Ken Grauer, MD

JULY 22, 2023

The ECG in Figure-1 was obtained from an elderly man with a history of coronary disease — who contacted EMS for "burning" chest discomfort that woke him at 3am. Unlike his "usual" anginal episodes — this chest discomfort was not relieved by NTG. ECG Blog #258 — How to " D ate " an I nfarction based on the initial ECG.

EKG/ECG 195

EKG/ECG Burns EMS Wellness 195

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. McGraw Hill; 2020. 2020, September 26) EM@3AM: Marine Animal Bites and Stings.

Poisoning 105

Poisoning Seizures Anaphylaxis Burns 105

The Skeptics' Guide to EM

OCTOBER 31, 2020

Date: October 29th, 2020 Guest Skeptic: Martha Roberts is a critical and emergency care, triple-certified nurse practitioner currently living and working in Sacramento, California. The patient asks the practitioner if there is any chance, she can get a shot that “burns less” than her last one.

Burns 52

Burns Emergency Department EMS Wellness 52

Taming the SRU

JUNE 24, 2024

Skin burns and irritation can also result from the pacing pads and cause pain. AP placement was proven to be capture at a lower current than the AL placement in the same patients, thus more effective. [5] Sedation can be adequately achieved with benzodiazepines. Opioid pain medications are most effective for analgesia while pacing.

Advances Cardiac Life Support (ACLS) 90

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 90

PEMBlog

MAY 15, 2023

References Burns, Ed, et al. “QT 2020, pemcincinnati.com/blog/redflags-syncope/. This must be grounded in a discussion of the most common etiologies of syncope and what makes their particular presentation concerning vs reassuring (see above). QT Interval.” Life in the Fast Lane • LITFL , 14 May 2022, litfl.com/qt-interval-ecg-library/.

Pediatrics 97

Pediatrics EKG/ECG Emergency Department Burns 97

RebelEM

APRIL 29, 2024

Resuscitation. 2012 PMID: 21893125. 9 Zhang W et al. Intravenous vs intraosseous adrenaline administration in cardiac arrest: A protocol for systematic review and meta-analysis. Medicine (Baltimore). PMID: 33350794 10 Meilandt C. Resusc Plus. 2023 PMID: 37502742 11 Schwalbach KT et al.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

EMDocs

DECEMBER 4, 2023

A study in 2020 led to 624 patients with delayed US strategy started on rivaroxaban had 0% major bleed rate and eventual diagnosis of 119 DVTs [11]. Published 2020 Feb 11. Published 2020 Jun 19. Is one DOAC better than another? Apixaban is probably the best based on existing literature around atrial fibrillation. N Engl J Med.

Ultrasounds 90

Ultrasounds Documentation/Coding Wellness EMS 90

ACEP Now

JUNE 7, 2023

A quote from Giordano’s 2020 paper about the fig’s leaf is a case in point. The main symptoms of phytophotodermatitis are burning, itchy erythema, and edema, which usually begin 24 hours after exposure. Post-burn, it can also cause long term hyperpigmentation. The curious cases of burn by fig tree leaves. Ficus carica L.

Burns 52

Burns Research Poisoning 52

ACEP Now

OCTOBER 10, 2024

On physical exam, you notice what appears to be a blister from a burn on her right palm (see photo on cover). When you are done, you tell the mother what you found and ask her if there is any way the child could have been burned. Case Resolution Given the location of the burn, pediatric burn surgery was consulted.

Forensics 40

Forensics Domestic Violence Burns Pediatrics 40

Taming the SRU

JANUARY 1, 2024

However, in at least 10% of patients, blind insertion of a peripheral IV may be unsuccessful for a variety of reasons including obesity, edema, IV drug use, surgical scars, dialysis, burns, and others (1,2). 2020 Aug;76(2):134–42. This technique is an ideal second-line alternative when traditional palpation-based techniques fail.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

Pediatric Education

AUGUST 18, 2024

Known side effects: Pungent breath and body odor Nausea/dyspepsia Allergic reactions Skin irritant and burns (especially if used crushed/cut bulb is used under occlusion) – raw garlic should not be used on any skin surface because of the risk of irritation/burn Drug interference – can possible potentiate the drugs effects (i.e.

Allergic Reactions 40

Allergic Reactions Burns Pediatrics 40

Mind The Bleep

AUGUST 31, 2024

Stinging: Sensations of burning or stinging, often worsened by environmental conditions or extended periods of visual focus. London: Royal College of Ophthalmologists; 2020 [cited 2024 Aug 28]. The pathophysiology, diagnosis, and treatment of dry eye disease. Dtsch Arztebl Int. 2015 Jan 30;112(5):71-81; quiz 82.

Burns 52

Burns EMS Outcomes 52

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Pneumonia A 2020 meta-analysis of 8 studies including 2,215 adults with confirmed community acquired pneumonia in different settings found PCT with a cutoff of 0.5 2020 Nov 20;99(47):e23315. J Med Virol. 2021; 93: 4358–4369. Medicine (Baltimore).

Infectious Diseases 89

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

ALiEM

JULY 17, 2023

In fact, the average number of applicants between 2015-2020 and 2022-2023 were relatively similar, with the latter demonstrating 122 more applicants (2,801 vs 2,923). Murano T, Weizberg M, Burns B, Hopson LR. However, the decrease in applicants to EM programs may not be the whole story. Ann Emerg Med. 2023 Jul 11:S0196-0644(23)00429-8.

EMS 52

EMS Burns Emergency Department Shock 52

Mind The Bleep

NOVEMBER 6, 2023

2020) Red Eye. Key Points of History and Examination History taking When did the injury happen Was it witnessed Method and speed of insult to the eye Were any visual changes noticed soon after the injury Have any treatments been given (e.g. < [link] Huffman (2022) What is hyphema? American Academy of Ophthalmology. Mind the Bleep.

Emergency Department 52

Emergency Department Dislocations Burns Fractures 52

PEMBlog

APRIL 26, 2023

Quinlan, Michele Burns Ewald, Beth E. From 2019 to 2020, the rate of firearm related deaths among children increased by 30%. Denise Dowd, Robert D. Garry Gardner, Kyran P. Ebel, Richard Lichenstein, Marlene D. Melzer-Lange, Joseph O’Neil, Wendy J. Pomerantz, Elizabeth C. Powell, Seth J. Scholer, Gary A.

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52

Northwestern EM Blog

SEPTEMBER 12, 2022

This post will discuss a brief overview of hospital planning and operational setup with key elements of a disaster response from events that cause high numbers of blunt trauma, penetrating trauma, burns or crush injuries that may be seen following explosive events, mass shootings, or large scale motor vehicle collisions, to name a few.

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

The Skeptics' Guide to EM

SEPTEMBER 26, 2020

Date: September 22nd, 2020 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician in Calgary. AEM Sept 2020. Date: September 22nd, 2020 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician in Calgary. AEM Sept 2020. AEM Sept 2020. Reference: Warren et al. Reference: Warren et al.

Emergency Department 52

Emergency Department Burns Outcomes Administration 52

ACEP Now

APRIL 5, 2024

Antoinette Burns was the twelfth victim, a 14-year-old girl without any evidence of cocaine consumption at all. 2020 Dec;16(4):680-692. Charles Wetli of the University of Miami had conducted autopsies that he said, “conclusively showed that they have not been murdered.” 2021;11(1):15166. Strömmer EMF, Leith W, et al.

Forensics 49

Forensics Psychiatric Burns Hospitals 49

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. Ocul Surf 2009;7(2 suppl):S21-2 Silkiss, RZ, Paap, MK, Ugradar, S, The Association between Mask Wear and Chalazion Formation during the Covid-19 Pandemic, AJO Case Reports, 2020.

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. Epub 2020 Oct 31. Epub 2020 Oct 31. 2020 Apr/Jun;42(2):96-102. 2020 Jul;95(7):E160-E163. Epub 2020 May 1.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Dr. Smith's ECG Blog

DECEMBER 5, 2023

Newburger JW, Takahashi M, Burns JC. Smith's ECG Blog how difficult it may sometimes be to distinguish between acute myocarditis vs acute OMI on the basis of ECG findings and the clinical history ( See My Comments in the July 21, 2019 — December 10, 2019 — April 25, 2023 — December 31, 2019 — and January 10, 2020 posts). Circulation.

Pediatrics 122

Pediatrics EKG/ECG Hospitals Burns 122

EMDocs

JUNE 14, 2023

He complains of eye irritation with redness with a burning sensation and tearing sometimes. link] Updated September 14, 2020. Accessed December 14, 2020. He has been having difficulty walking and is having trouble manipulating tools he uses for work with his hands. Along with this, he has had worsening leg cramps. CorePendium.

PPE 89

PPE Poisoning Seizures Emergency Department 89

Taming the SRU

MARCH 3, 2025

million fires in 2020, with some studies quoting over 500,000 emergency room visits annually for burn and inhalation injuries (4). Because inhalational injuries often co-occur with large cutaneous burns, aggressive fluid resuscitation can rapidly worsen upper airway edema making airway management especially challenging.

Burns 52

Burns Fluid Resuscitation Emergency Department Resuscitation 52

Dr. Smith's ECG Blog

MARCH 1, 2025

He states that it feels like burning and pressure, like GERD. A 50 something male presented in the evening to ED for evaluation of chest pain that started at 1600. He reports this was similar to how he felt when he had his heart attack 4 years prior, now s/p 4 stents. The history gives a subtle hint that this might be another acute OMI.)

EKG/ECG 123

EKG/ECG Burns Wellness 123

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

Dr. Smith's ECG Blog

JANUARY 11, 2025

See our other cases with similar patters, to burn this deep into your brain files: Smith : In my experience, these cases of LAD OMI with RBBB and LAFB are either about to arrest, post-arrest, and/or in cardiogenic shock. The ST Elevation is NOT typical. To quote Drs. Meyers & Smith "When the QRS is wide, the J-point will hide.

EKG/ECG 138

EKG/ECG Shock Resuscitation Burns 138

Mind The Bleep

JANUARY 13, 2025

Miscellaneous: Eyewiki by AAO YouTube – Insight Ophthalmology for crystal clear basic concepts Dr Hunters 2020 Optics and Refraction Review is a six-hour video lecture by Professor David Hunter focusing on the basics of optics and refraction.

Burns 52

Burns Outcomes 52

EMDocs

JANUARY 20, 2025

In 2019 and 2020 two small single-center randomized prospective studies both showed that IV fluids provide no additional benefit to standard headache management. 2020 21(2):p e52-e106 Marik PE, Byrne L, van Haren F. 2020 Aug;37(8):469-473. 2020 Apr;43(2):45-48. In 2013 Richer et al. Arch Dis Child. J Thorac Dis.

Dehydration 73

Dehydration Fluid Resuscitation Sepsis Resuscitation 73

EMDocs

FEBRUARY 8, 2025

McGraw Hill; 2020. COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e. organ transplants), liver or kidney disease, broad-spectrum antibiotics use, and critically ill patients in the hospital/ICU Epidemiology: Superficial fungal infections affects 2 billion individuals worldwide 2 Invasive Fungal Infections (IFIs) – 1.9

Infectious Diseases 65

Infectious Diseases EMS COPD Research 65

Sensible Medicine

DECEMBER 31, 2024

This time, it was the GBD authors who were the witches burned at the stake. 2 Bhattacharya and his colleagues issued the Great Barrington Declaration on October 4, 2020, the pandemic was raging and the response to it was chaotic, calling for a reasoned approach to COVID.

Sepsis 145

Sepsis CDC Burns Academics 145

Sensible Medicine

MARCH 1, 2025

A 2020 analysis found that academic researchers contributed to 37% of cancer medicines discovered from 2010-2019 and 29% of antiviral drugs such as for HIV and hepatic cancers. It is hard not to conclude that these changes were a slash and burn operation or, more aptly, an operation to remove a nose to spite a face.

Burns 134

Burns Academics Research Operations 134

EMDocs

MARCH 14, 2024

link] Williams E, Rudowitz R, Burns A. Published March 17, 2020. “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. The Henry J.

Administration 99

Administration Outcomes Burns Operations 99

EMDocs

JANUARY 6, 2025

doi:10.1136/bmjgh-2020-002694 WHO Guideline on Control and Elimination of Human Schistosomiasis. Physical injuries and burns among refugees in Lebanon: implications for programs and policies. [link] Petrova V, Kristiansen P, Norheim G, Yimer SA. Rift valley fever: diagnostic challenges and investment needs for vaccine development.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72