Ken Grauer, MD

SEPTEMBER 6, 2024

You are shown the ECG in Figure-1 — told only that the patient had a “continuous" tachycardia. QUESTIONS: How would YOU interpret the ECG in Figure-1 ? What is the differential diagnosis? — Treatment? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). MY Thoughts on the ECG in Figure-1: The rhythm in Figure-1 — is a regular SVT ( S upra V entricular T achycardia ) at a rate just under 150/minute , without clear sign of sinus

EKG/ECG 248

EKG/ECG Administration Wellness Operations 248

The Trauma Pro

SEPTEMBER 6, 2024

Trauma professionals don’t always know everything. Sometimes we have to engage a specialist in the care of our patient. And unfortunately, we don’t always know which conditions demand immediate attention and which can wait. This can lead to overuse of our consultant colleagues and calls at inappropriate times. So what if we diagnose an injury in their area of expertise at 2 am?

Operations 257

Operations Hospitals Wellness 257

Science Based Medicine

SEPTEMBER 6, 2024

I suppose it's my turn to be called a fraudster, liar, perjurer, felon, grifter, stooge, imbecile, and maybe even murderer. What I won't get is a reasonable explanation as to why supposedly releasing a deadly virus was mass murder, but intentionally spreading it was a forgivable "policy position". The post Biosafety Now: Releasing The Virus Was Mass Murder.

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EMCrit

SEPTEMBER 6, 2024

Learn about how to use ultrasound during cardiac arrest EMCrit Project by Scott Weingart, MD FCCM.

Ultrasounds 111

Ultrasounds 111

Emergency Live

SEPTEMBER 6, 2024

Cagliari March 29, 2024 Nearly 40 years have passed since the 1985 experience with the three PMAs around the Basilica of Bonaria, on the occasion of Pope Wojtyla’s visit. In the meantime, after 14 years since Oct. 20, 1985, on March 29, 1999, Cagliari’s 118 service began. The occasional fact On the morning of March […] The post Happy Birthday One Hundred Eighteen of Cagliari appeared first on Emergency Live.

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ACEP Now

SEPTEMBER 6, 2024

You may have mastered all the latest changes affecting management of sepsis, STEMI, and opiate-use disorder, but there’s no stopping the relentless revisions to our approach to neurologic emergencies. The first bit of news is good news, however: a “negative” study in which no change in practice is needed. This comes out of INTERACT-4, a trial testing the efficacy of blood pressure reduction in undifferentiated acute stroke syndromes. 1 Our prior INTERACT family of trials are those whose results

Research 64

Research Stroke Outcomes Sepsis 64

Pediatric EM Morsels

SEPTEMBER 6, 2024

We talk about a lot of common, not-to-miss diagnoses here at the Morsel Bakery, but we also talk about remaining vigilant for more subtle or uncommon diagnoses. We have spoken about causes to consider when working up a Fever of Unknown Origin including Myocarditis , Osteomyelitis , Acute Rheumatic Fever , and Lemierres syndrome. Today’s topic is a very uncommon diagnosis (estimated <5000 people in the U.S. with this disease, though likely under-diagnosed), but is worth talking about when c

Pediatrics 152

Pediatrics Ultrasounds EMS Infectious Diseases 152