Ken Grauer, MD

OCTOBER 10, 2024

I was sent the ECG shown in Figure-1 — told only that the patient was a middle-aged man with septicemia. QUESTIONS: Is this rhythm too fast to be sinus tachycardia? Are flutter waves hidden within the QRS and T waves? Are we seeing the retrograde P waves of AVNRT? Is this ATach ( A trial T achycardia )? Figure-1: The initial ECG in today's case. MY Thoughts on Today’s CASE: In my opinion — none of the above answers are optimal to describe the rhythm in Figure-1.

EKG/ECG 425

EKG/ECG Sepsis Wellness 425

Mount Sinai EM

OCTOBER 10, 2024

The Case: A woman in her twenties with no significant medical history presents with one month of progressive frontal headaches radiating to her occiput. Her headaches have been intermittent, however over the past few days she has had a few episodes of vomiting and brief episodes of blurred vision. Her headache is 8/10 currently. Last emesis and blurred vision were both 12 hours prior.

Urgent Care 232

Urgent Care Ultrasounds 232

Sensible Medicine

OCTOBER 10, 2024

I appreciate this essay for its reframing of our debates about cancer screening; viewing them through an ethical lens. The speculation that we might eventually be able to identify individuals harmed by radiographic screening and how this would alter our approach is both intriguing and alarming. Adam Cifu Sensible Medicine is a reader-supported publication.

Hospitals 128

Hospitals Wellness 128

ACEP Now

OCTOBER 10, 2024

Every two years, Americans go to the polls to choose our representatives in Congress and at the state level. Few of the candidates vying to represent us have truly walked in our shoes as emergency physicians. However, seven emergency physicians—some incumbents and a few newcomers—are hoping to represent their communities in Washington, D.C. ACEP Now reached out to Drs.

Critical Access 105

Critical Access Telemedicine Hospitals Administration 105

Dr. Smith's ECG Blog

OCTOBER 10, 2024

Written by Pendell Meyers A man in his early sixties with no significant medical history (including a "negative cardiac workup a few years ago" for unclear indication) called 911 for acute chest pain constantly for the past 5 hours. EMS arrived and recorded vital signs within normal limits and the following ECG during active pain: EMS1 @ 0157: What do you think?

EKG/ECG 97

EKG/ECG EMS 97

St. Emlyn

OCTOBER 10, 2024

St.Emlyn's - Emergency Medicine #FOAMed I’m back at the Sage in Gateshead for day 2 of the conference. David Williams and William Rutherford lectures. These are two prestigious named lectures at ASC. Dr John Ryan […] The post RCEM ASC conference 2024. Day 2. appeared first on St.Emlyn's.

97

97

Science Based Medicine

OCTOBER 10, 2024

Accumulated evidence does not demonstrate that elderberry has meaningful beneficial effects. The post Elderberry (What is it good for) first appeared on Science-Based Medicine.

75

75

EMDocs

OCTOBER 10, 2024

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

Documentation/Coding 71

Documentation/Coding Hospitals Sepsis Infectious Diseases 71

EM Ottawa

OCTOBER 10, 2024

We often talk about PoCUS for first-trimester bleeding. Is there an IUP? NDIUP? IDK? Yet one of the most common questions patients ask is; “Can you see the heartbeat?” While measuring fetal heart rate is not always our top priority, I’m here to convince you of the following: Measuring it still has clinical value. […] The post PoCUS Pearl – Measuring Fetal Heart Rate appeared first on EMOttawa Blog.

Ultrasounds 69

Ultrasounds Radiology Radiology 69

NRC Health

OCTOBER 10, 2024

As we step into October, it’s time to spotlight an often-overlooked yet crucial topic: cybersecurity. While Cybersecurity Awareness Month may feel like a made-up holiday, it’s actually a vital reminder of the ongoing efforts required to protect our digital world, especially in healthcare. At NRC Health, we are proud to be a champion organization with an unwavering commitment to safeguarding sensitive information.

Leadership 59

Leadership 59

EM Ottawa

OCTOBER 10, 2024

Ever tried injecting local anesthetic into the bottom of someone’s foot? If you have, you’ll understand the incredible pain and difficulty in trying to anesthetize this region. Fortunately, there’s a better way to anesthetize the plantar foot, and avoid getting kicked in the face or causing a needle-stick injury: performing an ultrasound-guided tibial nerve block.1 […] The post PoCUS Pearl – Tibial Nerve Block appeared first on EMOttawa Blog.

Ultrasounds 69

Ultrasounds Radiology Radiology 69

EMCrit

OCTOBER 10, 2024

Dirty epi is dumb and still unstudied EMCrit Project by Scott Weingart, MD FCCM.

89

89

ACEP Now

OCTOBER 10, 2024

Despite many articles written on how to improve email habits, a notable absence remains when it comes to the blind carbon copy (BCC). The BCC, or the blind carbon copy, is an efficient and convenient strategy to deliver messages to large groups, avoid “Reply All” emails that clutter the inbox, and ensure confidentiality of recipients. When used optimally, the BCC respects the time, inbox, and the identities of email recipients.

Hospitals 52

Hospitals 52

Emergency Live

OCTOBER 10, 2024

Its ability to influence a wide range of biological functions makes it a real “pleiotropic hormone” Vitamin D, often associated with bone health and childhood rickets, is a multifaceted nutrient that has profound impacts on many aspects of our health. In recent years, scientific research has shown that this vitamin plays an increasingly central role […] The post Vitamin D: benefits beyond bones appeared first on Emergency Live.

Research 52

Research 52

ACEP Now

OCTOBER 10, 2024

Corneal abrasions are the most commonly encountered emergent ophthalmologic issue in the emergency department (ED) and are generally associated with significant discomfort. 1 Yet, in the ED we often perform a single intervention that appears to instantly cure these patients: instillation of a topical anesthetic (e.g., proparacaine, tetracaine). As a result, emergency physicians have increasingly demonstrated interest in providing patients with take-home relief via topical anesthetics; however, t

Documentation/Coding 52

Documentation/Coding Outcomes Emergency Department Pediatrics 52

Emergency Live

OCTOBER 10, 2024

The brain regions that have developed in human evolution are also the most vulnerable to aging Recent research suggests that the brain regions that have expanded most in human evolution are also the most vulnerable to aging. A comparison of species Scientists have compared human brains with those of our closest relatives, the chimpanzees. Both […] The post The price of evolution: bigger brains, faster aging appeared first on Emergency Live.

Research 52

Research 52

ACEP Now

OCTOBER 10, 2024

It is 0715 hours, and you have just come onto shift when EMS calls that they are bringing in an 11-month-old female who won’t stop crying. They do not have any additional information except that she is healthy, with no past medical history, and has stable vital signs. As they wheel past the desk, you observe the child lying on her mother’s chest fast asleep.

Forensics 52

Forensics Domestic Violence Burns Pediatrics 52

Mount Sinai EM

OCTOBER 10, 2024

Many of us–myself included–often find ourselves spending more time on our smartphones than we intend to. One recent survey showed that 57% of Americans feel addicted to their smartphones. Another survey finds that millennials and gen z feel the most addicted. Earlier this year, Dr. Vivek Murthy, the U.S. Surgeon General, called for a warning label on social media platforms in a New York Times guest essay.

Wellness 100

Wellness Research Outcomes 100