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.

EKG/ECG 195

EKG/ECG Documentation/Coding Sepsis COPD 195

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.

Ultrasounds 128

Ultrasounds Outcomes COPD Hospitals 128

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.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

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 103

EKG/ECG COPD Wellness Shock 103

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. J Emerg Trauma Shock. Institutional resources and specialty services may further dictate the management of PTX. Ann Emerg Med. 1983;12(6):411-412.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Dr. Smith's ECG Blog

JANUARY 5, 2020

This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. M Y A NSWER: In my opinion — it is both academic and clinically unimportant ( as well as often impossible ) to attempt to distinguish between sinus rhythm with multiple different-looking PACs vs MAT. Here is the ECG: What do you think? Poon et al.

EKG/ECG 52

EKG/ECG COPD Wellness Sepsis 52

EMDocs

APRIL 22, 2024

RV chamber size alone is not enough information to rule-in a PE as RV cavity enlargement can be visualized in other conditions such as pulmonary hypertension, RV infarct, COPD and cardiac arrest from multiple causes. If RV pressure is extreme, it can exceed LV pressure causing paradoxical septal wall motion toward the LV as well.

Ultrasounds 82

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 82