Ken Grauer, MD

SEPTEMBER 13, 2024

I was sent the ECG shown in Figure-1 — being told only that providers on the case suspected AFib ( A trial Fib rillation ) with RBBB ( R ight B undle B ranch B lock ) aberrancy. QUESTIONS: Is the wide tachycardia that is seen best in the chest leads, too irregular to be VT ( V entricular T achycardia )? — How certain are YOU of your answer? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). == PEARL # 1: Before reviewing my a

EKG/ECG 248

EKG/ECG Wellness 248

The Trauma Pro

SEPTEMBER 13, 2024

There are basically four indications, two absolute and two relative : Absolute #1 : entrapped extremity with a lengthy extrication and a physiologically impaired patient who does not respond to fluids. In this case, there is occult blood loss in other areas that is killing your patient, and they need to get out quickly for definitive management. Absolute #2 : entrapped extremity with a lengthy extrication and an unstable physical environment.

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203

EB Medicine

SEPTEMBER 13, 2024

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the September 2024 Emergency Medicine Practice article, Elder Abuse and Neglect: Making the Diagnosis and Devising a Treatment Plan in the Emergency Department Introduction and Announcements Elder Abuse and Neglect: An Overview Risk Factors and Reporting Pre-Hospital and Emergency Department Considerations Screening Tools and Physical Examination Documentation and Disposition Cultural Considerations and Future Directions Conclusion an

Elder Abuse 85

Elder Abuse Emergency Department Documentation/Coding Hospitals 85

EM Literature of Note

SEPTEMBER 13, 2024

Every year, we have our peak of respiratory viruses – traditionally influenza, respiratory syncytial virus, and their accompanying lessor demons. These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources.

Emergency Department 85

Emergency Department Pediatrics Administration Wellness 85

Science Based Medicine

SEPTEMBER 13, 2024

As RSV approaches, some "real world" data out of France provides even more support for the RSV antibody shot for babies. The post More Evidence Supports Infant RSV Shot Safety and Effectiveness first appeared on Science-Based Medicine.

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78

ALiEM

SEPTEMBER 13, 2024

A 32-year-old male with no significant past medical history presented to the emergency department (ED) from an outside hospital for further management of right eye pain and vision loss sustained after he was struck by a metal wire while at work. The patient presented to an outside “eye doctor” and was told to go to the nearest hospital for evaluation.

Emergency Department 64

Emergency Department Academics Hospitals Fractures 64

Sensible Medicine

SEPTEMBER 13, 2024

PJ is a 53-year-old woman referred for a consultative visit. For the last 12-18 months she has been suffering from fatigue, headache, joint pain, and rashes. She has been seeing a primary care internist and has had consultations with a neurologist, a dermatologist, and a rheumatologist. She presents with a folder of records and codes for outside EMRs.

Psychiatric 60

Psychiatric Documentation/Coding Radiology Radiology 60

Emergency Live

SEPTEMBER 13, 2024

Substances that promote tissue growth and repair are produced during sleep In recent years, scientific research has increasingly highlighted the importance of night rest for our health, especially heart. Why is sleep so important for the heart? During sleep, our body is engaged in a number of fundamental repair processes. The heart slows down, blood […] The post Why is sleeping more on the weekend good for the heart?

Research 52

Research 52

EMergucate

SEPTEMBER 13, 2024

The pelvic x-ray shows a fracture of the right ilium.

Fractures 52

Fractures EKG/ECG EMS 52

Emergency Live

SEPTEMBER 13, 2024

Recent research suggests that intermittent fasting may hide unexpected risks Intermittent fasting, a diet that involves periods of abstinence from food alternating with food windows, has become increasingly popular in recent years, promising a range of health benefits, from weight loss to improved metabolic health. However, recent research from the Massachusetts Institute of Technology (MIT) […] The post Intermittent fasting: new research raises concern appeared first on Emergency Live.

Research 52

Research 52

EMergucate

SEPTEMBER 13, 2024

The hand x-ray shows punched out lesions with overhanging margins in the distal IP joints of index & middle fingers.

EMS 52

EMS 52

PulmCCM

SEPTEMBER 13, 2024

Critics of the shortcomings of the organizations responsible for organ donation and transplantation launched a surprise attack in a September 11 2024 congressional subcommittee hearing. From the Wall Street Journal : What Happened? A U.S. House Energy subcommittee was holding a hearing that was ostensibly about the Health Resources and Services Administration’s (HRSA) ongoing updates and modernization to the Organ Procurement and Transplantation Network.

Administration 124

Administration Operations Leadership Hospitals 124