Dr. Smith's ECG Blog

SEPTEMBER 17, 2023

COPD, Idiopathic PAH, acute or chronic PE, pulmonary valve stenosis, etc) 3) Conditions affecting RV myocardial contractility, such as ARVD or RV infarction The ECGs does not really show any signs of chronic RV dilation or hypertrophy. Any cause of pulmonary hypertension. Our THANKS to Dr. Magnus Nossen for sharing this case with us.

EKG/ECG 116

EKG/ECG COPD Shock Wellness 116

Mind The Bleep

JANUARY 29, 2024

Avoid in patients with COPD or asthma reduce IOP by 20-25% Carbonic anhydrase inhibitors: e.g. dorzolamide, brinzolamide Cholinergic (parasympathomimetic) agents: e.g. pilocarpine Systemic medications can be used in acute situations or when topical drops are not tolerated. Treasure Island (FL): StatPearls Publishing; 2023 Jan–.

COPD 52

COPD 52

EMDocs

MARCH 18, 2025

Physiologic dead space higher in chronic lung disease (COPD). A 2023 RCT evaluated 100 stable patients with hemoptysis receiving TXA 500 mg IV or nebulized 3 times per day.Hemoptysis cessation at 30 minutes in 72.7% Poor candidates: underlying pulmonary disease like COPD, lung cancer, bronchiectasis. 2023 May;163(5):1176-1184.

COPD 81

COPD Radiology Radiology PPE 81

RebelEM

AUGUST 21, 2023

Epub 2023 Jun 15. Epub 2023 Jun 15. Epub 2023 Jan 5. Paper: Eastwood G, et al. Mild Hypercapnia or Normocapnia after Out-of-Hospital Cardiac Arrest. N Engl J Med. Mild Hypercapnia or Normocapnia after Out-of-Hospital Cardiac Arrest. N Engl J Med. The American journal of emergency medicine.

Hospitals 97

Hospitals Resuscitation Outcomes CPR 97

The Skeptics' Guide to EM

APRIL 8, 2023

Date: April 4th, 2023 Reference: Vaughan and Browne. 2023 Apr Guest Skeptics: Dr. Louella Vaugh is an internist practising as a hospitalist physician at an academic centre in London, UK with a special interest in smaller, rural and remote healthcare. Date: April 4th, 2023 Reference: Vaughan and Browne. BMJ Qual Saf.

Stroke 57

Stroke Emergency Department COPD Academics 57

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. Accessed April 15, 2023. Accessed April 15, 2023. 2023; 19(3):284-287. 9 Physostigmine dosing: 0.5-2

Hyperthermia / Hypothermia 111

Hyperthermia / Hypothermia Poisoning Seizures COPD 111

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]. 10/2/2023 Smoking is a known risk factor, as is cannabis use [2,5, 7-8]. LaFollette, R. TamingtheSRU.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

PulmCCM

JUNE 10, 2024

3 days for anoxic encephalopathy to regain pupillary responses after cardiac arrest, 4-7 days for a DNR/DNI patient to receive NIPPV for COPD exacerbation, etc.) Epub 2023 Dec 13. They proposed disease-specific intervals for TLTs (e.g., Kruser JM, Nadig NR, Viglianti EM, Clapp JT, Secunda KE, Halpern SD. 2024 Apr;165(4):881-891.

COPD 45

COPD Outcomes Hospitals EMS 45

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. 2023 May 27;35(2):135-143. 10,11 Vid 1. SubX4 Asystole RV > LV. SubX2 Asystole RV > LV. J Saudi Heart Assoc.

Ultrasounds 98

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 98

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). 2023 Mar 10;16(1):18. proning patients, ECMO) (12).

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

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

Sensible Medicine

JANUARY 3, 2024

I served the neighborhood of Austin, disproportionately debilitated by opioid overdoses, gun violence, and incarceration, not to mention COPD, diabetes and asthma. It was peak Delta wave on the West Side of Chicago. Here, there is also a deficiency of parks, trees, and grocery stores. In Austin, any health exists on unstable ground.

CDC 143

CDC Allergic Reactions Hospitals COPD 143

Taming the SRU

OCTOBER 28, 2024

Most common triggers include respiratory conditions such as asthma, COPD, and pneumonia which can lead to forceful coughing -Other common triggers include forceful exertion, severe coughing or vomiting, asthma exacerbation, intense physical activity, or Valsalva maneuvers (e.g., StatPearls Publishing; Treasure Island (FL): Jul 24, 2023.

COPD 79

COPD Pediatrics Emergency Department Ultrasounds 79

Taming the SRU

NOVEMBER 18, 2024

Additionally, cardiac instrumentation, recent procedures such as bronchoscopy/endoscopy, central venous catheter placement/displacement, aortic aneurysm, pneumonia, asthma, COPD, pleural effusion, and pericarditis can manifest as intractable hiccups through similar mechanisms. He is a graduate from the UC EM residency, class of 2023.

Stroke 86

Stroke Administration COPD Dehydration 86

Dr. Smith's ECG Blog

FEBRUARY 18, 2025

Written by Willy Frick A man in his 50s with COPD presented with dizziness and hypotension. As I emphasized in My Comment in the February 27, 2023 post in Dr. Smith's ECG Blog some patients may develop everything except QRS widening. He had worked overnight the night before and presented to the hospital after his shift.

EKG/ECG 63

EKG/ECG COPD CPR Administration 63

Taming the SRU

JANUARY 22, 2025

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. Epidemiology Globally, more than 300 million people are affected by COPD, marking it as the third leading cause of death worldwide. Clin Chest Med.

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. neoformans mortality: 41-61% (2023) 1,3 Invasive Cryptococcus spp. COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e. link] Published September 9, 2023. 2024;24(8):e495-e512.

Infectious Diseases 71

Infectious Diseases EMS COPD Research 71

PulmCCM

MARCH 11, 2024

trillion in 2023. Let’s say clinicians billed >104 minutes on ⅓ of those (which CMS would then pay for), and 75-103 minutes on the other ⅔ (which CMS would not). That’s a savings to CMS of $36 million per year–or ~0.0024% of total CMS outlays of $1.5 ACCP, SCCM, ATS, ACEP and ASA don’t think so.

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

PulmCCM

OCTOBER 23, 2023

Even people with COPD or asthma under age 50 did not benefit from Paxlovid, in that analysis. Pfizer projects $8 billion in Paxlovid sales in 2023. government recently returned tens of millions of Paxlovid doses it bought at $529 per course from Pfizer.

Hospitals 98

Hospitals COPD Emergency Department CDC 98

PulmCCM

SEPTEMBER 28, 2023

Read in NEJM Prevalence of pulmonary embolism during COPD exacerbations Pulmonary embolism (PE) and acute exacerbations of chronic obstructive pulmonary disease (COPD) can present with similar symptoms of dyspnea, hypoxemia, and cough.

COPD 95

COPD Stroke Academics Urgent Care 95