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 412

EKG/ECG Hospitals 412

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

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

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

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 363

EKG/ECG Wellness 363

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 269

Pediatrics Resuscitation Documentation/Coding Wellness 269

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 278

Seizures Pediatrics CDC Infectious Diseases 278

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.

Pediatrics 286

Pediatrics Airway Management Wellness Administration 286

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

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

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 152

Pediatrics Head Injuries Airway Management Administration 152

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

Pediatric EM Morsels

APRIL 5, 2024

This is true of hard ticks , which carry the majority of bacteria and viruses which can infect humans (Rochlin 2020) This is not true when the infectious agent is carried by a soft tick. Rochlin 2020) Shares many of the same symptoms as African tick-bite fever. In the US, outbreaks have been linked to rental cabins near national parks.

CDC 161

CDC Infectious Diseases Pediatrics Wellness 161

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 405

EKG/ECG Wellness 405

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 302

EKG/ECG Resuscitation Outcomes Hospitals 302

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

Science Based Medicine

SEPTEMBER 12, 2023

Doctors who repeatedly predicted herd immunity in 2020 and 2021, mocking and berating those who disagreed, now treat herd immunity as a taboo phrase. The post When Did “Herd Immunity” Become a Taboo Phrase? first appeared on Science-Based Medicine.

142

142

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

Science Based Medicine

APRIL 7, 2024

Jay Bhattacharya March 2020: "If it’s true that the novel coronavirus would kill millions without shelter-in-place orders and quarantines, then the extraordinary measures being carried out in cities and states around the country are surely justified."

126

126

Science Based Medicine

AUGUST 5, 2024

Ever since COVID-19 first emerged in 2020, evidence-free claims that it had arisen due to a "lab leak" have proliferated. A recent paper argues that this conspiracy theory has been very harmful to science. I argue that it's more than just lab leak that is harmful.

127

127

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

Sensible Medicine

JUNE 6, 2024

The first two weeks of March 2020 were jolting. Although he initially rejected it, by April 2020, he recommended community cloth masking to slow the coronavirus (an intervention for which we now have randomized data showing it doesn’t work). In other words, if policies actually work, this method is able to prove that they work.

Infectious Diseases 145

Infectious Diseases Research Outcomes 145

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 395

EKG/ECG Resuscitation EMS Wellness 395

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 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 432

EKG/ECG Wellness 432

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

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 389

EKG/ECG Wellness 389

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 317

EKG/ECG Resuscitation Wellness 317

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

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 268

EKG/ECG Pediatrics Ultrasounds Seizures 268

Science Based Medicine

APRIL 5, 2024

Part 2: In 2020, pro-infection doctors said "It’s fantastic news that we have a lot of cases." Today, they performatively lament "learning loss for children, especially in poor families". What happened to their assurances that the mass infection of unvaccinated youth will rapidly lead to herd immunity?

117

117

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 407

EKG/ECG Wellness Hospitals 407

Ken Grauer, MD

OCTOBER 10, 2024

Other sites where I've discussed similar cases: The March 6, 2020 post in Dr. Smith's ECG Blog. ECG Blog #138 — AFlutter vs Atrial Tachycardia. ECG Blog #40 — Another regular SVT that turned out to be AFlutter. The October 16, 2019 post in Dr. Smith's ECG Blog.

EKG/ECG 425

EKG/ECG Sepsis Wellness 425

Ken Grauer, MD

FEBRUARY 23, 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. ECG Blog #294 — Reviews how to tell IF the " culprit " artery has reperfused. ECG Blog #230 — Reviews how to compare serial ECGs.

EKG/ECG 423

EKG/ECG Wellness 423

Pediatric EM Morsels

JULY 21, 2023

Orso 2020] One pediatric study in this systematic review, and the intubated patients had worse outcome than non-intubated Early airway protection = lower rates of complications (in TRAUMA), but this is not always true with medical patients. 2020 Dec 10;28(1):116. BMJ Open 2021; 11: e053619. Scand J Trauma Resusc Emerg Med.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

The Trauma Pro

APRIL 2, 2024

BMJ Open 5(1) epub 5/12/2020. So if you try it, build your own series and publish it so we all can learn! Reference: Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma.

Wellness 147

Wellness 147

RebelEM

MARCH 6, 2024

Dietary Guidelines for Americans, 2020-2025. December 2020. Published 2020 Oct 27. Department of Agriculture and U.S. Department of Health and Human Services. 9th Edition. Available at DietaryGuidelines.gov. Green W, Gao X, Li K, et al. West J Emerg Med. 2020;21(6):219-224. doi:10.5811/westjem.2020.8.47357

Leadership 105

Leadership Hospitals EMS 105