JournalFeed

FEBRUARY 27, 2021

We cover the RELAx RCT low vs high PEEP, low vs high pain dose ketamine, FOCUS for PE, PE among COPD exacerbations, and a review of Ludwig’s angina. It’s the JournalFeed Podcast for the week of Feb 22-26, 2021.

COPD 52

COPD 52

PulmCCM

APRIL 19, 2024

Extracorporeal membrane oxygenation (ECMO) is a sometimes life-saving technology for acute respiratory or cardiac failure. ECMO remains primarily a rescue or bridging therapy, but as the technology has evolved, potential new applications continue to be tested.

COPD 52

COPD 52

EM Literature of Note

SEPTEMBER 24, 2024

In this unblinded, randomized-controlled trial, patients with acute exacerbations of COPD received traditional NIPPV with inspiratory pressures <18 cmH20 or “high-intensity” NIPPV, with airway pressures titrated up to 20-30 cmH20. This trial, the HAPPEN trial, looks at a little bit different approach.

COPD 93

COPD Outcomes Emergency Department Wellness 93

Mount Sinai EM

AUGUST 7, 2024

The ideal view depends on the patient’s comorbid conditions such as COPD, obesity, cachexia, etc. It emphasizes one view per pause between compressions with either the subxiphoid or parasternal long view. The subxiphoid view seems to be the default primary view to look for).

Ultrasounds 235

Ultrasounds CPR Documentation/Coding COPD 235

JournalFeed

NOVEMBER 9, 2024

Wednesday Spoon Feed : This RCT found high-intensity non-invasive positive pressure ventilation (NPPV) in COPD patients with persistent hypercapnia decreased the need for endotracheal intubation according to prespecified criteria. For access to more, please visit JournalFeed.org for details about becoming a member.

COPD 52

COPD 52

PulmCCM

SEPTEMBER 21, 2024

Non-invasive positive pressure ventilation (NPPV) has a well-established role in the treatment of acute exacerbations of chronic obstructive pulmonary disease (AECOPD) with hypercarbia.

COPD 52

COPD Wellness 52

PulmCCM

SEPTEMBER 22, 2024

Long-term supplemental oxygen soon became the standard care for all people with chronic hypoxemic respiratory failure from COPD. The benefits of supplemental oxygen for chronic hypoxemia were established in two randomized trials from the 1970s enrolling only 290 patients in total. Their impact has been immense.

COPD 52

COPD 52

EMergucate

AUGUST 5, 2024

87 year old man with history of COPD and type 2 DM on insulin and metformin, was found unconscious. His VBG showed the following. PH = 7.23

COPD 52

COPD 52

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

EM SIM Cases

NOVEMBER 15, 2022

Case Summary This is a case of a 57-year-old male with former smoking history, COPD on home O2, atrial fibrillation on anticoagulation coming into a community emergency department (ED) with symptoms consistent with COPD exacerbation. His initial presentation will respond to traditional therapies for COPD exacerbation.

COPD 52

COPD Military Emergency Department EMS 52

EMergucate

JANUARY 23, 2024

58-year-old lady with history of COPD presented with fever. Her venous blood gases showed the following: PH = 7.391 pCO2 … Continue reading →

COPD 52

COPD 52

EMergucate

JANUARY 2, 2024

This patient had history of CHF and COPD. 80 year old man presented with shortness of breath. His venous blood gases showed the following: PH = 7.409 pCO2 = 54 mmHg

COPD 52

COPD 52

EMergucate

DECEMBER 19, 2023

84 year old man with history of asthma and COPD presented with acute shortness of breath. His venous blood gases showed the following: PH = 7.547 pCO2 = 24 mmHg

COPD 52

COPD 52

EMergucate

JANUARY 17, 2023

72 year old man with history of COPD presented with shortness of breath. His chest auscultation revealed bilateral wheezes. His … Continue reading →

COPD 52

COPD 52

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

COPD 143

COPD 143

EMergucate

JULY 11, 2023

65 year old lady with history of COPD presented with shortness of breath. He chest auscultation revealed bilateral wheezes. Her … Continue reading →

COPD 40

COPD 40

EMergucate

MAY 9, 2023

60 year-year-old man with history of DM and x-smoker but not known to have COPD. Presented to an emergency department … Continue reading →

COPD 40

COPD Emergency Department 40

EB Medicine

AUGUST 6, 2022

Aortic Valve Disease Types and causes Mitral Valve Disease Types and causes Tricuspid and Pulmonic Disease Differential Diagnosis acute coronary syndromes (ACS) pulmonary embolism tamponade chronic obstructive pulmonary disease (COPD) pneumonia pneumothorax Prehospital Care Evaluation of chest pain History Shock ED Evaluation History Aortic Stenosis (..)

COPD 52

COPD Emergency Department Shock EKG/ECG 52

The Skeptics' Guide to EM

JULY 20, 2024

Case: A 70-year-old man presents to the emergency department (ED) with an exacerbation of COPD. She is the former president of the Washington chapter of ACEP and her career focus outside of clinical practice has been largely devoted to health care policy. He is hypoxic on arrival with an oxygen saturation of 80% on room air.

COPD 91

COPD Patient Safety Administration Emergency Department 91

EMergucate

NOVEMBER 14, 2022

85 years old lady with history of COPD, brought to ED with low GCS after VF cardiac arrest followed by return of spontaneous circulation after 3 minutes of CPR and a single DC shock. Her VBG on arr…

COPD 40

COPD CPR Shock 40

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., weightlifting, childbirth) [4].

COPD 78

COPD Pediatrics Emergency Department Ultrasounds 78

EMergucate

OCTOBER 13, 2021

The patient has a background of COPD and … Continue reading → A 60 year old female presents to ED after a heroin OD.

COPD 52

COPD EKG/ECG 52

Emergency Medicine Journal

NOVEMBER 28, 2023

3–6 People with chronic obstructive pulmonary disease (COPD) often have hypoxaemia without signs of dyspnoea due to ventilation/perfusion mismatch and blunted ventilatory responses to hypoxaemia, 7 but the mechanism for.

COPD 40

COPD 40

EMergucate

MAY 29, 2022

This patient had history of CHF and COPD. 80 year old man presented with shortness of breath. His venous blood gases showed the following PH = 7.409 pCO2 = 54 mmHg

COPD 40

COPD 40

Mount Sinai EM

JULY 30, 2023

Considerations: If concern for severe asthma/COPD, can use cardioselective beta blocker such as metoprolol. In addition, at high doses it inhibits the conversion of T4 to T3 PO Dose: 60 to 80 mg q4-6 hr, titrated to achieve rate control while ensuring blood pressure remains stable. IV dose: 0.5

Administration 179

Administration COPD Wellness 179

Emergency Medicine Journal

SEPTEMBER 27, 2023

He is a smoker, with a history of chronic obstructive pulmonary disease (COPD) and peripheral vascular disease, but no previous seizures. Clinical introduction A middle-aged man is brought to your ED following a self-limiting generalised tonic–clonic seizure. He is on aspirin and clopidogrel.

Seizures 40

Seizures COPD 40

EMergucate

JUNE 5, 2022

87 year old man with history of COPD and type 2 DM on insulin and metformin, was found unconscious. His VBG showed the following. pCO2 = 62 mmHg

COPD 40

COPD 40

EB Medicine

JULY 2, 2021

Are people with HIV more likely to develop: CAD, COPD, DVT and why? Are people with HIV more likely to develop: CAD, COPD, DVT and why?What What about chronic infection ?The The chronic phase can last 10 years or more and be asymptomatic. What if they are on medication for HIV? Screening in the ED, everyone?

COPD 52

COPD Psychiatric 52

EMergucate

JANUARY 16, 2022

73 years old patient with history of COPD on home oxygen. Presented to ED requesting antibiotics for cough. His blood … Continue reading →

COPD 40

COPD 40

Dr. Smith's ECG Blog

OCTOBER 21, 2023

He also had a history of lung cancer with pneumonectomy and COPD. His presentation was consistent with a severe COPD exacerbation. The providers were able to find some previous history: On chart review patient has a history of left bundle branch block and so this is likely sinus tachycardia in the setting of a left bundle branch block.

EKG/ECG 134

EKG/ECG COPD 134

Emergency Medicine Cases

JANUARY 25, 2021

What are the indications for steroids in patients with pneumonia besides those with concurrent COPD exacerbations, ARDS or adrenal shock? What is the evidence for benefit for steroids in CAP, the flu and COVID pneumonia? And if there is benefit, do those benefits outweigh the potential harms?

COPD 52

COPD Shock EMS 52

PulmCCM

SEPTEMBER 23, 2024

Daily duration of long-term oxygen therapy and risk of hospitalization in oxygen-dependent COPD patients. 2016 Sep 20;11(9):e0163293. doi: 10.1371/journal.pone.0163293. PMID: 27649490; PMCID: PMC5029935. Sundh J, Ahmadi Z, Ekström M. Int J Chron Obstruct Pulmon Dis. 2018 Aug 28;13:2623-2628. doi: 10.2147/COPD.S167523.

Research 52

Research Academics COPD Hospitals 52

EMergucate

AUGUST 1, 2021

67 year old patient was brought as category 1 in a pre-arrest condition secondary to severe exacerbation of COPD. Her … Continue reading →

COPD 40

COPD 40

EB Medicine

JULY 12, 2020

COPD Patients * Permissive Hypercapnia * Volume vs Respiratory Rate Adjustments * Asthma Patients * Respiratory Rate Adjustments Leave us a voicemail at 678-336-8466, ext 128 Write us at emplify@ebmedicine.net (mailto:emplify@ebmedicine.net)

COPD 40

COPD 40

EMergucate

OCTOBER 10, 2021

The patient has a background of COPD and … Continue reading → A 60 year old female presents to ED after a heroin OD.

COPD 40

COPD EKG/ECG 40

EMergucate

MARCH 28, 2021

88 year old lady with known COPD was brought to ED by ambulance with shortness of breath. She was on 6L Oxygen. Arterial blood gas was obtained and it showed the following: PH = 7.25

COPD 40

COPD 40

Dr. Smith's ECG Blog

MAY 30, 2024

She had known severe COPD. This is a very strong indicator that the ST-depression is not ischemic but rather related to the P wave size and vector. The patient was evaluated immediately upon arrival and she was clearly obstructive on auscultation. Bedside echo was without wall motion abnormality.

EKG/ECG 69

EKG/ECG COPD EMS 69