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

JournalFeed

NOVEMBER 20, 2021

We cover proactive PE screening for COPD admissions, PECARN in an external cohort, β-lactam or vancomycin first for bacteremia, downstream effects of antibiotic over-prescribing, and hyperbaric timing in CO poisoning. It’s the JournalFeed Podcast for the week of November 15-19, 2021.

COPD 52

COPD Poisoning 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

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

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

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

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 140

EKG/ECG COPD 140

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

RebelEM

JULY 1, 2024

AVAPS: 0.07 P = 0.015 PaCO2 Excretion in 1 st Hour BPAP S/T: 4.75 AVAPS: 10.20

COPD 133

COPD Emergency Department Outcomes EMS 133

Ken Grauer, MD

FEBRUARY 28, 2023

Applying the Above to Today's Case: In addition to being Covid-positive — the patient in today's case had longstanding COPD. He was wheezing, and required supplemental oxygen.

EKG/ECG 195

EKG/ECG Documentation/Coding Sepsis COPD 195

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

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

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 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

RebelEM

JANUARY 25, 2024

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]. to −0.66) and −1.66 (95% CI −2.09 to −0.78) and -1.97 (95% CI −2.70

Ultrasounds 128

Ultrasounds Outcomes COPD Hospitals 128

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

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 89

COPD Patient Safety Emergency Department Administration 89

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

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

RebelEM

JULY 26, 2023

REBEL Core Cast 105.0 – Methylxanthine Toxicity Click here for Direct Download of the Podcast Definition and Physiology Historically, methylxanthines (caffeine, theophylline, and theobromine) were frequently used to treat lung disease such as asthma/COPD due to their beta-agonism. albuterol) and anti-cholinergics (ie. ipratropium).

Seizures 98

Seizures COPD Shock EMS 98

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 40

COPD Wellness 40

EM Curious

JUNE 3, 2015

FUEL FOR THE PE FIRE PE IN COPD: [BLOG]: How often do you think about PE in a clear COPD exacerbation? EM Crit features a new article on the prevalence of PE in COPD exacerbations which found it to be an astounding 18%(N=49). Be sure to check out the on-going discussion in the comments section.

COPD 52

COPD Ultrasounds EMS Psychiatric 52

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

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

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

EB Medicine

OCTOBER 1, 2017

COPD has huge economic and human burdens in the US. In fact, in 2010, two studies estimated that COPD exacted a direct and indirect cost of somewhere between $36 and $50 billion dollars in the US. million ED visits for COPD - related problems, with nearly 1/5th requiring hospitalization.

COPD 40

COPD Hospitals 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

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 77

EKG/ECG COPD EMS 77

EMergucate

FEBRUARY 27, 2018

65 year old male known COPD, presents to ED as priority 1 with SOB and sats 60% RA. History not known as patient not able to talk.

COPD 40

COPD 40

EMergucate

FEBRUARY 27, 2018

65 year old male known COPD, presents to ED as priority 1 with SOB and sats 60% RA. History not known as patient not able to talk.

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

EMDocs

APRIL 2, 2024

Check the pulse RSI= Resuscitation Sequence Intubation Hypoxia, Hypotension, and Acidosis are the reason patients code during/post intubation These patients are super high risk for all 4 Optimize first pass success – Induction agent + paralytic Unconscious patients will still have muscle tone Induction Ketamine or Etomidate at half doses (i.e.,

Documentation/Coding 93

Documentation/Coding CPR EKG/ECG Sepsis 93

EMergucate

AUGUST 25, 2013

lady with a past h(x) of COPD and AF presents with worsening SOB, atypical CP and this ECG

EKG/ECG 40

EKG/ECG COPD EMS 40

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

AUGUST 30, 2020

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

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

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