Dr. Smith's ECG Blog

AUGUST 18, 2024

We've periodically reviewed cases regarding Pacemaker Troubleshooting ( See the February 18, 2024 post — the January 13, 2024 post — the October 19, 2022 post — the August 3, 2022 post — the May 21, 2023 post — the June 19, 2024 post — and the November 9, 2018 post , to name a number of them ).

EKG/ECG 110

EKG/ECG Fractures Burns Wellness 110

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. Accessed August 25, 2022. Accessed August 25, 2022. McGraw Hill; 2022.

Poisoning 105

Poisoning Seizures Anaphylaxis Burns 105

Sensible Medicine

DECEMBER 18, 2023

Conclusion In October 2022, while the AAP continued to recommend masking children as young as 2, the group met indoors and did not mask themselves (see pic). If the AAP continues in this direction, they will burn through any remaining credibility. There are other divisive issues on which they are rightly criticized.

Pediatrics 145

Pediatrics Documentation/Coding Burns Academics 145

Northwestern EM Blog

MAY 2, 2022

2022, May 2). Wessling, E. Toxic House Fire Gases. Expert Commentary by Seltzer, J]. Retrieved from [link] Other Posts You May Enjoy

Burns 52

Burns Poisoning EKG/ECG Operations 52

PEMBlog

MAY 15, 2023

References Burns, Ed, et al. “QT Life in the Fast Lane • LITFL , 14 May 2022, litfl.com/qt-interval-ecg-library/. 2022, litfl.com/pre-excitation-syndromes-ecg-library/. Life in the Fast Lane • LITFL , 22 May 2022, litfl.com/hypertrophic-cardiomyopathy-hcm-ecg-library/. 2022, litfl.com/brugada-syndrome-ecg-library/.

Pediatrics 97

Pediatrics EKG/ECG Emergency Department Burns 97

Don't Forget the Bubbles

JUNE 30, 2023

Next of interest is a secondary analysis of the MATIC study – the MA ssive T ransfusion I n C hildren study, published in 2022. 2022 May;55:103-110. Epub 2022 Feb 7. 2022; 29: 862– 873. Critical Care Medicine 50(4):p e382-e392, April 2022. | Am J Emerg Med. doi: 10.1016/j.ajem.2022.01.069. 2022.01.069.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

EMDocs

JULY 9, 2024

2022 Aug;22(6):1049-1056. Epub 2022 Jan 5. Epub 2022 Sep 6. 2022 Mar;22(2):190-192. Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. Acad Pediatr. doi: 10.1016/j.acap.2021.12.028. 2021.12.028. PMID: 34995821. Semple-Hess JE, Pham PK, Cohen SA, Liberman DB. Acad Pediatr.

Pediatrics 74

Pediatrics Emergency Department Research Burns 74

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.

EKG/ECG 195

EKG/ECG Burns EMS Wellness 195

ALiEM

OCTOBER 11, 2023

2022 Feb 8;14(2):123. Treasure Island (FL): StatPearls Publishing; August 8, 2022. 2022 Feb;60(2):262-266. 2022 Nov 8;19(22):146-8. Shebl E, Mirabile VS, Sankari A, Burns B. Treasure Island (FL): StatPearls Publishing; November 3, 2022. Toxins (Basel). PMID: 35202150 Lee CH, Ruben PC. Channels (Austin).

Poisoning 81

Poisoning Burns Wellness Outcomes 81

RebelEM

APRIL 29, 2024

2022 PMID: 35206981 2. Healthcare 2022 PMID: 35206981 Post Peer Reviewed By: Frank Lodeserto, MD & Salim R. Labs can be drawn from an IO to help with rapid diagnosis in emergencies. References: 1 Astasio-Picado Á et al. Clinical Management of Intraosseous Access in Adults in Critical Situations for Health Professionals. Healthcare.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

ALiEM

FEBRUARY 20, 2024

2022 Jun;56:394.e1-394.e4. Epub 2022 Mar 9. Bruccoleri RE, Burns MM. McCabe DJ, Walsh RD, Georgakakos PK, Radke JB, Wilson BZ. Flecainide poisoning and prolongation of elimination due to alkalinization. Am J Emerg Med. doi: 10.1016/j.ajem.2022.03.006. 2022.03.006. PMID: 35287973. Devin R, Devin R, Garrett P, Anstey C.

Shock 73

Shock EKG/ECG Poisoning Burns 73

ACEP Now

MARCH 14, 2024

Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. FIGURE 1: Electrical burns of the patient’s bilateral feet. FIGURE 2: Traumatic amputation and electrical burn of the patient’s left arm. He was intubated by EMS due to the extent of his injuries.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 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

Don't Forget the Bubbles

OCTOBER 18, 2024

2022 Oct 31;12(4):814-823. References Villalba-Nicolau M, Chover-Sierra E, Saus-Ortega C, Ballestar-Tarín ML, Chover-Sierra P, Martínez-Sabater A. Usefulness of Midline Catheters versus Peripheral Venous Catheters in an Inpatient Unit: A Pilot Randomized Clinical Trial. doi: 10.3390/nursrep12040079. PMID: 36412798; PMCID: PMC9680301.

Administration 89

Administration Pediatrics Ultrasounds Burns 89

RebelEM

MAY 29, 2023

What They Did: Single-center, parallel, double blind, randomized controlled trial performed in a medical-surgical ICU (Mexico) Both groups received: Adjunctive vasopressin initiated at a dose of 0.03 NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9% 95% CI 15.4 NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9% 95% CI 15.4

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

Medical Law

OCTOBER 24, 2022

CO is produced whenever a material burns. Anything that burns will give off CO. Fireplaces and wood-burning stoves. Call (805) 962-2022 today to schedule your FREE consultation. Carbon monoxide (CO) is a poisonous gas that can be fatal when inhaled. CO has no odor. Symptoms of CO Poisoning. Drowsiness. Upset stomach.

Poisoning 52

Poisoning Burns CDC 52

Mind The Bleep

AUGUST 15, 2024

Burning mouth syndrome Typically middle-aged menopausal females though not always. Burning sensation to mouth, subjective dry mouth and altered taste (e.g. Investigations may be needed to rule out other causes. Psychological support if needed and reassurance. Anti-depressants can be trialled. References Payne, K.F., Goodson, A.M.,

Burns 52

Burns 52

Don't Forget the Bubbles

FEBRUARY 5, 2025

According to the latest figures (2022), there were approximately 6,000 recorded offences where a child was a victim of violence, including physical assault, sexual abuse, and homicide. E.g. burns, neurosurgery, interventional radiology. Since 2022, NFS has become a specific crime in its own right, separate from assault.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

American Medical Compliance

NOVEMBER 22, 2022

A new study conducted by the Commonwealth Fund found that over half of medical practitioners under the age of 55 have reported feeling burned out or stressed. RevCycle Intelligence (2022, November 18). Physician burnout is on the rise, and the increase is sharpest among younger primary doctors. Visit [link] for more information.

Burns 52

Burns Hospitals 52

EMDocs

OCTOBER 21, 2023

Updated 2022 Dec 22]. Updated 2022 Oct 15]. link] Burns JD, Rindler RS, Carr C, et al. doi:10.1136/neurintsurg-2022-018715 Jorgensen H, Nakayama H, Raaschou H, Larsen K, Hubbe P, Olsen T. PMID: 27422968; PMCID: PMC5583675. Reinemeyer NE, Tadi P, Lui F. Basilar Artery Thrombosis. In: StatPearls [Internet].

EMS 97

EMS Stroke Outcomes Hospitals 97

Mind The Bleep

NOVEMBER 6, 2023

RAPD Figure 3 – Stanford Medicine 2022 RAPD is a sign where pupils react differently when light is shone into one eye at a time using the swinging flashlight test. Accessed 11.10.22 < [link] > Gardiner (2022) Overview of eye injuries in the emergency department. < [link] Garrity (2022) Structure and Function of the Eyes.

Emergency Department 52

Emergency Department Dislocations Burns Fractures 52

ALiEM

JULY 17, 2023

Many of these findings were similar to a study of the 2022 EM Match results by Murano et al., Many of these findings were similar to a study of the 2022 EM Match results by Murano et al., In 2022, unfilled PGY-1 positions totaled 219 (7.9%), and 554 (18.4%) positions were unfilled in 2023 [2,5]. Published May 2022.

EMS 52

EMS Burns Emergency Department Shock 52

Don't Forget the Bubbles

MARCH 31, 2025

Some special patients (burns and trauma) were not described in the study. There was also an interview of 23 bereaved parents of 22 children (aged 0 -18 years) who died between January 2021 and December 2022, either during hospital admission or under palliative care (at home or hospice). Why does it matter?

Sepsis 59

Sepsis Fluid Resuscitation Shock Resuscitation 59

Mind The Bleep

AUGUST 18, 2024

Examination Use a systematic approach to ensure you do not miss any key areas. Below is one approach you can use; it lists common pathologies and deformities to look out for. Oral and Maxillofacial Surgery: An Illustrated Guide for Medical Students and Allied Healthcare Professionals. Goodson, A.M., Payne, K.F., Tahim, A.S. and Brennan, P.A.,

Fractures 91

Fractures Soft Tissue Injuries Burns Emergency Department 91

ACEP Now

APRIL 2, 2024

degress Fahrenheit), caustics (low pH), and voltage—causing a Ca++ and Na+ action potential influx that confers the sensation of pain and burning to the brain. Oral exposure creates a spicy burning sensation (or pungency) in the mouth that can extend to the throat and stomach (and eventually the rectum—“ fire tuchus ”).

Burns 40

Burns Poisoning Seizures Stroke 40

Mind The Bleep

AUGUST 18, 2024

It can also be due to burns or other trauma. Figure 1 Suspicious ulcer requiring biopsy Benign ulceration Benign ulceration is usually related to trauma. Often this is due to a sharp tooth and requires smoothing by a dentist, as seen in the image below. References Payne, K.F., Goodson, A.M., Tahim, A.S., and Fan, K.F., Libri Publishing.

Burns 59

Burns 59

Emergency Medicine Journal

NOVEMBER 28, 2023

2015 [cited 2022 Nov 17]. Frayne SM, Burns RB, Hardt EJ, Rosen AK, Moskowitz MA. Local action on health inequalities. Improving health literacy to reduce health inequalities. Practice resource summary: September 2015 [Internet]. Available from: [link] 2. The exclusion of non-english-speaking persons from research. J Gen Intern Med.

Research 40

Research Burns Wellness 40

Medical Law

NOVEMBER 19, 2023

Motorcycle collisions cause serious injuries, including: Bikers arms Paralysis Nerve damage Amputation Neck and back injuries Crush injuries Severe burns Traumatic brain injury (TBI) Were You Injured by a Careless Driver? Call (805) 962-2022 to schedule a FREE consultation today. We have a perfect 10.0 We have a perfect 10.0

Burns 52

Burns 52

PEMBlog

APRIL 26, 2023

Quinlan, Michele Burns Ewald, Beth E. 2022, August 10). Retrieved October 7, 2022, from [link] Goldstick, J. 2022, March 18). Retrieved October 7, 2022, from [link] Episode Transcript [Kit] Hello! Denise Dowd, Robert D. Garry Gardner, Kyran P. Ebel, Richard Lichenstein, Marlene D. Pomerantz, Elizabeth C.

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52

Mind The Bleep

AUGUST 31, 2024

Stinging: Sensations of burning or stinging, often worsened by environmental conditions or extended periods of visual focus. 2022 Jan 25;8:826530. Eye watering: Paradoxically, some individuals may produce excessive tears as a reflex response to irritation to the ocular surface, however, these tears do not adequately relieve symptoms.

Burns 52

Burns EMS Outcomes 52

Northwestern EM Blog

FEBRUARY 28, 2022

As your post alludes to, sometimes patients remain hypoxemic despite our usual efforts and refractory hypoxemia can be an intimidating beast when you’ve got a busy ED burning down around you. 2022, Feb 28). In these situations, your respiratory therapist is going to be your best friend in managing this patient-ventilator interactions2.

Emergency Department 52

Emergency Department Burns Resuscitation Outcomes 52

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

2022 Mar-Apr;71:44-46. Epub 2022 Jan 31. PMID: 34523597. == MY Comment by K EN G RAUER, MD ( 11/13/2022 ): == Highly interesting case by Emre Aslanger. References Aslanger EK. Considerations on the naming of myocardial infarctions. J Electrocardiol. doi: 10.1016/j.jelectrocard.2022.01.006. 2022.01.006. PMID: 35124348.

EKG/ECG 52

EKG/ECG Burns Documentation/Coding Hospitals 52

RebelEM

MARCH 23, 2023

Buell D, Filewod N, Ailon J, Burns KEA. Filewod N, Hwang S, Turner CJ, Rizvi L, Gray S, Klaiman M, Buell D, Ailon J, Caudarella A, Ginocchio GF, Santos M, Sandhu G, Dewhurst N, Sequeira K, Burns KEA. 2022 Jan 22;8(1):14. Phenobarbital Versus Lorazepam for Management of Alcohol Withdrawal Syndrome: A Retrospective Cohort Study.

Emergency Department 52

Emergency Department Burns Outcomes Hospitals 52

ACEP Now

OCTOBER 9, 2024

Burns E, Buttner R. Published 2022. Ibrahim M, Rao C, Ashrafian H, Chaudhry U, Darzi A, Athanasiou T. Modern management of systolic anterior motion of the mitral valve. Eur J Cardiothorac Surg. 2012;41(6):1260-1270. Hypertrophic Cardiomyopathy (HCM) • LITFL • ECG Library Diagnosis. Accessed April 17, 2024.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Ultrasounds Burns 52

ACEP Now

DECEMBER 10, 2023

In 2022, Dr. Calderon received one of the highest honors in health care when she was elected to the National Academy of Medicine. Her inner drive to help others, first sparked when the was a child living in the Manhattan projects, still burns bright today. What fuels her to keep going? “I

Research 52

Research Point-of-Care Testing Burns Academics 52

American Medical Compliance

FEBRUARY 28, 2023

These could include burns, bites, or bruises. Online Recognizing and Reporting Child Abuse and Neglect Training A published study (Roberts, 2022) revealed that interactive techniques such as the use of videos, group discussions, and the use of real-world examples were more effective training strategies.

Burns 52

Burns Patient Safety Fractures Outcomes 52

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. 2022 Jul 11;11(14):2163. 2022 Jan;28(1):13-22. Notably, PCT is not elevated in noninfectious inflammatory conditions including most rheumatological diseases, gout, SLE, and IBD. Medicine (Baltimore). 2020 Nov 20;99(47):e23315. doi: 10.1097/MD.0000000000023315.

Infectious Diseases 89

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