Fri.Mar 15, 2024

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ECG Blog #421 — Has there been a Recent MI?

Ken Grauer, MD

What if you were asked to interpret the ECG in Figure-1 ? How would YOU interpret the rhythm? Even without the benefit of any history — Has there been a recent MI? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). MY Approach to Today’s Tracing: As always — I favor beginning assessment with a quick look at the long lead rhythm strips at the bottom of the tracing.

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Gelastic Seizures: No Laughing Matter

Pediatric EM Morsels

We encounter seizures commonly in the Emergency Department. While they can be dramatic and devastating, we have learned to become comfortable with the wide variety that may present in children. From the simple febrile seizure to the complex seizure, we know how to stabilize and how to evaluate. While fortunately most seizure activity is short lived, we also know that status epilepticus can be difficult to manage, and persistent seizures should make us consider specific etiologies (ex.

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Understanding FWA Compliance in Healthcare

American Medical Compliance

Among the various areas of compliance, Fraud, Waste, and Abuse (FWA) compliance stands out as a critical pillar. The Department of Justice recently revealed charges against 78 individuals involved in healthcare fraud schemes. Therefore, for healthcare providers to prevent these charges from happening, understanding FWA compliance is essential. Healthcare organizations need to fully understand FWA compliance to maintain integrity, protect patients, and uphold regulatory standards.

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Some Good, But Preliminary Real World Data on Those Baby RSV Shots

Science Based Medicine

The first post-rollout data for the RSV antibody shot looks pretty good, but far too many little ones missed out. The post Some Good, But Preliminary Real World Data on Those Baby RSV Shots first appeared on Science-Based Medicine.

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SAEM Clinical Images Series: Workout Gone Wrong

ALiEM

A 28-year-old male presented to the ED for evaluation of an injury to his right eye. While working out with an exercise band, it snapped back, hitting the patient in the right eye. He experienced blurry vision and excess eye tearing immediately after the incident occurred. The patient also developed gross blood over the front of the eye. Physical Exam Vitals : Temp 98°F, HR 73, BP (135/77), RR 16, SpO2 99% HEENT : Gross blood in the anterior portion of the right eye (grade I).

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The Patient’s Voice: Why Consumers Matter in Healthcare Marketing

NRC Health

This episode dives deep into healthcare marketing strategies. We explore how to balance performance marketing with building brand loyalty, the importance of including the patient voice, and the core metrics of brand equity in healthcare. Learn how NRC Health helps organizations navigate the evolving landscape and achieve success. The post The Patient’s Voice: Why Consumers Matter in Healthcare Marketing appeared first on NRC Health.

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Occult and Subtle Wrist and Hand Injuries You Don’t Want To Miss

ACEP Now

A 20-year-old man presents to the emergency department (ED) directly from the scene of a fall from a bicycle, where he lost balance and landed on his outstretched hand. He complains of pain both in the palm of his hand and in the wrist. Sound familiar? We see 2.6 million hand and wrist injuries annually in the United States and when we miss an occult or subtle injury it can be very morbid for our patients and not uncommonly leads to litigation. 1,2 For every patient who presents to the ED with a