Dr. Smith's ECG Blog

JUNE 13, 2024

Don't miss his analysis and assessment of the Queen of Hearts AI OMI ECG bot -- that assessment is at the very bottom of the post. Click here to sign up for Queen of Hearts Access Case A 58-year-old woman presented to the ED with burning chest pain that started 2-3 hours earlier while sitting on a porch swing. But which artery?

EKG/ECG 93

EKG/ECG Documentation/Coding EMS Burns 93

Intensive Blog

AUGUST 21, 2024

Outline the initial assessment of severe burns injury, including how you will calculate fluid resuscitation requirements. Outline the key considerations for the early post-operative ICU care of a patient who had open surgery for Type A aortic dissection. Operative course? cerebral ox, ECG, TOE, differential BPs) Bleeding?

Burns 52

Burns Hyperthermia / Hypothermia Fluid Resuscitation Operations 52

Northwestern EM Blog

MAY 2, 2022

Additionally, many chambers are not operated on nights and weekends, and of those available at off hours, many are unable to accommodate intubated patients. The benefit is thought to be highest when the treatment is performed early (ideally within six hours of exposure), which adds to the logistical burden.

Burns 52

Burns Poisoning EKG/ECG Operations 52

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

AUGUST 4, 2024

The largest retrospective cohort study to date (Beyde et al.) shows that most will improve with empiric antibiotics.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Rural Doctors Net

AUGUST 30, 2013

The visual confrontation of a man in pain with an obvious amputation and airway burns will induce a catecholamine surge in all but the psychopathic. He may need large amounts of fluid down the track as part of his burns management – we’ll calculate this a bit later. Airway compromised by burns. Keep him warm and covered.

Burns 52

Burns Hospitals Ambulance Services Wellness 52

EMDocs

NOVEMBER 4, 2024

Pain can be associated with a friction rub on cardiac auscultation, a pericardial effusion on a bedside echocardiogram, or diffuse ST elevations on an EKG. 21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be improved or exacerbated with meals.

Emergency Department 105

Emergency Department Fractures Burns EMS 105