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.) They proposed disease-specific intervals for TLTs (e.g., that they invented more or less based on opinion and gestalt (wide flexibility and discretion were also advised).

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%. These points have been emphasized in many previous posts on Dr. Smith’s blog ( See the April 5, 2019 post , including My Comment at the bottom of that page ). This is NOT Wellens. Is the patient hypoxic? The answer was yes.

EKG/ECG 52

EKG/ECG COPD Documentation/Coding Shock 52

Dr. Smith's ECG Blog

JANUARY 5, 2020

This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. IJC Heart and Vasculature 25(2019). Here is the ECG: What do you think? Computer interpretation is below. Many arrhythmias will prove uninterpretable — IF only 1 or a few leads are used. GET a 12-lead! Providers FORGET to “ U se t he O dds”.

EKG/ECG 52

EKG/ECG COPD Wellness Sepsis 52

EMDocs

APRIL 22, 2024

RV chamber size alone is not enough information to rule-in a PE as RV cavity enlargement can be visualized in other conditions such as pulmonary hypertension, RV infarct, COPD and cardiac arrest from multiple causes. 2019 Oct-Dec;29(4):169-171. 10,11 Vid 1. SubX4 Asystole RV > LV. SubX2 Asystole RV > LV. J Cardiovasc Echogr.

Ultrasounds 98

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 98

ACEP Now

JUNE 14, 2024

Chronic obstructive pulmonary disease (COPD) is a chronic disease of the lungs caused by inflammatory and structural changes of the small airways and parenchyma of the lungs that result in chronic airflow obstruction and gas trapping. In 2019, the global prevalence of COPD was estimated to be 10.3 Click to enlarge.

COPD 52

COPD Hospitals Emergency Department Outcomes 52

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). Journal of Trauma and Injury 2019; 32(4): 238-242.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

Taming the SRU

JANUARY 22, 2025

COPD is characterized by episodes of exacerbations, which require prompt recognition and management due to their potential to escalate rapidly and cause significant morbidity and mortality. Epidemiology Globally, more than 300 million people are affected by COPD, marking it as the third leading cause of death worldwide.

COPD 80

COPD CDC Research Emergency Department 80

Taming the SRU

OCTOBER 28, 2024

Most common triggers include respiratory conditions such as asthma, COPD, and pneumonia which can lead to forceful coughing -Other common triggers include forceful exertion, severe coughing or vomiting, asthma exacerbation, intense physical activity, or Valsalva maneuvers (e.g., 2019 Jun;217(6):1047-1050. 2019 Oct;45(5):927-931.

COPD 79

COPD Pediatrics Emergency Department Ultrasounds 79

Dr. Smith's ECG Blog

FEBRUARY 18, 2025

Written by Willy Frick A man in his 50s with COPD presented with dizziness and hypotension. As I've emphasized in the February 10, 2025 and March 19, 2019 posts hyperkalemia and hypocalcemia often occur together, and often produce a readily identifiable pattern of flat ST segments ending in peaked T waves that we see in today's case.

EKG/ECG 63

EKG/ECG COPD CPR Administration 63

Taming the SRU

NOVEMBER 18, 2024

Additionally, cardiac instrumentation, recent procedures such as bronchoscopy/endoscopy, central venous catheter placement/displacement, aortic aneurysm, pneumonia, asthma, COPD, pleural effusion, and pericarditis can manifest as intractable hiccups through similar mechanisms. Cham: Springer; 2019. Indian J Psychol Med.

Stroke 86

Stroke Administration COPD Dehydration 86