Dr. Smith's ECG Blog

JUNE 26, 2023

As I discuss in detail in My Comment at the bottom of the page in the May 24, 2020 post in Dr. Smith's ECG Blog — AV dissociation is not the same as AV block. Most occurrences are associated with events such as sepsis, shock, recent infarction, post-operative state, electrolyte disturbance — or "sick patient".

EKG/ECG 97

EKG/ECG Seizures Sepsis Operations 97

RebelEM

AUGUST 12, 2024

2020 Mar 14; PMID: 32183395 Post Peer Reviewed By : Salim Rezaie, MD (Twitter/X: @Srrezaie ) The post The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection appeared first on REBEL EM - Emergency Medicine Blog. Rev Bras Ter Intensiva. PMID: 24553510 Iacone R, et al.

Outcomes 81

Outcomes Hospitals Operations Shock 81

ACEP Now

MAY 9, 2024

A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their plastic surgeon. This should be suspected in patients with intraoperative cardiac arrest or shock.

Emergency Department 52

Emergency Department Operations Ultrasounds Shock 52

PulmCCM

NOVEMBER 11, 2023

If changes in P ra cause changes in CO, shouldn’t we then know the etiology of shock with certainty? Additionally, this model clarifies that the dependent variable is the ‘operating point’ [OP] which is composed of both CO and P ra , simultaneously. The dependent variable is the operating point [i.e.,

Ultrasounds 87

Ultrasounds Operations Shock 87

ACEP Now

SEPTEMBER 3, 2024

During the legislative fight to pass the federal No Surprises Act of 2020, it was asserted that most balance billing in the U.S. While secrecy surrounds the operations of many PE-owned groups, Envision serves as a case study. Published March 15, 2020. Published April 20, 2020. Accessed August 25, 2024. J Hosp Med.

Hospitals 113

Hospitals Radiology Radiology Administration 113

Greater Sydney Area HEMS

APRIL 26, 2023

In contrast, shock (leading to syncope and rarely cardiac arrest) from ST can occur well before mechanisms of crush injury come into play, with low-flow states described as early as within 6 minutes (2). . Although remember, as is observed intra-operatively from tourniquet application, muscle can tolerate hours of hypoxia.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Dr. Smith's ECG Blog

DECEMBER 10, 2022

Seen together, these 2 ECG findings suggest possible RVH ( For review on "My Take" for the ECG diagnosis of RVH — Please see My Comment at the bottom of the page in the March 6, 2022 post and in the September 1, 2020 post of Dr. Smith's ECG Blog ). My Impression: After seeing ECG #1 — I was not at all sure what was going on with this patient.

EKG/ECG 52

EKG/ECG Operations Shock EMS 52

RebelEM

NOVEMBER 3, 2022

Van Berkel 2017) In 2020 the NEAR study reported peri-intubation hypotension rates of 18.3% April 2020 ) RebelEM recently reviewed The EvK trial , which found a higher 7-day survival rate with ketamine but no difference in 28-day survival. April 2020 NEAR registry study represents 1/3rd the weight of this meta-analysis.

Outcomes 52

Outcomes Emergency Department Sepsis Operations 52

Taming the SRU

AUGUST 30, 2023

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 This finding was not significantly different among operators with different levels of experience, or between adults and children. 2020 Nov 20;99(47):e23315.

Infectious Diseases 89

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

ALiEM

OCTOBER 30, 2024

We did not use clonidine, despite its known alpha agonist utility in opioid withdrawal, due to the undifferentiated nature of our patients receiving the pathways, not wanting to give an antihypertensive agent to patients who sometimes are experiencing shock and other critical illness. Microdosing Methods Help, 2020. J Addict Med.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

RebelEM

DECEMBER 19, 2022

This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. That write up was for the DOSE-VF pilot trial done in March 2020 and can be found here. Now that same group has published the results of their full randomized control trial.

EMS 52

EMS CPR Shock Resuscitation 52

EMDocs

JUNE 3, 2023

4 Patients with pelvic fractures are considered unstable when systolic blood pressure < 90mmHg and heart rate >120bpm, or in those with dyspnea, altered mental status, or skin findings of shock. 12 Patients with pelvic fractures and concerning straddle mechanisms should be thoroughly evaluated for genitourinary injuries.

Fractures 60

Fractures Resuscitation Operations EMS 60

EMDocs

NOVEMBER 13, 2023

26 With regards to penetrating neck injuries, particularly those in which the platysma is violated, CTA of the neck has allowed a shift away from mandatory operative exploration of Zone 2 neck wounds (those in the mid-neck). However, IgE-mediated or not, anaphylactic shock is possible in either case. Stroke 2020, 51 (1), 331-334.

Stroke 103

Stroke Radiology Radiology Emergency Department 103

Pediatric EM Morsels

MARCH 7, 2025

of IV form TXA [O’Neill 2020] Inexpensive ! of IV form TXA [O’Neill 2020] Inexpensive ! Published 2020 Jan 29. Inhaled Tranexamic Acid As a Novel Treatment for Pulmonary Hemorrhage in Critically Ill Pediatric Patients: An Observational Study. Crit Care Explor. 2020;2(1):e0075. doi:10.1097/CCE.0000000000000075

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

EMDocs

JANUARY 16, 2025

2020 Jan 18;395(10219):200-211. Trajectory of Mortality and Health-Related Quality of Life Morbidity Following Community-Acquired Pediatric Septic Shock. 2020 Mar;48(3):329-337. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. but PPV ranges from 25.1-39.5% 0.38 (95% CI 0.20-0.39)

Sepsis 88

Sepsis Pediatrics Shock Hospitals 88

Dr. Smith's ECG Blog

FEBRUARY 10, 2025

Eur J Emerg Med 2020. BRASH syndrome: Bradycardia, Renal Failure, AV blockade, Shock, and Hyperkalemia. As I noted in the November 12, 2020 post among the causes of low ECG voltage is depressed LV function , which could further potentiate the above list of factors predisposing to cardiac decompensation. Durfey et al.

EKG/ECG 119

EKG/ECG Shock Operations Emergency Department 119

PulmCCM

SEPTEMBER 13, 2024

Surprise witnesses then made shocking allegations under oath that employees of organ procurement organizations (OPO) pressured staff to obtain organs from living patients. When one surgeon refused, she said workers were ordered to find a different surgeon who would perform the operation. to pay between $11-16 per month.

Operations 124

Operations Administration Leadership Hospitals 124

Sensible Medicine

SEPTEMBER 4, 2024

He will laud Trump for Operation Warp Speed. He famously said we would be done with COVID once warm weather arrived in 2020 – that’s what we wanted to hear. The greatest irony of Trump’s COVID policy was that after supporting Operation Warp Speed, he hesitated to fully endorse the COVID vaccine.

Administration 129

Administration Operations CDC Documentation/Coding 129