Ken Grauer, MD

NOVEMBER 1, 2024

I was sent this ECG recording — and asked for my interpretation of the rhythm in Figure-1. I had little clinical information. QUESTIONS: How was I able to guess the probable correct answer in less than 5 seconds? How was I then able to prove that my guess was correct? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ).

EKG/ECG 248

EKG/ECG 248

The Trauma Pro

NOVEMBER 1, 2024

Every trauma center has a massive transfusion protocol (MTP). But every trauma center also does it entirely differently. Ideally, an MTP is designed with the resources available at the hospital in mind. These may include whole blood, the use of O- vs. O+ blood, the number of units of each product per cooler, the different products in different coolers, and personnel available to move those coolers to the correct locations.

Best Practices 147

Best Practices Resuscitation Hospitals 147

Science Based Medicine

NOVEMBER 1, 2024

Any doctor who is unabashedly pro-vaccine has already spoken up about the normalization of anti-vaxx quackery within our ranks. The post If RFK Jr. Turns the CDC Into An Anti-Vaxx Propaganda Outfit, I Don’t Want To Hear a Peep From Some “Respectable” Doctors first appeared on Science-Based Medicine.

CDC 133

CDC 133

Sensible Medicine

NOVEMBER 1, 2024

Nick Arroyo is a 65-year-old man without medical problems. He feels well and sees a primary care doctor every three years or so. He had a chest CT for lung cancer screening because he smoked a pack-a-day for 50 years and heard a radio advertisement that said that lung cancer screening would be helpful. The scan detected a 1 cm nodule. A PET scan was positive, and a biopsy diagnosed it as small cell lung cancer.

EKG/ECG 89

EKG/ECG Outcomes Wellness 89

ALiEM

NOVEMBER 1, 2024

A 67-year-old male with a past medical history of CHF, MI, hypertension, and diabetes presented to the ED with complaints of headache, chest pain, and dyspnea for the past four days. He stated that he has been without his medications for the past few months due to cost. He denied any past surgical history. He stated that he primarily presented because he felt like “my blood pressure is high” Additional Images Physical Exam Cardiovascular : Tachycardic, 2+ pedal edema bilaterally Re

Ultrasounds 64

Ultrasounds Academics Research Outcomes 64

Clinical Correlations

NOVEMBER 1, 2024

By Chloe Fong Peer Reviewed The correlation between vitamin deficiency and alcohol use disorder (AUD) has been well documented in the literature, with a study from 1963 finding that 70% of patients admitted to the hospital.

Documentation/Coding 52

Documentation/Coding Hospitals Wellness 52

PulmCCM

NOVEMBER 1, 2024

Neither of two large randomized trials in the 2000s showed a benefit from albumin solutions as a resuscitation fluid for patients with septic shock. Significant uncertainty remained, though, as we discussed further here: Another randomized trial was therefore performed, dubbed ABC-SEPSIS.

Sepsis 40

Sepsis Shock Resuscitation 40