Ken Grauer, MD
JANUARY 31, 2023
The ECG in Figure-1 was obtained from an older woman. She presented with shortness of breath. The patient was known to have cancer. QUESTIONS: How would YOU interpret this ECG? Why is every-other-beat changing? Figure-1: ECG obtained from an older woman with shortness of breath. ( To improve visualization — I've digitized the original ECG using PMcardio ).
Mount Sinai EM
JANUARY 11, 2023
Why should I care about this? Ok, so it may not be that interesting, however, we should still review how to responsibly remove a helmet. In NYC, we very rarely encounter injured patients with a helmet on and that’s probably because they were never wearing one to begin with, the patient removed it, or EMS removed it. So depending on the practice setting and local EMS protocols, patients may arrive with a helmet in place and it will fall on you as the EM doc to safely remove the helmet without cau
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Total Medical ComplianceHIPAA
JANUARY 12, 2023
It is a safe bet that the title of this article would come in last place for the “most popular topic” award. The start of a new year is always a good time to reflect and also look ahead and do our best to prepare. Last year, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) had its busiest year with the announcement of its 22 nd enforcement settlement on December 15, 2022.
EMCrit
JANUARY 21, 2023
Another grilling from Sam Ghali EMCrit Project by Scott Weingart, MD FCCM.
PDC Healthcare
JANUARY 16, 2023
Healthcare workers care for a variety of patients with special risks and health statuses. Being able to easily differentiate and identify these risks can be the difference in ensuring a patient’s safety and makes fulfilling a patient’s needs easier for healthcare workers. Thousands of healthcare facilities across the country have adopted standardized, color-coded alert wristbands […].
RebelEM
JANUARY 30, 2023
Background: Many clinicians have transitioned from procedural sedation and analgesia (PSA) in favor of intra-articular lidocaine (IAL) to manage anterior shoulder dislocation. PSA, also referred to as intravenous sedation in this paper, requires considerable resources, including 1:1 nursing observation, and burdens the emergency department (ED). In addition, many hospitals are still reeling from the COVID-19 pandemic and face crippling staff shortages, and sparing a nurse for PSA will be difficu
Ken Grauer, MD
JANUARY 26, 2023
The ECG in Figure-1 was obtained from a previously healthy older man — who complained of chest pain and “lightheadedness” while this tracing was recorded. He was not hypotensive. His chest pain had begun the night before. In view of this history — How would YOU interpret the ECG in Figure-1 ? A total of 12 beats are seen in the long lead II rhythm strip.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
EMergucate
JANUARY 31, 2023
The frontal chest x-ray is from a 45-year-old with right upper quadrant pain and dyspnea. What can be seen?
EMCrit
JANUARY 27, 2023
More cardiac arrest mastery with the sonorambler EMCrit Project by Scott Weingart, MD FCCM.
PDC Healthcare
JANUARY 25, 2023
Frequently Asked Questions Patient ID Wristbands PDC’s laser and thermal wristbands can all be used with any EMR system and work with all leading laser and thermal printers, including PDC Certis™ thermal printers. There are also compatible shield style wristbands that accommodate laser or thermal labels. Yes, whether you are converting to a new EMR […] The post Labels & Wristbands Healthcare System Compatibility appeared first on connectID - PDC Healthcare Blog.
Emergency Medicine Cases
JANUARY 31, 2023
The hand is anatomically complex. Having an anatomical-based approach to the assessment of patients who present to the Emergency Department is important to preserve quality of life following a hand injury. Hand injuries are the second most common injury leading to days without work. It is no surprise then that open finger injuries land in the top 10 most common diagnoses that end up in court.
AED Leader
JANUARY 31, 2023
When you’ve just started a running habit—or perhaps you’re a seasoned runner—feeling your heart hurt can be a scary experience. Fortunately, most causes of chest pain while running are benign, but it’s possible that it could be serious or at least something that needs to be looked at by a doctor. Non-Heart-Related Causes of Chest Read More "Why Does My Heart Hurt When I Run?
NRC Health
JANUARY 31, 2023
The NRC Health 2023 Pediatric Collaborative is truly a can’t-miss experience, with exceptional presentations that will stir innovative ideas for attendees to bring back to their larger PX and marketing teams. The post Pediatric Collab Preview: How a culture of excellence leads to exceptional patient experiences appeared first on NRC Health.
American Medical Compliance
JANUARY 31, 2023
The dental industry, much like the healthcare industry as a whole, is facing severe staffing shortages. There are many reasons this shortage has become so acute, and it is taking a toll on medical staff and patients alike. Dental healthcare providers are facing increased workloads, which can create excessive work stress. Ensuring your dental healthcare employees know how to cope with work stress is important to their mental health and ability to do their jobs effectively.
Ultrasound Gel
JANUARY 30, 2023
Delia and Lianne take on the topic of pediatric gastric POCUS. Is it a helpful way to assess the effect of fasting prior to procedural sedation? Is fasting itself a helpful way to empty the stomach?? [link] [link] Delia and Lianne take on the topic of pediatric gastric POCUS. Is it a helpful way to assess the effect of fasting prior to procedural sedation?
PDC Healthcare
JANUARY 25, 2023
Frequently Asked Questions Patient ID Wristbands PDC’s laser and thermal wristbands can all be used with any EMR system and work with all leading laser and thermal printers, including PDC Certis™ thermal printers. There are also compatible shield style wristbands that accommodate laser or thermal labels. Yes, whether you are converting to a new EMR […] The post Wristband & Label System Compatibility FAQs appeared first on connectID - PDC Healthcare Blog.
EMergucate
JANUARY 30, 2023
ECG of the Week 25th January 2023 – Interpretation When examining ECGs, in addition to taking into account the clinical … Continue reading →
Broome Docs
JANUARY 30, 2023
We are back with another episode of the BroomeDocs and First10EM podcast. In this episode we try to answer some of the big questions in Emergency Medicine, we also answer a few that you probably would never have thought to ask! Like… How much electricity should we use in refractory VF? Should we suck clots out of legs? Should you put Tegaderm on eyeballs?
Intensive Blog
JANUARY 29, 2023
Author: Dr Ken Hoffman Peer Reviewer: A/Prof Chris Nickson These videos are aimed at ICU staff and trainees who are new to ECMO. Part 1 focusses on nomenclature and components of ECMO (extracorporeal membrane oxygenation). Part 2 focusses on V-V (veno-venous) ECMO. To learn more about ECMO check out the ECMO page on INTENSIVE and the Alfred ICU’s guidelines at ecmo.icu.
Board Bombs
JANUARY 29, 2023
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Can you say Tylenope? It might be the most classic tox case ever, and the boards want you to know it! Let's talk when to treat, how to treat, and the key pearls of acetaminophen overdose. Cite this podcast as: Briggs, Blake.
Dr. Smith's ECG Blog
JANUARY 28, 2023
Submitted by anonymous, written by Pendell Meyers. Additional case by Smith. Case 1 A middle aged woman presented with acute chest pain and shortness of breath, unclear time since onset, and likely with episodic symptoms off and on throughout the day. Her vitals were within normal limits. ED1 @1512 What do you think? Meyers : Very clear and specific for acute LAD OMI, with hyperacute T waves in the LAD distribution including leads V2-V6, II, III and aVF.
EMergucate
JANUARY 29, 2023
The chest x-ray shows an anterior mediastinal mass.
The Bottom Line
JANUARY 27, 2023
In patients with sepsis-induced hypotension does a restrictive fluid strategy (with early vasopressor usage) compared to a liberal fluid strategy result in lower mortality before discharge by day 90?
Critical Care North Hampton
JANUARY 27, 2023
We are back…missed us? So, here is a trawl of all that’s hot… nothing that’s not! Enjoy, and follow us if you aren’t already. Jonny – @wilkinsonjonny Ashley – @ICMteaching Marcus – @ICUltrasonica Jump Menu JAM pick of the papers! Best POCUS Best FOAM History! Podcasts! Best websites! Best Meetings! JAM’s Pick of the Papers Some.
MDisrupt
JANUARY 26, 2023
Why are clinical outcomes the new standard in digital health? Find how to improve with our insights after analyzing more than 600 healthtech companies.
Core Ultrasound
JANUARY 25, 2023
Peer reviewed by Ben Smith, MD on 1/23/23 Basic Knee Exam MSK Basics Courses
Dr. Smith's ECG Blog
JANUARY 26, 2023
= My Comment by K EN G RAUER, MD ( 1/26 /2023 ): = While reading ECGs — Dr. Smith came across the intriguing tracing shown in Figure-1. No history was available. However, the rhythm is indeed challenging — and illustrates a number of important principles in rhythm interpretation of interest to all emergency care providers. How would YOU interpret the ECG in Figure-1 ?
EMergucate
JANUARY 29, 2023
The chest x-ray shows a right paratracheal lucency with bulging thick wall indicating significant esophageal dilatation.
RebelEM
JANUARY 25, 2023
Take Home Points SBO should be considered in all patients presenting with abdominal pain particularly if they have a prior abdominal surgical history Patients with SBO often have non-specific signs and symptoms. There is no history or physical exam feature that rules out the disease Lactate elevation is a late finding in SBO. A normal lactate does not rule out the diagnosis Plain X-rays perform poorly in making or ruling out the diagnosis.
NRC Health
JANUARY 24, 2023
The intersection of data, technology, and healthcare, holds incredible promise—but only if it keeps humanity at its core. Listen to this episode of the Becker's Healthcare Podcast as Jorge Torres, Managing Partner at JIT Associates, and Ryan Donohue, Strategic Advisor at NRC Health, discuss staff support, "transactional culture" versus "transcendental relationship culture", the 5th industrial revolution, and more.
American Medical Compliance
JANUARY 24, 2023
The U.S. Equal Employment Opportunity Commission (EEOC) protects employees in the United States from many forms of discrimination. One type the EEOC protects workers from is retaliation, which describes when a workplace punishes an employee for reporting instances of discrimination, typically sexual harassment. EEOC Protecting Employees from Retaliation The EEOC recently sued a pediatric medical practice in Tampa Bay over alleged reprisal against an employee.
Emergency Medicine Ireland
JANUARY 23, 2023
Welcome back to the tasty morsels of critical care podcast. Today we are going to talk about triggering on the ventilator. Now given the ubiquity of the word “triggering” in contemporary discourse I must confess that i do find it quite “triggering” to walk up to a vent and see the pressure support set at 11 or some other horror show like a PEEP of 7… I mean, who would do such a thing.
Dr. Smith's ECG Blog
JANUARY 23, 2023
Submitted and written by Megan Lieb, DO with edits by Bracey, Smith, Meyers, and Grauer A 50-ish year old man with ICD presented to the emergency department with substernal chest pain for 3 hours prior to arrival. The screening physician ordered an EKG and noted his ashen appearance and moderate distress. Triage EKG: What do you think? Triage physician interpretation: -sinus bradycardia -lateral ST depressions While there are lateral ST depressions (V5, V6) the deepest ST depressions are in V4.
EMergucate
JANUARY 24, 2023
The following chest x-ray is from a 50 year old with chest tightness. What can be seen?
RebelEM
JANUARY 23, 2023
Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergic reactions. Despite being highly effective in treating acute allergic reactions, first-generation H1 antihistamines cross the blood-brain barrier and bind to H1 receptors, which can lead to undesirable side effects, including drowsiness, sedation, fatigue, and decreased cognition (Church MK 2010).
Board Bombs
JANUARY 22, 2023
Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Myasthenia Gravis. You learned it in medical school, but forgot it after intern year (unless you happen to be a neurologist). Time to review this board-relevant condition as well as key life pearls for managing a Myasthenia Crisis.
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