EMDocs

FEBRUARY 15, 2024

7,10 Contraindications include asthma, chronic obstructive pulmonary disease (COPD), genitourinary or gastrointestinal obstruction, or if there is suspected or confirmed tricyclic antidepressant (TCA) overdose. Epub 2020 Dec 9. Physostigmine does not reverse seizures or dysrhythmias. 9 Physostigmine dosing: 0.5-2 Clin Toxicol (Phila).

Hyperthermia / Hypothermia 108

Hyperthermia / Hypothermia Poisoning Seizures COPD 108

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]. Published 2020 Jul 23. Published 2020 Jan 21. doi:10.1183/13993003.03375-2020 Light RW.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Dr. Smith's ECG Blog

APRIL 12, 2023

A 49 year old woman with h/o COPD only presented with sudden dyspnea. In comparison to the previous study, 11/11/2020, there has been a significant interval deterioration of left ventricular systolic function (previous EF 80%), and there is a new large apical wall motion abnormality. She had acute pulmonary edema on exam.

EKG/ECG 52

EKG/ECG COPD Ultrasounds Outcomes 52

Dr. Smith's ECG Blog

JUNE 21, 2024

A patient in the ICU with significant underlying cardiac disease [HFrEF 30%, non-ischemic cardiomyopathy, LBBB s/p CRT-D (biventricular pacer), AVNRT s/p ablation a few yrs ago, hx sinus tachycardia while on max tolerated BB therapy] went into a regular wide-complex tachycardia after intubation for severe COPD exacerbation. What do you think?

EKG/ECG 72

EKG/ECG Administration COPD 72

Dr. Smith's ECG Blog

FEBRUARY 28, 2020

This clinical information followed: "The patient had a COPD exacerbation with a prehospital SpO2 of 60%. Many patients with acute COPD exacerbations present with a similar heart rate. This is NOT Wellens. Is the patient hypoxic? The answer was yes. He had respiratory failure, was intubated, and was diagnosed with pneumonia."

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. of all cases, and 62% of Veritas® misdiagnoses). == MY Comment , by K EN G RAUER, MD ( 1/5/2020 ): == This case illustrates a number of important teaching points. Here is the ECG: What do you think? Computer interpretation is below. GET a 12-lead!

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. 10,11 Vid 1. SubX4 Asystole RV > LV. SubX2 Asystole RV > LV. Tintinalli, J.E.

Ultrasounds 97

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Shock 97

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

Figure-2: Causes of Low Voltage on ECG ( Figure reproduced from My Comment at the bottom of the page in the November 12, 2020 post in Dr. Smith's ECG Blog ). Figure reproduced from My Comment at the bottom of the page in the September 7, 2020 post in Dr. Smith's ECG Blog ). What is ELECTRICAL ALTERNANS?

EKG/ECG 40

EKG/ECG Ultrasounds Documentation/Coding COPD 40

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). 2020 Apr 15;12:87-92. 2020 May;35(5):511-518.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

PulmCCM

SEPTEMBER 28, 2023

Predominant SARS-CoV-2 strains during that trial’s enrollment (July-December 2020) were Wuhan, Alpha and Delta. Enrollment was April-November 2020, during the Wuhan strain era. Those receiving budesonide reported feeling better three days sooner than patients in the usual-care arm.

COPD 95

COPD Stroke Academics Urgent Care 95

Taming the SRU

JANUARY 22, 2025

2,3] In 2020, the CDC estimates that asthma exacerbations accounted for almost 1,000,000 ED visits and almost 100,000 inpatient hospitalizations. [4] 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.

COPD 80

COPD CDC Research Emergency Department 80

EMDocs

FEBRUARY 8, 2025

Four days ago, he presented to the ED for a COPD exacerbation. COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e. McGraw Hill; 2020. He reported having a COVID-19 infection 3 weeks ago but felt better 1-2 weeks ago. He is on his last day of a 5-day course of azithromycin 250 mg and prednisone 40 mg. UpToDate.

Infectious Diseases 65

Infectious Diseases EMS COPD Research 65

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

Written by Magnus Nossen, edits by Smith The patient in today's case is an 85-year-old male with a history of COPD and dementia. Although mid-precordial S waves are quite deep voltage criteria for LVH are not quite met ( See My Comment in the June 20, 2020 post). He presented to the emergency department for evaluation.

EKG/ECG 90

EKG/ECG Shock COPD Wellness 90

The Skeptics' Guide to EM

JANUARY 22, 2022

Early in the pandemic, there was some observational data that concluded that inhaled steroids were associated with an increased mortality from COVID-19 in patients with asthma and COPD ( Schultze Lancet Resp Med 2020 ). However, the most likely explanation was not causal.

Urgent Care 40

Urgent Care COPD Outcomes Emergency Department 40