Ken Grauer, MD

OCTOBER 25, 2024

The ECG in Figure-1 was obtained from a middle-aged man who presented with a 2 week history of progressively increasing CP ( C hest P ain ) with exertion. He had his most severe episode of CP the day before he was seen with this ECG. His CP was much less compared to the day before — but it had not yet completely resolved. An initial Troponin drawn less than 1 hour after the ECG in Figure-1 was recorded was over 10,000.

EKG/ECG 242

EKG/ECG Shock Hospitals 242

The Trauma Pro

OCTOBER 25, 2024

Earlier this year, I wrote a series of posts on the two commonly used pelvic fracture interventions: preperitoneal packing (PPP) and angioembolization (AE). To sum up, both are equally effective in controlling hemorrhage, but the hospital costs for patients undergoing angioembolization are significantly less. This is probably because there is no need to perform repeated operations to insert and remove the preperitoneal packs when angiography is used.

Fractures 147

Fractures Head Injuries Operations Ultrasounds 147

Sensible Medicine

OCTOBER 25, 2024

The woman with palpitations. The man with whom you used to joke and trade barbs who now sits silently, absent, while you talk to his wife. The woman whose depression dominates every visit; her depression being the one problem she refuses to address. The man whose joy and charisma makes every visit an absolute pleasure, despite his painful disability about which you can really do nothing.

Urgent Care 103

Urgent Care Wellness 103

Core Medical Group

OCTOBER 25, 2024

This week, CoreMedical Group is celebrating its 25 th anniversary. From beginning its journey in 1999, to thriving today in 2024, CoreMedical Group has grown and flourished.

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ALiEM

OCTOBER 25, 2024

A 64-year-old male with a history of bipolar 1 disorder, PTSD, anxiety, depression, obsessive-compulsive disorder, GERD, and HTN presented to the ED with the chief complaint of foreign body and self-injury. He reported years of sticking sewing needles into his right arm, most recently yesterday. He explained that inserting needles makes him feel better with mild associated pain.

Academics 70

Academics Radiology Radiology 70

EMDocs

OCTOBER 25, 2024

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Hypertensive Crisis Averted…New AHA Statement on Asymptomatic Hypertension Spoon Feed This article emphasizes the difference between hypertensive emergency and asymptomatic elevated blood pressure (BP); while hypert

Emergency Department 69

Emergency Department Outcomes Hospitals 69

ETM Course

OCTOBER 25, 2024

ETM Course Director Andy Buck was lucky enough to be invited to speak on Trauma Education at the fantastic ANZTS Conference in Brisbane this week. If you’re looking for the references from Andy’s talk, you can find them here. Thanks to everyone who came to the presentation and the conference, it’s always great to catch up with like-minded people who have a passion for trauma!

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Emergency Live

OCTOBER 25, 2024

Vitamins, minerals and trace elements: half of the world’s population does not have enough To function at its best, our body needs a number of specific “ingredients”, the micronutrients. And, according to a recent study, half of the world’s population does not have enough. What are micronutrients? Micronutrients are substances present in small amounts in […] The post Half the world suffers from nutritional deficiencies appeared first on Emergency Live.

Research 52

Research 52

Mind The Bleep

OCTOBER 25, 2024

Strabismus, commonly referred to as “crossed eyes” or “wandering eyes,” is a visual condition characterised by the misalignment of one or both eyes. This condition can have significant implications for visual acuity and quality of life. Below is a detailed discussion on strabismus, diagnosis, affected populations, treatments, and potential complications, intended to provide medical professionals with a comprehensive understanding of this condition.

Stroke 52

Stroke Pediatrics Outcomes Wellness 52

American Medical Compliance

OCTOBER 25, 2024

Compliance isn’t just a box to check—it’s a vital responsibility that safeguards patient well-being and protects organizations from significant financial losses. Shockingly, over $54 billion is stolen each year through scams targeting patients and insurance companies with fraudulent medical charges, according to the NHCAA. This staggering figure highlights the importance of staying vigilant.

Documentation/Coding 84

Documentation/Coding Operations Best Practices Shock 84

PulmCCM

OCTOBER 25, 2024

News The IV fluid shortage induced by Hurricane Helene’s damage around the Baxter plant near Marion, NC—which reportedly supplies as much as 60% of the U.S. supply—is stabilizing. A temporary bridge is being built at the site and Baxter anticipates significantly increasing production as soon as next week. The Biden administration invoked the Defense Production Act, FDA permitted increased importation of fluids, and some restrictions on compounding IV fluids by hospitals have be

Research 52

Research Administration Hospitals 52