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.
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.
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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.
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.
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.
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.
EMergucate
OCTOBER 8, 2024
The following chest x-ray is from a patient with chest pain. What can be noticed? Answer will be posted later.
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