Taming the SRU

OCTOBER 1, 2023

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. This post aims to broadly cover the types of PTX, the diagnostic modalities available, and the ideal management by PTX type in the Emergency Department.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

EMDocs

APRIL 22, 2024

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. 10,11 Vid 1.

Ultrasounds 98

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 98

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

Written by Destiny Folk MD, with edits by Meyers, peer reviewed by Smith and Grauer A woman in her late 20s with a past medical history of cervical cancer status post chemotherapy and radiation therapy presented to the emergency department for shortness of breath, chest tightness, and two episodes of syncope.

EKG/ECG 40

EKG/ECG Ultrasounds Documentation/Coding COPD 40

EMDocs

FEBRUARY 12, 2024

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min). proning patients, ECMO) (12).

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

ACEP Now

JUNE 14, 2024

Chronic obstructive pulmonary disease (COPD) is a chronic disease of the lungs caused by inflammatory and structural changes of the small airways and parenchyma of the lungs that result in chronic airflow obstruction and gas trapping. In 2019, the global prevalence of COPD was estimated to be 10.3 Click to enlarge.

COPD 52

COPD Hospitals Emergency Department Outcomes 52

RebelEM

MAY 15, 2024

The loss of these cells leads to immunosuppression as well as decreased responsiveness of the immune system as a whole Patients with neutropenia will not only get very sick very quickly, but also will have blunted immune response and may not localize signs of infection well Fever or malaise may be their only presenting symptoms.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

The Skeptics' Guide to EM

MARCH 25, 2018

Case: An 85-year-old woman with a history of chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), and type-2 diabetes (DM-2), and her 65-year-old otherwise healthy daughter present to the emergency department after a car accident. However, they were both unrestrained.

Outcomes 40

Outcomes Geriatric Emergencies Emergency Department COPD 40

PulmCCM

OCTOBER 23, 2023

Among >2500 patients under age 50 in an observational cohort who contracted Covid-19 in the Omicron era, those taking Paxlovid had no fewer deaths, emergency department visits, or hospitalizations (as a composite) than those not treated with the drug , with the exception of those with cardiovascular disease or cancer.

Hospitals 98

Hospitals COPD Emergency Department CDC 98

The Skeptics' Guide to EM

JANUARY 22, 2022

Her vitals signs are all normal and she feels well enough to isolate at home. Early in the pandemic, there was some observational data that concluded that inhaled steroids were associated with an increased mortality from COVID-19 in patients with asthma and COPD ( Schultze Lancet Resp Med 2020 ). It did report positive results.

Urgent Care 40

Urgent Care COPD Outcomes Emergency Department 40

Taming the SRU

JANUARY 22, 2025

COPD is characterized by episodes of exacerbations, which require prompt recognition and management due to their potential to escalate rapidly and cause significant morbidity and mortality. Epidemiology Globally, more than 300 million people are affected by COPD, marking it as the third leading cause of death worldwide.

COPD 80

COPD CDC Research Emergency Department 80

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., West J Emerg Med. weightlifting, childbirth) [4].

COPD 79

COPD Pediatrics Emergency Department Ultrasounds 79

EMDocs

FEBRUARY 8, 2025

Well keep it short, while you keep that EM brain sharp. Four days ago, he presented to the ED for a COPD exacerbation. COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e. A 28-year-old woman who is 32 weeks pregnant is seen in an emergency department in Phoenix for fever and cough.

Infectious Diseases 72

Infectious Diseases EMS COPD Research 72

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

Written by Magnus Nossen, edits by Smith The patient in today's case is an 85-year-old male with a history of COPD and dementia. He presented to the emergency department for evaluation. Lets us consider two different clinical presentations. How will you manage this patient in each scenario?

EKG/ECG 89

EKG/ECG Shock COPD Wellness 89