Sensible Medicine

APRIL 9, 2025

In the Spring of 2008, I was stationed aboard the La Rabida Children's hospital. The hospital was perched on a peninsula that jut into Lake Michigan on Chicago's South Side. Outside all the windows spilled tranquil blue water. We could have been in the Pacific. The patients were a mix of kids who were hospitalized for a treatable conditions, like diabetic keto acidosis, as well as those who were incurable, like a cute 2 year old boy with a brain stem tumor that grew relentlessly after neurosurge

Hospitals 94

Hospitals Pediatrics PPE CDC 94

ACEP Now

APRIL 9, 2025

When I was an inpatient pharmacy manager in 2013, my hospital was visited by the California Department of Public Health (CDPH), concerned about droperidol and ECG monitoring, or rather, lack thereof. Fast forward to now, and it seems droperidol is still a favorite punching bag for CDPH. Despite all the buzzwords (Evidence-based medicine! Guideline directed!

Emergency Department 52

Emergency Department Administration EKG/ECG Resuscitation 52

Dr. Smith's ECG Blog

APRIL 9, 2025

A middle-age woman with no previous cardiac history called 911 for chest pain. This was her prehospital ECG: What do you think? There is sinus rhythm with RBBB and obvious LAD OMI (proximal LAD occlusion): hyperacute T-waves in I, aVL and minimal STE in V1, V2. This is diagnostic of Acute LAD OMI In case you are wondering what the Queen thought, here she is: Notice that she also diagnoses Low Ejection Fraction.

EKG/ECG 63

EKG/ECG Resuscitation Administration Shock 63