Ken Grauer, MD

AUGUST 16, 2024

The ECG in Figure-1 was obtained from a man in his 40s — who presented to the ED ( E mergency D epartment ) because of CP ( C hest P ain ) and shortness of breath. QUESTIONS: In view of the above history — How would YOU interpret the ECG in Figure-1 ? Based on the history and the patient's initial ECG — the cath lab was activated. Do you agree? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ).

EKG/ECG 394

EKG/ECG Wellness Shock 394

The Trauma Pro

AUGUST 16, 2024

And another law to end the first week! Any time I give a pediatric talk, I mention it. This one applies to anyone who takes care of children, and is particularly important to EMS / prehospital providers and emergency physicians. On occasion, medics are called to a home to treat a child in extremis, or occasionally in arrest. Similarly, extremely sick children are often brought to the ED by parents or other caregivers.

Pediatrics 203

Pediatrics Sepsis EMS 203

Dr. Smith's ECG Blog

AUGUST 16, 2024

Written by Pendell Meyers A man in his 60s presented with acute chest pain and normal vital signs. Here is his triage ECG: What do you think? The ECG shows massively hyperacute T waves of LAD OMI, plus WPW. V3-V5 also have the depressed HATW takeoff which qualifies them as the rare de Winter subtype of HATWs. Its hard to measure the STE in I exactly with the moving baseline, but there is almost certainly not enough STE to meet STEMI criteria.

EKG/ECG 109

EKG/ECG Wellness 109

Sensible Medicine

AUGUST 16, 2024

I’d been certain that all would be well in medicine in the age of AI. I had been telling myself that the addition of AI to medical practice would be a net positive. AI would assist with some of the drudgery that is part of every doctor’s job. We would also incorporate AI into our decision making. AI would help us read X-rays or pathology specimens.

Documentation/Coding 109

Documentation/Coding Wellness 109

Science Based Medicine

AUGUST 16, 2024

Have researchers proven the existence of acupoints by shoving needles into subjects brains? Will you soon be able to buy an OTC acupuncture kit at CVS? No! This is satire. The post Science-Based Satire: Acupuncture Researchers Find Powerful Proof of Ancient Mechanism of Action first appeared on Science-Based Medicine.

Research 87

Research 87

PulmCCM

AUGUST 16, 2024

Psychiatric DSM-5 criteria define delirium as an impairment in attention and awareness that develops over a relatively short time interval, associated with additional cognitive deficits.

Psychiatric 52

Psychiatric 52