PulmCCM

JUNE 10, 2024

Background I’m not sure if you’ve noticed this, but patients and families frequently disagree with their physicians about the likely outcomes from critical illness. 3 days for anoxic encephalopathy to regain pupillary responses after cardiac arrest, 4-7 days for a DNR/DNI patient to receive NIPPV for COPD exacerbation, etc.)

COPD 45

COPD Outcomes Hospitals EMS 45

Ken Grauer, MD

FEBRUARY 28, 2023

As a result — IF the 1 lead you are monitoring happens to be one in which P waves are not well seen — then you might assume the irregular rhythm in front of you was AFib. Applying the Above to Today's Case: In addition to being Covid-positive — the patient in today's case had longstanding COPD. Remember — 12 leads are better than one!

EKG/ECG 195

EKG/ECG Documentation/Coding Sepsis COPD 195

PulmCCM

OCTOBER 23, 2023

Read in JAMA Does Paxlovid Improve Covid-19 Outcomes in the Omicron Era? Even people with COPD or asthma under age 50 did not benefit from Paxlovid, in that analysis. absolute risk reduction in the composite outcome among the immunocompromised or those with significant medical conditions. Paxlovid was associated with about a 1.5-2.5%

Hospitals 98

Hospitals Emergency Department COPD 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. There is strong evidence that systemic steroids improve outcomes in patients with severe COVID-19 ( First10EM: Steroids for COVID ). She is fully vaccinated against COVID-19. She thinks her friend might have been prescribed a puffer of some sort.

Urgent Care 40

Urgent Care COPD Outcomes Emergency Department 40

Sensible Medicine

MAY 26, 2023

By way of introduction, I’ll save myself time and energy by quoting from a JGIM article (minus references), A National Survey of Internal Medicine Primary Care Residency Program Directors : Primary care has been associated with better health outcomes, higher patient satisfaction, and decreased health care cost. The medicine is amazing.

COPD 52

COPD Wellness Outcomes Administration 52

Sensible Medicine

JUNE 30, 2023

1] Would the outcomes be different? On the other hand, KW was a middle-aged American man with chest pain and significant risk factors for coronary artery disease – hypertension and diabetes – neither of which had ever been terribly well-controlled. She was well hydrated and her vital signs were normal.

Hospitals 94

Hospitals Hospice Resuscitation COPD 94

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. Persistent air-leak in spontaneous pneumothorax--clinical course and outcome. 2023;78(Suppl 3):s1-s42. Respir Med. 1998;92(5):757-761.

Fractures 94

Fractures COPD Hospitals Emergency Department 94

Mind The Bleep

NOVEMBER 21, 2023

” Yes, I have seen clerking look like this and I can confirm, it does not go down well. Examples of examination findings you might find helpful to keep in mind (list not exhaustive): GCS 15/15- alert, orientated, looks comfortable, warm and well perfused, in obvious pain, looks pale and clammy etc.

Documentation/Coding 52

Documentation/Coding COPD EKG/ECG Wellness 52

Dr. Smith's ECG Blog

SEPTEMBER 17, 2023

There is some upwards concave ST segment elevation in the inferior leads with what seems to be well formed J-waves. maybe not seen well on these echo-loops) The CW doppler at the tricuspid valve showed a maximum TR velocity of 2,55m/s with a TRP gradient of 26mmHg. Not much difference from 1st ECG. A bedside echo was performed.

EKG/ECG 99

EKG/ECG COPD Wellness Shock 99

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

JULY 1, 2024

AVAPS may be useful, but we still need a well conducted RCT to find out if it is (i.e AVAPS: 0.07 P = 0.015 PaCO2 Excretion in 1 st Hour BPAP S/T: 4.75 AVAPS: 10.20 AVAPS: 0.07 P = 0.015 PaCO2 Excretion in 1 st Hour BPAP S/T: 4.75 AVAPS: 10.20 AVAPS: 0.07 P = 0.015 PaCO2 Excretion in 1 st Hour BPAP S/T: 4.75 AVAPS: 10.20

COPD 128

COPD Emergency Department Outcomes EMS 128

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]. Patients : Compared standard of care to serial US plus stand care in patients with dyspnea.

Ultrasounds 122

Ultrasounds Outcomes COPD Hospitals 122

The Skeptics' Guide to EM

MARCH 25, 2018

Risk factors for adverse outcomes in older adults with blunt chest trauma: A systematic review. Christina loves serving as […] The post SGEM#212: Holding Back the Years – Risk Factors for Adverse Outcomes in Older Adults with Blunt Chest Trauma first appeared on The Skeptics Guide to Emergency Medicine. Reference: Sawa et al.

Outcomes 40

Outcomes Geriatric Emergencies Emergency Department COPD 40

Sensible Medicine

MARCH 11, 2024

In the assessment of a clinical trial, we want to know if differences in baseline characteristics may have played a role in the observed outcome. The question to consider is…are the actual differences seen between the groups with regards to baseline characteristics large enough to have influenced the outcome?

Outcomes 108

Outcomes Research Stroke COPD 108

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 96

Infectious Diseases Administration Sepsis Anaphylaxis 96

EB Medicine

OCTOBER 1, 2018

Jeff : So as well all know Sepsis is bread and butter emergency medicine, but, what is sepsis? Sepsis is coming in at a higher readmission rate and cost per admission than acute MI, CHF, COPD, and PNA. If it’s possible to establish an IV and initiate fluids without delaying transport, EMS should do that as well.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40