Ken Grauer, MD

SEPTEMBER 28, 2024

The ECG in Figure-1 — was obtained from a 45-year old man with diabetes, who was being treated for septic shock. QUESTIONS: How would YOU interpret the ECG in Figure-1 ? What is the rhythm? Why does QRS morphology in the long lead II rhythm strip change every-other-beat? Figure-1: The initial ECG in today's case. MY Thoughts on the ECG in Figure-1: This is a challenging ECG to interpret because of: i ) the changing QRS morphology; and , ii ) the difficulty in seeing all of the P waves.

EKG/ECG 266

EKG/ECG Shock Wellness 266

The Skeptics' Guide to EM

SEPTEMBER 28, 2024

Date: September 23, 2024 Reference: Essat et al. Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis. Annals of Emergency Medicine, May 2024 Guest Skeptic: Dr. Casey Parker is a Rural Generalist from Australia who is also an ultrasounder. Case: You are working a busy shift in a rural emergency department (ED) and your excellent Family Medicine trainee presents a case of a 63-year-old woman with chest pain and some intermittent radiation into the inter-s

Emergency Department 78

Emergency Department EKG/ECG Ultrasounds 78

EMDocs

SEPTEMBER 28, 2024

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Bubble Time – A New, Simple Way to Detect RV Dysfunction Spoon Feed By agitating and injecting a saline flush into an IV catheter, right ventricular (RV) dysfunction was identified when bubbles were cleared from the

Ultrasounds 78

Ultrasounds Pediatrics Emergency Department Wellness 78

PulmCCM

SEPTEMBER 28, 2024

Sometimes it seems like half the ICU revolves around aspiration: accepting patients who’ve just done it, helping others not to, considering it in still others who are deteriorating, etc. Thickening a dysphasic patient’s oral liquids is among the measures commonly employed to prevent aspiration. The rationale: liquids are harder to control than solids because they slip down the throat so quickly and easily.

Outcomes 52

Outcomes Documentation/Coding Hospitals 52

AED Leader

SEPTEMBER 28, 2024

Looking for defibrillators for sale can be a bit like searching for a needle in a haystack. You want something reliable, easy to use, and—most importantly—affordable. Maybe you’re buying one for your office or considering adding one at home. Either way, the stakes are high. It’s about saving lives, after all. Did you know? AEDs greatly increase the chance of survival during heart attacks.

CPR 52

CPR Shock Pediatrics Operations 52

JournalFeed

SEPTEMBER 28, 2024

The JournalFeed podcast for the week of Sept 23-27, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Monday Spoon Feed: Post-processing techniques completed by ultrasound machines to improve spatial resolution have become so advanced that it can now fool us into thinking a FAST exam is positive.

Ultrasounds 52

Ultrasounds Pediatrics 52