Burns KEA. Filewod N, Hwang S, Turner CJ, Rizvi L, Gray S, Klaiman M, Buell D, Ailon J, Caudarella A, Ginocchio GF, Santos M, Sandhu G, Dewhurst N, Sequeira K, Burns KEA. Phenobarbital Versus Lorazepam for Management of Alcohol Withdrawal Syndrome: A Retrospective Cohort Study. 2021 Feb 11;13(2):e13282.

Emergency Department 52

Emergency Department Burns Outcomes Hospitals 52

Northwestern EM Blog

JANUARY 24, 2022

Those at higher risk of hypocalcemia (vitamin D deficiency, ESRD, hyperparathyroidism, burns, multiple blood transfusions, etc.) 2018; 44(5): 652-655. 2018; 22(1):215. Hypocalcemia can be hinted at through history or by hints such as a prolonged QTc on an ECG. may have greater severity of shock with increased mortality.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Dr. Smith's ECG Blog

JUNE 28, 2018

Ed Burns has a very nice complete summary of Wellens' syndrome here: [link] = Comment by KEN GRAUER, MD ( 6/28/2018 ): = Highly insightful post with superb explanation by Dr. Smith, illustrating by sequential evolution over 5 serial tracings what Wellens’ Syndrome is, and what it is not. More outcome Peak troponin I was 0.58

EKG/ECG 52

EKG/ECG Burns Research Outcomes 52

Dr. Smith's ECG Blog

DECEMBER 11, 2018

Comment by K EN G RAUER, MD ( 12/11/2018 ): = I love this case — because it brings home 3 of my favorite teaching points about electrolyte disorders and ECG interpretation. Destruction of red blood cells due to trauma, severe injury or burns. Severe dehydration. Addison’s disease ( adrenal insufficiency ) — which is not common.

EKG/ECG 52

EKG/ECG Dehydration Burns Outcomes 52

PEMBlog

JUNE 5, 2024

Central cord syndromes are from hyperextension, and you’ll see weakness that is greater in the upper as opposed to the lower extremities, and transient burning sensation of the hands and fingers. Leonard JC, Browne LR, Ahmad FA, Schwartz H, Wallendorf M, Leonard JR, Lerner EB, Kuppermann N. Pediatrics. 2019 Jul;144(1):e20183221.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Downeast Emergency Medicine

MARCH 24, 2021

Pediatr Emerg Med Pract 2018, 15(2):1-25. Sudbury, Mass.: Jones and Bartlett Publishers; 2010. Chapter Link ] Brady K: Acute gastroenteritis: evidence-based management of pediatric patients. Pubmed ] Ludwig S, Shah SS: Symptom-based diagnosis in pediatrics, Second edition.

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

Pediatric EM Morsels

JUNE 21, 2024

The management of pediatric thermal burns always seems to be a hot topic , whether we are caring for a little future chef who splashed a scalding microwaved noodle cup on himself, or a toddling youngster who pulled a pot of boiling water on herself. Topical Therapies for Pediatric Burns: The options?

Burns 173

Burns Pediatrics Hospitals Wellness 173

Taming the SRU

JULY 21, 2023

link] A patient presents with an itchy and burning feeling on their eyelids. saline eyedrops for “burning” or “gritty” feeling of discomfort. saline eyedrops for “burning” or “gritty” feeling of discomfort. Dr. Goel is an Assistant Professor at the University of Cincinnati and a graduate of the UC EM Class of 2018.

Emergency Department 88

Emergency Department EMS Burns Wellness 88

EMDocs

NOVEMBER 4, 2024

21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be gnawing, aching, burning, and located in the upper abdomen. 2018 Nov;19(6):952-960. Epub 2018 Sep 10. The pain is worse after meals and at night, but improves with antacids. 2018.8.37875.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Don't Forget the Bubbles

JANUARY 4, 2024

Reviewed by: Sian Venables and Ashwin Mahtani Article 4: Does being admitted with a burn impact school performance? Impact of childhood burns on academic performance: a matched population-based cohort study Halim N, Holland AJA, McMaugh A, et al. Incidence of medically attended paediatric burns across the UK. What’s it about?

Burns 129

Burns Academics Hospitals Outcomes 129

EMDocs

JANUARY 20, 2025

2018 30 attempted to study this in the United Kingdom (UK) and Ireland; in a feasibility trial, they were able to enroll only 75 patients in 9 months across 13 medical centers. 2018 44, 20702078 (2018) Andrews B, Semler MW, Muchemwa L, et al. 2018 Aug 7;104(5):426431 Scott W, Peters MJ, Alhazzani W, et al. Inwald et al.

Dehydration 73

Dehydration Fluid Resuscitation Sepsis Resuscitation 73

EMDocs

FEBRUARY 8, 2025

Prevalence and healthcare burden of fungal infections in the United States, 2018. COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e. million patients with acute IFIs per year globally 3 >1.5 1 WHO Critical Priority Fungal Pathogens Cryptococcus neoformans Globally distributed, found in soil/wood/trees 1 C. 2023;30(1).

Infectious Diseases 65

Infectious Diseases EMS COPD Research 65

EMDocs

MARCH 14, 2024

link] Williams E, Rudowitz R, Burns A. Published December 20, 2018. “Moral imperative”: House overwhelmingly passes Mississippi Medicaid expansion. Mississippi Today. Published February 29, 2024. Accessed March 5, 2024. Medicaid Financing: The Basics. Published April 13, 2023. link] Centers for Medicare and Medicaid Services.

Administration 99

Administration Outcomes Burns Operations 99

EMDocs

JANUARY 6, 2025

doi:10.1136/bmjgh-2018-001114 Okesanya OJ, Olatunji GD, Kokori E, et al. Published online January 30, 2018. Physical injuries and burns among refugees in Lebanon: implications for programs and policies. [link] Mazzola LT, Kelly-Cirino C. Diagnostic tests for Crimean-Congo haemorrhagic fever: a widespread tickborne disease.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72