Dr. Smith's ECG Blog

OCTOBER 12, 2024

A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. The providers documented concern for ST elevation in the precordial and lateral leads as well as a concern for hyperkalemic T waves in the setting of succinylcholine administration.

EKG/ECG 117

EKG/ECG Documentation/Coding Emergency Department COPD 117

RebelEM

NOVEMBER 16, 2022

benzocaine) Consider the diagnosis in any patient with cyanosis and hypoxia that doesn’t respond to oxygen administration Administer methylene blue to any patient with abnormal vital signs, metabolic acidosis, end organ dysfunction or, a serum level > 25% References: Price DP. Chapter 127. Read more

Seizures 52

Seizures Administration Airway Management COPD 52

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

He has a history of chronic obstructive pulmonary disease (COPD), hypertension (HTN), congestive heart failure (CHF), and benign prostatic hypertrophy (BPH). Case: A 60-year-old man presents to the emergency department with a non-productive cough and increasing shortness of breath. He’s afebrile.

Sepsis 40

Sepsis Emergency Department COPD Hospitals 40

Sensible Medicine

MAY 26, 2023

Atrial fibrillation, COPD, serous otitis media, pyelonephritis, a sprained knee, a rash, epididymitis, (I could go on and on and on) are all within your purview. It is true, if you go into primary care general internal medicine you will be disrespected, too often, by colleagues, patients, and administrators. The respect.

COPD 62

COPD Wellness Outcomes Operations 62

EMDocs

APRIL 22, 2024

The Accu-Chek was 214, and there was no response to empiric Narcan administration. 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.

Ultrasounds 97

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

EB Medicine

OCTOBER 1, 2018

Sepsis is coming in at a higher readmission rate and cost per admission than acute MI, CHF, COPD, and PNA. In one study, every hour of delayed abx administration was associated with an 8% increase in mortality. Not only is it lethal, it is also very costly -- 17 billion dollars per year in the US alone!

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

RebelEM

MAY 15, 2024

Early administration of antibiotics is the only factor known to reduce this mortality. Early administration of antibiotics is the only factor known to reduce this mortality. Cohort Study of the Impact of Time to Antibiotic Administration on Mortality in Patients with Febrile Neutropenia. Radiologypics, P. 2014, November 10).

Infectious Diseases 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

PulmCCM

MARCH 11, 2024

Ascension and UPenn test automatic palliative care consults Palliative care programs are sometimes pitched to administrators on the basis of their potential to reduce costs, by shortening length-of-stay or intensity of expensive and unhelpful therapies at the end of life.

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

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. mg IV Olanzapine 2.5

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. Earlier recognition and administration of treatment may have saved this patient an arrest. He had worked overnight the night before and presented to the hospital after his shift. His first recorded blood pressure was 88/53 mm Hg.

EKG/ECG 64

EKG/ECG COPD CPR Administration 64

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. Routine versus selective antifungal administration for control of fungal infections in patients with cancer. He reported having a COVID-19 infection 3 weeks ago but felt better 1-2 weeks ago.

Infectious Diseases 65

Infectious Diseases EMS COPD Research 65

PulmCCM

OCTOBER 23, 2023

Answering this research question has been made more difficult by pip-tazo’s possible status as a pseudo-nephrotoxin (elevating creatinine levels in the blood without harming the kidneys) and frequent co-administration with vancomycin, a known nephrotoxin.

Hospitals 98

Hospitals COPD Emergency Department CDC 98