Remove 2023 Remove COPD Remove Wellness
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ECG Blog #366 — Diltiazem didn't work.

Ken Grauer, MD

As a result — IF the 1 lead you are monitoring happens to be one in which P waves are not well seen — then you might assume the irregular rhythm in front of you was AFib. Applying the Above to Today's Case: In addition to being Covid-positive — the patient in today's case had longstanding COPD. Remember — 12 leads are better than one!

EKG/ECG 195
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Proportionality is a major element in the ECG Diagnosis of OMI.

Dr. Smith's ECG Blog

And she learned it well: She is not highly confident, but she does diagnose OMI. link] == MY Comment , by K EN G RAUER, MD ( 12/11 /2023 ): == As per Dr. Smith — the KEY concept in today's case is proportionality. Figure-1: I've labeled the initial ECG in today's case — as well as enlarging the QRST complex in lead V2.

EKG/ECG 123
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Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

RebelEM

It can be used to distinguish between various conditions, including chronic obstructive pulmonary disease (COPD) exacerbation, acute heart failure (AHF), pleural effusion, pulmonary edema, pericardial effusion, pneumothorax, and pneumonia [2,3]. Accessed on September 28, 2023. Accessed on September 28, 2023. vs. 18.3%).

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Chest discomfort and a dilated right ventricle. What's going on?

Dr. Smith's ECG Blog

There is some upwards concave ST segment elevation in the inferior leads with what seems to be well formed J-waves. maybe not seen well on these echo-loops) The CW doppler at the tricuspid valve showed a maximum TR velocity of 2,55m/s with a TRP gradient of 26mmHg. Not much difference from 1st ECG. A bedside echo was performed.

EKG/ECG 116
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TAME Trial: Mild Hypercapnia vs Normocapnia in Out-of-Hospital Cardiac Arrest

RebelEM

Epub 2023 Jun 15. It’s important to be able to initiate these treatments while also creating the opportunity to investigate possible therapeutic interventions for these patients within the confines of a well designed trial. Paper: Eastwood G, et al. Mild Hypercapnia or Normocapnia after Out-of-Hospital Cardiac Arrest. N Engl J Med.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

This topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world. 10/2/2023 Institutional resources and specialty services may further dictate the management of PTX. LaFollette, R. TamingtheSRU.

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What are time-limited trials in critical care?

PulmCCM

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.) But there’s no alarm that beeps when well-intentioned care with an indeterminate prognosis crosses into something else, something darker. Epub 2023 Dec 13.

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