Ken Grauer, MD

FEBRUARY 28, 2023

These 2 settings are: i ) In patients with severe , often longstanding pulmonary disease ; and / or , ii ) In acutely ill patients with multi-system disease ( ie, sepsis, shock, electrolyte and/or acid-base disorders ). Applying the Above to Today's Case: In addition to being Covid-positive — the patient in today's case had longstanding COPD.

EKG/ECG 195

EKG/ECG Documentation/Coding Sepsis COPD 195

RebelEM

JANUARY 25, 2024

It can be used to distinguish between various conditions, including chronic obstructive pulmonary disease (COPD) exacerbation, acute heart failure (AHF), pleural effusion, pulmonary edema, pericardial effusion, pneumothorax, and pneumonia [2,3]. 2019 Dec 2;102(10):34-38. to −0.66) and −1.66 (95% CI −2.09 Emerg Med J. PMID: 37595984.

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129

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]. J Emerg Trauma Shock. Published 2019 Dec 3. Ann Emerg Med. 1983;12(6):411-412. 2008;1(1):34-41.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

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

Dr. Smith's ECG Blog

FEBRUARY 28, 2020

This clinical information followed: "The patient had a COPD exacerbation with a prehospital SpO2 of 60%. Tachycardia is unusual in ACS unless there is cardiogenic shock or a second simultaneous pathology. Many patients with acute COPD exacerbations present with a similar heart rate. This is NOT Wellens. Is the patient hypoxic?

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. Providers FORGET to “ U se t he O dds”. Q UESTION : Is there a d ifference between sinus rhythm with multiple PACs vs MAT?

EKG/ECG 52

EKG/ECG COPD Wellness Sepsis 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