Ken Grauer, MD
NOVEMBER 23, 2024
I was sent the ECG shown in Figure-1 — told only that that it was from an acutely ill patient on a ventilator, who was being evaluated for bradycardia. His providers thought this rhythm was complete AV block. QUESTIONS: How would you interpret the ECG in Figure-1 ? Is the rhythm complete AV block? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ).
Sensible Medicine
NOVEMBER 23, 2024
It is my pleasure to introduce this article by Joseph Marine, MD. Mr. Marine has 10 sensible suggestions for reform at the NIH. I love them all, but particularly #3, 6, and 8, which I have railed about for years. Vinay Prasad, MD MPH The NIH needs reform The recent news that Dr. Jayanta Bhattacharya is being considered for the post of Director of the National Institutes of Health (NIH) was received with enthusiasm by many of us who opposed the US pandemic response.
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Dr. Smith's ECG Blog
NOVEMBER 23, 2024
An elderly woman presented with one day of chest and right arm pain, and also abdominal pain. There was associated tingling and numbness in the right hand and generalized weakness, worse on the right side. A triage ECG was recorded: Smith : there is widespread artifact, except in lead III. Since lead III is not artifactual, one can deduce that t he artifact is caused by movement of the right arm electrode, so that electrode should be moved and the ECG re-recorded.
The Skeptics' Guide to EM
NOVEMBER 23, 2024
Date: November 13, 2024 Reference: Lee WH, et al. Study of Pediatric Appendicitis Scores and Management Strategies: A Prospective Observational Feasibility Study. Academic Emergency Medicine. Dec 2024 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC. He’s also the host of SGEMPeds.
EMDocs
NOVEMBER 23, 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: Could Paralyzing Before Sedatives Increase First Pass Success? Spoon Feed This study utilized Bayesian analysis and found that when paralytic medications were administered before sedatives during ED intubation, the
Science Based Medicine
NOVEMBER 23, 2024
If you associate yourself with Sensible Medicine, you are anti-vaccine no matter how you describe yourself. The post Any Doctor Who Enabled RFK Jr. In Any Way Is Anti-Vaccine No Matter How They Describe Themselves first appeared on Science-Based Medicine.
JournalFeed
NOVEMBER 23, 2024
The JournalFeed podcast for the week of Nov 18-22, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Monday Spoon Feed : Most of the time, targeting a hemoglobin threshold of 7 – 8 g/dL in critically-ill patients is recommended, with acute coronary syndrome as the exception to the rule.
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