Ken Grauer, MD

DECEMBER 15, 2023

The importance of the new OMI ( vs the old STEMI ) Paradigm — See My Comment in the July 31, 2020 post in Dr. Smith's ECG Blog. 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

Mind The Bleep

FEBRUARY 2, 2025

Resources Care Packages “NHS Continuing Healthcare And Individual Packages Of Care” West Suffolk CCG, 2020, [link]. Care homes “Care Homes” NHS.UK, 2020, [link]. Needs assessment “Getting A Social Care Needs Assessment” NHS.UK, 2020, [link].

Hospitals 95

Hospitals 95

Ken Grauer, MD

DECEMBER 8, 2023

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. The July 31, 2018 post in Dr. Smith's ECG Blog ( Please scroll down to the bottom of the page to see My Comment ).

EKG/ECG 398

EKG/ECG Hospitals 398

Ken Grauer, MD

JUNE 27, 2024

See My Comment in the June 1, 2020 post in Dr. Smith's ECG Blog — for review of Pleomorphic VT. . = == Related ECG Blog Posts to Today’s Case: ECG Blog #36 — Reviews irregular wide tachycardias ( with distinction between Torsades de Pointes vs Polymorphic VT discussed in Figure-3 in this post ).

EKG/ECG 404

EKG/ECG Poisoning Resuscitation 404

Ken Grauer, MD

SEPTEMBER 13, 2024

Working through a case of a regular WCT Rhythm in this 80-something woman — See My Comment in the May 5, 2020 post on Dr. Smith’s ECG Blog. Another case of a regular WCT Rhythm in a 60-something woman — See My Comment at the bottom of the page in the April 15, 2020 post on Dr. Smith’s ECG Blog.

EKG/ECG 248

EKG/ECG Wellness 248

Ken Grauer, MD

AUGUST 22, 2024

Working through a case of a regular WCT Rhythm in this 80-something woman — See My Comment in the May 5, 2020 post on Dr. Smith’s ECG Blog. Another case of a regular WCT Rhythm in a 60-something woman — See My Comment at the bottom of the page in the April 15, 2020 post on Dr. Smith’s ECG Blog.

EKG/ECG 257

EKG/ECG Wellness 257

Pediatric EM Morsels

OCTOBER 27, 2023

DeBoer 2020] Now seen as industry standard in pediatric emergency care. K 2020] In Mexican children, the Broselow differed from actual weight by <10% in 46-64% of patients. 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. Published 2020 Feb 12. Came out in 1986.

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

Ken Grauer, MD

MAY 20, 2023

The history and associated deep anterior S waves (ie, the reciprocal of tall lateral lead R waves ) will suggest LVH rather than Precordial Swirl ( See ECG Blog #254 and My Comment at the bottom of the page in the February 6, 2020 and June 20, 2020 posts in Dr. Smith's ECG Blog ).

EKG/ECG 361

EKG/ECG Wellness 361

Pediatric EM Morsels

NOVEMBER 3, 2023

falciparum accounts for >70% of cases of imported malaria , primarily seen in those returning from travel in Sub-Saharan Africa (Mischlinger 2020) Other species include P. 2020 Mar 11;33(2):e00104-19. vivax , P. malariae , and the less common P. knowlesi and P. simium (Forgie 2022) P. vivax and P. vivax , P. knowlesi and P.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

Sensible Medicine

MARCH 14, 2025

The only problem was that the patient population would change over the course of the study – the unscreened population was studied mostly in 2019 and early 2020 while the screened population was mostly late 2020 early 2021. Thus, the results would have to be adjusted.

Sepsis 97

Sepsis Wellness Documentation/Coding Fluid Resuscitation 97

Pediatric EM Morsels

JULY 19, 2024

2020 Sep;38(9):1943. Epub 2020 Jan 29. Epub 2022 Aug 6. PMID: 35988367. Nebulized tranexamic acid for post-tonsillectomy hemorrhage in children: a promising game changer. Am J Emerg Med. doi: 10.1016/j.ajem.2020.01.042. 2020.01.042. PMID: 32024591. Rohe E, Gresham M, Rohde R, Cass L, Brinkmeier JV, Childers A.

Airway Management 290

Airway Management Pediatrics Wellness Operations 290

Pediatric EM Morsels

JUNE 9, 2023

Luoto, 2020 ] Increase resistance can be related to pre-hepatic , intra-hepatic , or post-hepatic etiologies. Luoto, 2020 ] Increase resistance can be related to pre-hepatic , intra-hepatic , or post-hepatic etiologies. Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! 2020 May;70(5):628-634.

Pediatrics 154

Pediatrics Head Injuries Airway Management Resuscitation 154

Mount Sinai EM

AUGUST 7, 2024

Ultimately, given the heterogeneity of studies in terms of timing & application and definition of cardiac motion, ultrasound is considered an adjunct to CPR with a class 2b recommendation in the 2020 AHA guidelines.

Ultrasounds 235

Ultrasounds CPR Documentation/Coding COPD 235

Don't Forget the Bubbles

MARCH 10, 2025

doi: 10.1136/emermed-2020-210450. Image adapted from: Darbyshire D, Brewster L, Isba R, Body R, Basit U, Goodwin D. Retention of doctors in emergency medicine: a scoping review of the academic literature. Emerg Med J. 2021 Sep;38(9):663-672. Epub 2021 Jun 3. PMID: 34083428; PMCID: PMC8380914. What were the aims of the study?

Emergency Department 105

Emergency Department Research EMS Academics 105

Ken Grauer, MD

JANUARY 20, 2024

See My Comment at the bottom of the page in the October 14, 2020 post on Dr. Smith's ECG Blog. Acute OMI that wasn’t accepted by the Attending — See My Comment at the bottom of the page in the November 21, 2020 post on Dr. Smith’s ECG Blog.

EKG/ECG 238

EKG/ECG 238

Sensible Medicine

FEBRUARY 17, 2025

In 2020, the authors allowed crossover to Cabo. Patients and doctors will easily know if they are on sugar pill or the toxic drug (side effects). Once they know, they will be annoyed if they get sugar pill and think about ways to drop out early.

Hospice 100

Hospice Wellness Research 100

PulmCCM

JANUARY 15, 2025

According to a 2023 analysis of applications for FDA approval , as late as 2020 manufacturers were complying with a minimum of effort—e.g., .” But the standard was lax: only two darkly pigmented subjects, or 15% of the total pool were needed.

Academics 81

Academics Documentation/Coding Administration Research 81

Ken Grauer, MD

MAY 16, 2024

Recognizing hyperacute T waves — patterns of leads — an OMI ( though not a STEMI ) — See My Comment at the bottom of the page in the November 8, 2020 post on Dr. Smith's ECG Blog. CLICK HERE — for my 2 new ECG P odcasts ( on ECG & Rhythm interpretation Errors — and — Errors in assessing for acute OMI ).

EKG/ECG 403

EKG/ECG Wellness 403

Northwestern EM Blog

MARCH 1, 2025

This leads to hyperinflation of anterior alveoli and increased atelectasis in the posterior alveoli (Maley, 2020; Malhotra, 2022). The overall result is that prone ventilation recruits functional alveoli throughout the lung and thus improves both oxygenation and ventilation (Maley, 2020; Malhotra, 2022).

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

Ken Grauer, MD

FEBRUARY 4, 2023

Working through a case of a regular WCT Rhythm in this 80-something woman — See My Comment in the May 5, 2020 post on Dr. Smith’s ECG Blog. Another case of a regular WCT Rhythm in a 60-something woman — See My Comment at the bottom of the page in the April 15, 2020 post on Dr. Smith’s ECG Blog.

EKG/ECG 195

EKG/ECG 195

Ken Grauer, MD

SEPTEMBER 21, 2024

There is a literature on this subject ( Sood et al — Cureus 15(4):e37102, 2023 — Gulati et al — Mayo Clin Proceed 95(1):136-156, 2020 — GGF van der Schoot et al: Neth Heart J 28(6):301-308, 2020 — and — Egred at al — Postgrad Med 81(962): 741-745, 2005 — to name just a few reports ). That said — acute MI does occur in younger patients.

EKG/ECG 296

EKG/ECG Resuscitation Outcomes Hospitals 296

Ken Grauer, MD

DECEMBER 12, 2024

Working through a case of a regular WCT Rhythm in this 80-something woman See My Comment in the May 5, 2020 post on Dr. Smiths ECG Blog. Another case of a regular WCT Rhythm in a 60-something woman See My Comment at the bottom of the page in the April 15, 2020 post on Dr. Smiths ECG Blog. Smiths ECG Blog.

EKG/ECG 206

EKG/ECG Wellness 206

EMDocs

MARCH 4, 2025

A 2020 Cochrane review found the pooled sensitivity was 65%. Published 2020 Jun 11. Positive Jolt accentuation test = patient turns their head horizontally 2-3 times per second and their headache gets worse. A 1991 study found a sensitivity >97% and a specificity of 60%. Do not rely on this to rule out bacterial meningitis.

Infectious Diseases 85

Infectious Diseases Seizures Poisoning Sepsis 85

Ken Grauer, MD

APRIL 18, 2023

The February 11, 2020 post ( LA-RA reversal ). The March 18, 2020 post ( LA-RA reversal ). The August 28, 2020 post ( LA-LL reversal ). The November 19, 2020 post ( LA-LL reversal ). The July 29, 2018 post ( LA-RA reversal ). The November 4, 2018 post ( Leads V1,V2 misplacement ).

EKG/ECG 195

EKG/ECG Wellness 195

Pediatric EM Morsels

APRIL 7, 2023

American Society of Hematology 2020 guidelines for sickle cell disease: prevention, diagnosis, and treatment of cerebrovascular disease in children and adults. 2020 Apr 28;4(8):1554-1588. DeBaun MR, Jordan LC, King AA, Schatz J, Vichinsky E, Fox CK, McKinstry RC, Telfer P, Kraut MA, Daraz L, Kirkham FJ, Murad MH. 2019001142.

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

Emergency Medicine Journal

MARCH 25, 2025

This service evaluation was a case series of paediatric patients with injuries found to be consistent with major trauma self-presenting to an inner-city major trauma centre (MTC) in the UK between 5 August 2020 and 6 May 2022.

Research 52

Research EMS Hospitals 52

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

APRIL 26, 2024

Recognizing hyperacute T waves — patterns of leads — an OMI ( though not a STEMI ) — See My Comment at the bottom of the page in the November 8, 2020 post on Dr. Smith's ECG Blog. CLICK HERE — for my 2 new ECG P odcasts ( on ECG & Rhythm interpretation Errors — and — Errors in assessing for acute OMI ).

EKG/ECG 387

EKG/ECG Resuscitation EMS Wellness 387

Ken Grauer, MD

APRIL 20, 2024

Recognizing hyperacute T waves — patterns of leads — an OMI ( though not a STEMI ) — See My Comment at the bottom of the page in the November 8, 2020 post on Dr. Smith's ECG Blog. CLICK HERE — for my 2 new ECG P odcasts ( on ECG & Rhythm interpretation Errors — and — Errors in assessing for acute OMI ).

EKG/ECG 429

EKG/ECG Wellness 429

Ken Grauer, MD

JULY 4, 2024

Recognizing hyperacute T waves — patterns of leads — an OMI ( though not a STEMI ) — See My Comment at the bottom of the page in the November 8, 2020 post on Dr. Smith's ECG Blog. CLICK HERE — for my 2 new ECG P odcasts ( on ECG & Rhythm interpretation Errors — and — Errors in assessing for acute OMI ).

EKG/ECG 388

EKG/ECG Wellness 388

Ken Grauer, MD

AUGUST 8, 2024

Recognizing hyperacute T waves — patterns of leads — an OMI ( though not a STEMI ) — See My Comment at the bottom of the page in the November 8, 2020 post on Dr. Smith's ECG Blog. CLICK HERE — for my 2 new ECG P odcasts ( on ECG & Rhythm interpretation Errors — and — Errors in assessing for acute OMI ).

EKG/ECG 318

EKG/ECG Resuscitation Wellness 318

Pediatric EM Morsels

AUGUST 11, 2023

2020 Oct 24;12(10):e11141. Coli Proteus species Non-Abscess infection: Staphylococcus aures = the most common Pseudomonas aeruginosa and others still may be seen Perichondritis of the Ear: Presentation Redness , Pain , and Swelling of the pinna Typically spares the lobule ! Can Fam Physician. 2022 Sep;68(9):661-663. doi: 10.46747/cfp.6809661.

Burns 130

Burns Pediatrics EMS Outcomes 130

Pediatric EM Morsels

MAY 10, 2024

Pediatr Rev September 2020; 41 (9): 469–480. Diagnosis of pneumothorax by radiography and ultrasonography: a meta-analysis. 2011;140(4):859-866. doi:10.1378/chest.10-2946 10-2946 Gal Barbut, Joshua P. Needleman; Pediatric Chest Pain. link] Hanson MG, Chan B. Ultrasound J. 2021;13(1):2.

EKG/ECG 271

EKG/ECG Pediatrics Ultrasounds Seizures 271

Ken Grauer, MD

OCTOBER 29, 2023

For more on this subject — SEE the September 3, 2020 post in Dr. Smith’s ECG Blog with 20-minute video talk by Dr. Meyers on The O MI M anifesto. Figure-4: ECG findings to look for when your patient with new-onset cardiac symptoms does not manifest STEMI-criteria ST elevation on ECG.

EKG/ECG 195

EKG/ECG 195

EMDocs

NOVEMBER 13, 2024

2020 Sep-Oct;19(5):451-457. 2020 Apr 14;12:49-60. Hepatology. 2021 Aug;74(2):1014-1048. Mattos AA, Wiltgen D, Jotz RF, et al. Spontaneous bacterial peritonitis and extraperitoneal infections in patients with cirrhosis. Ann Hepatol. Aithal GP, Palaniyappan N, China L, et al. Guidelines on the management of ascites in cirrhosis.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 105

Ken Grauer, MD

JUNE 14, 2024

Recognizing hyperacute T waves — patterns of leads — an OMI ( though not a STEMI ) — See My Comment at the bottom of the page in the November 8, 2020 post on Dr. Smith's ECG Blog. CLICK HERE — for my 2 new ECG P odcasts ( on ECG & Rhythm interpretation Errors — and — Errors in assessing for acute OMI ).

EKG/ECG 389

EKG/ECG Wellness Hospitals 389

EMCrit

OCTOBER 13, 2023

Most of these guidelines are consistent with the 2020 World Brain Death Project, so […] EMCrit Project by Josh Farkas. Instead of a tweetorial, I'll jot my thoughts here, so they're accessible to everyone. Disclaimer: the following discussion applies only to adult medicine.

121

121