COPD Shock Wellness 
Ken Grauer, MD
FEBRUARY 28, 2023
These 2 settings are: i ) In patients with severe , often longstanding pulmonary disease ; and / or , ii ) In acutely ill patients with multi-system disease ( ie, sepsis, shock, electrolyte and/or acid-base disorders ). Applying the Above to Today's Case: In addition to being Covid-positive — the patient in today's case had longstanding COPD.
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]. POCUS in dyspnea, nontraumatic hypotension, and shock; a systematic review of existing evidence.
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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.
EB Medicine
OCTOBER 1, 2018
This month, we’ll be talking Updates and Controversies in the Early Management of Sepsis and Septic Shock. 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.
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. Fundamentally, cardiogenic shock is an issue of decreased cardiac output.
Dr. Smith's ECG Blog
NOVEMBER 28, 2022
Given her tachycardia and episodes of syncope, the patient was judged to be in compensated obstructive shock with very high risk of imminent decompensation. There appears to be some ST elevation in leads II and aVF, as well as to a lesser extent in the lateral chest leads. Thus, there is diffuse low voltage.
Sensible Medicine
SEPTEMBER 22, 2024
In studies, and in practice, these people tend to be patients with COPD who have resting O 2 sats of < 88%. The enrolled patients were not well. About 80% had either COPD or pulmonary fibrosis and the mean PaO 2 and O 2 sats were about 50mm Hg and 80%, respectively. What we have not really known is how much oxygen is enough.
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