Dr. Smith's ECG Blog

OCTOBER 8, 2024

This was sent to me by a reader who wishes to remain anonymous. A lady in her 60s came to the ER with chest discomfort and shortness of breath. She had a history of previous anterior MI treated by primary PCI to the proximal LAD. The first EKG is from 2:30 PM on the day of presentation to the ER. Smith : To me this is a blatantly obvious acute anterior OMI.

EKG/ECG 103

EKG/ECG Documentation/Coding Resuscitation Shock 103

PulmCCM

OCTOBER 8, 2024

Particle Health, a health tech startup, sued Epic Systems in federal court for the Southern District of New York, accusing the giant EHR vendor of monopolistic behavior outlawed by the Sherman Act. The allegations arose from a business dispute between the two firms dating back months. Besides providing insight into Epic’s business practices, the lawsuit will shine a spotlight on the intense but largely secret battle for control of patient data in healthcare.

Wellness 98

Wellness 98

EMDocs

OCTOBER 8, 2024

Today on the emDOCs cast Brit Long interviews Zachary Aust on the use of a mental model for patients with unexplained sinus tachycardia. Episode 108: Unexplained Sinus Tachycardia Mental Model Background: When a patient in the ED has sinus tachycardia our job as emergency physicians is to identify and treat of the underlying pathology. This is done with a HPI, review of systems, physical exam, and as indicated further diagnostic studies.

Shock 95

Shock Emergency Department Pediatrics EKG/ECG 95

Stop and Think

OCTOBER 8, 2024

I wrote yesterday over at Sensible Medicine about the RALES (circa 1999) trial of spironolactone vs placebo in patients with heart failure. Patients treated in the spironolactone arm had an 11% lower rate of death. The number needed to save a life with this daily inexpensive pill was a mere 9—a massive effect size. The thing about the 1990s era of cardiology is that there were lots of hugely positive trials similar to RALES.

Hospitals 73

Hospitals Academics Outcomes 73

Emergency Live

OCTOBER 8, 2024

According to a study, AI could be used to design new pathogens and unleash devastating pandemics Artificial intelligence, with its ability to process huge amounts of data and identify complex patterns, is revolutionizing many sectors from medicine to economics. However, a recent study published in the prestigious journal Science has raised a worrying alarm: AI […] The post Artificial intelligence could trigger new pandemics appeared first on Emergency Live.

Research 52

Research 52

Sensible Medicine

OCTOBER 8, 2024

A Midwestern Doctor, which I assume is the alias/pseudonym/nom de plume of Pierre Kory , has a wide readership on Substack. We received this essay from Dr. Bernhard Ortel, a dermatologist who has spent a career studying the physics and medical effects of solar radiation as well as treating its consequences. Adam Cifu Sensible Medicine is a reader-supported publication.

Poisoning 52

Poisoning Wellness Research Outcomes 52

Emergency Live

OCTOBER 8, 2024

Coplant researchers are studying the long-term health effects of a vegetarian diet More and more people are choosing to reduce or eliminate meat from their diet. But what are the long-term effects of a vegetarian diet on health? A large-scale study, the Coplant project, is trying to answer this question. An in-depth investigation The researchers […] The post How healthy are vegetarians?

Research 52

Research 52