Ken Grauer, MD
FEBRUARY 28, 2023
The ECG and long lead II rhythm strip in Figure-1 — was obtained from a COVID positive patient with persistent tachycardia not responding to Diltiazem. How would YOU interpret this tracing? How to manage the patient? Figure-1: The initial ECG — obtained from a patient with persistent tachycardia. ( To improve visualization — I've digitized the original ECG using PMcardio ).
Mount Sinai EM
FEBRUARY 15, 2023
Let’s talk about managing expectations. You can do this with almost everyone/everything in your life, your goal being to under sell, over deliver. Some, not all, patients think that when they walk through these hallowed doors, that they’re walking into a place of truth and all-knowing information. They don’t realize the ED is more like a “I’m going to make sure you’re not going to die today or tomorrow, then dispo you as quickly as you came in”-type plac
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NRC Health
FEBRUARY 8, 2023
NRC Health, the leading partner in building Human Understanding® through personalized healthcare solutions and data-driven insights, has received the Best in KLAS 2023 Award for Patient Experience Improvement. The post NRC Health recognized as Best in KLAS for Patient Experience Improvement appeared first on NRC Health.
PDC Healthcare
FEBRUARY 1, 2023
Every patient, procedure, and staff member an Ambulatory Surgery Center relies on accurate patient identification. Patient identification wristbands are crucial to ensuring patient safety as they provide a critical link between the patient’s identity, electronic medical record, and treatment. With the high volumes ambulatory surgery centers have to handle, it’s critical to stay updated with […] The post Signs It’s Time for Your ASC to Upgrade Its Patient ID Solution appeared first on
NIOSH Science Blog
FEBRUARY 6, 2023
Many workers who were on the frontlines during the COVID-19 pandemic experienced increased physical and mental stress. One study found that 70% of U.S. workers felt more stressed at work during COVID-19 than at any other point in their professional careers [1]. Public health workers, including epidemiologists, contact tracers, laboratory scientists, community health workers, and data analysts, served on the front lines of the pandemic delivering information, providing services, and conducting re
EMCrit
FEBRUARY 24, 2023
All things Sleep--you will add years to your life if you sleep well, so the time investment to listen to this podcast may be well worth it EMCrit Project by Scott Weingart, MD FCCM.
Ken Grauer, MD
FEBRUARY 24, 2023
The ECG in Figure-1 was obtained from a previously healthy 30-ish year old man — who presented to medical attention for vasovagal syncope. Based on this initial ECG — the patient was transferred to a PCI-capable center: Do YOU agree with the need for transfer? Hospital evaluation for this patient was negative for an acute coronary syndrome ( ie, CT coronary angiogram was normal — troponin was not elevated — and Echo was negative, with no sign of pericardial effusion ).
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
NRC Health
FEBRUARY 3, 2023
NRC Health’s 2023 Experience Perspective will be released in February. Get a first look at the topics and key highlights covered in this year’s report. The post The 2023 Experience Perspective: Perspective on Benchmarks appeared first on NRC Health.
PDC Healthcare
FEBRUARY 13, 2023
Spartanburg Regional Healthcare Improves Patient Safety by Switching to Thermal Wristband and Label Printing Spartanburg Regional Healthcare System, an integrated healthcare delivery system in South Carolina, is building on its reputation for technological excellence with the recent adoption of thermal print patient identification technology. Spartanburg is one of many health systems across the US that […] The post Health System Adopts Thermal Printing, Builds on Reputation for Technologic
The Bottom Line
FEBRUARY 27, 2023
In patients with refractory out-of-hospital cardiac arrest (OHCA) and an initial ventricular arrhythmia, does extracorporeal cardiopulmonary resuscitation (ECPR), as compared with conventional CPR (CCPR), improve survival with a favourable neurologic outcome
The Skeptics' Guide to EM
FEBRUARY 11, 2023
Date: February 7, 2023 Reference: Cheskes et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. NEJM 2022 Guest Skeptic: Dr. Sean Moore is an emergency physician working in Kenora Ontario, where he is Chief of Staff at Lake of the Woods District Hospital, Northern Medical Director for the Ornge air medical transport program and associate medical director with CritiCall […] The post SGEM#392: Shock Me – Double Sequential or Vector Change for OHCAs with Refractory Ventricular F
Ken Grauer, MD
FEBRUARY 18, 2023
T he ECG in Figure-1 was obtained from a 60ish year old man on arrival to the ED ( E mergency D epartment ). The presenting complaint was chest pain — and the patient collapsed soon after arrival in the ED. QUESTION: A cardiologist interpreted the rhythm in Figure-1 as VT ( V entricular T achycardia ). Do YOU agree with this cardiologist ? Figure-1: The initial ECG in today's case — obtained from a 60ish year old man who collapsed in the ED shortly after this tracing was recorded. ( To improve v
EMCrit
FEBRUARY 15, 2023
All the lit goodness for Feb 2023 EMCrit Project by Scott Weingart, MD FCCM.
EMergucate
FEBRUARY 28, 2023
The elbow x-ray is from an adult patient with pain, swelling & inability to move their elbow after a fall on outstretched hand. What can be seen?
Emergency Medicine Cases
FEBRUARY 28, 2023
ED recognition and management of some commonly missed or mismanaged hand inuries including finger tip avulsions and amputations, nailbed injuries, PIP dislocations, metacarpal fractures, hand tendon lacerations, Stener lesions, Seymour fractures, mallet fingers, jersey fingers, skier's thumb, Bennet fractures and Rolando fractures with masters Dr. Arun Sayal and Dr.
American Medical Compliance
FEBRUARY 28, 2023
The Indiana Recognizing and Reporting Child Abuse and Neglect Training will educate dental healthcare providers (DHCP) on the signs of child abuse and neglect and how mandatory reporters in Illinois report child abuse and neglect cases. The first step in preventing child abuse and neglect is recognizing the signs. Undoubtedly, if you notice a sign of child maltreatment occurring within a family, it is important to take a closer look at the situation.
NRC Health
FEBRUARY 28, 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: Leadership rounding the Driscoll way appeared first on NRC Health.
Ken Grauer, MD
FEBRUARY 13, 2023
The ECG in Figure-1 was obtained from an older woman — who presented with chest pain and palpitations over the previous hour. She had a history of hypertension, and was on medication for this — but she was otherwise healthy. BP = 140/90 mm Hg in association with the rhythm in Figure-1. How would YOU interpret the rhythm in Figure-1 ? Is this Ventricular Bigeminy?
Ultrasound Gel
FEBRUARY 27, 2023
This is the second and final part of our episode on diversity, equity, and inclusion within the point-of-care ultrasound community. Guests Almaz Dessie and Javier Rosario lend their insights to the discussion of their articles and practical next steps. [link] This is the second and final part of our episode on diversity, equity, and inclusion within the point-of-care ultrasound community.
EMergucate
FEBRUARY 27, 2023
The chest x-ray shows a cavity near the right cardiophrenic angle.
Emergency Medicine Cases
FEBRUARY 28, 2023
Dr. Jesse McLaren on when to consider Spontaneous Coronary Artery Dissection (SCAD), which patients are at risk for reocclusion, and the challenges of diagnosing SCAD in patients who have nonischemic ECGs despite silent occlusion, occlusions perfused by collaterals, or from non-occlusive MI on this ECG Cases. The post ECG Cases 40 – Approach to Spontaneous Coronary Artery Dissection (SCAD) appeared first on Emergency Medicine Cases.
Dr. Smith's ECG Blog
FEBRUARY 27, 2023
I was reading EKGs on the system and came across this one: What do you think? This is diagnostic of hyperkalemia. HyperK can result in all sorts of pseudoSTEMI or pseudoOMI patterns, including ST elevation, ST depression, and large T-waves. These T-waves are tall but have a narrow base and a corresponding flat ST segment (see lead V4). Also, there are no definite P-waves and this is another result of hyperkalemia.
Critical Care North Hampton
FEBRUARY 27, 2023
The last for Feb! All sifted to keep you up to date! 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 Videos Best Meetings! JAM’s Pick of the Papers As ever, we recommend.
Ken Grauer, MD
FEBRUARY 8, 2023
A 14-year old boy was forced to do numerous squats as a “punishment”. He woke up the next day with severe pain in his legs — and presented to the ED ( E mergency D epartment ). Renal function and serum electrolytes were normal — but CK was markedly elevated , leading to a diagnosis of Rhabdomyolysis. Cardiac monitoring revealed a series of interesting ( albeit asymptomatic ) rhythms, 2 of which are shown below in Figure-1.
Board Bombs
FEBRUARY 27, 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. Cite this podcast as: Briggs, Blake; Husain, Ilitfat. Episode 167. Methemoglobinemia: like a box of chocolates. [link] February 27th, 2023. Accessed [date] Want to experience the greatest in board studying?
AED Leader
FEBRUARY 27, 2023
Athletes often have a resting heart rate that’s around half that of a non-athlete, but why does this happen and is it good or bad? For budding athletes and current athletes who are thinking about heart health, understanding which symptoms are—and aren’t—a problem can guide potential lifestyle changes and requests for cardiac testing. Why Athletes Read More "Why Do Athletes Have Such a Low Heart Rate?
American Medical Compliance
FEBRUARY 27, 2023
The Illinois Recognizing and Reporting Child Abuse and Neglect Training course is designed to educate dental healthcare providers (DHCP) on the signs of child abuse and neglect and how mandatory reporters in Illinois report child abuse and neglect cases. The United States Federal Government defines child abuse and neglect as when the actions or inactions of a caregiver lead to the risk or impact of harm to a child.
EMergucate
FEBRUARY 26, 2023
Effect of a Diagnostic Strategy Using an Elevated and Age-Adjusted D-Dimer Threshold on Thromboembolic Events in Emergency Department Patients With … Continue reading →
JournalFeed
FEBRUARY 25, 2023
The JournalFeed podcast for the week of Feb 20-24, 2023. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Over-Sensitive Trops Spoon Feed High sensitivity cardiac troponins (hs-cTn) can be more complex to interpret than our usual diagnostics and are worth a deep dive to understand.
Ken Grauer, MD
FEBRUARY 4, 2023
The ECG in Figure-1 is from a middle-aged man — who had just received thrombolytic therapy for presumed acute infarction. No other history available. QUESTIONS: How would YOU interpret this ECG? How certain are you of your answer? Figure-1: ECG obtained from a middle-aged man following thrombolytic therapy. ( To improve visualization — I've digitized the original ECG using PMcardio ).
The Skeptics' Guide to EM
FEBRUARY 25, 2023
Reference: Cashen K, Reeder RW, Ahmed T, et al. Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center.
Dr. Smith's ECG Blog
FEBRUARY 23, 2023
Case submitted by Magnus Nossen MD, written by Pendell Meyers A previously healthy man in his 40s presented to the ED with epigastric abdominal pain off and on for several days. Vitals were within normal limits. It is unclear whether he had active pain at the time of the first ECG: What do you think? Here is PM Cardio's Queen of Hearts interpretation (AI ECG interpretation trained by Meyers, Smith, and PM Cardio team using thousands of cases and their outcomes): The output number ranges from 0 t
American Medical Compliance
FEBRUARY 27, 2023
The MRI: Level 1 Safety Training will educate individuals who frequent the MR area on practices and procedures to keep themselves and their patients safe. Individuals who frequent the MR area, such as those who transport patients, those who clean the area, and support assistants who help Level 2 MR Technologists with getting patients on or off the table, should take this course.
NRC Health
FEBRUARY 23, 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: Patient experience strategy and infrastructure from the ground up appeared first on NRC Health.
The Bottom Line
FEBRUARY 22, 2023
In critically ill patients, does a higher dose of protein compared to usual dose protein, improve time-to-discharge-alive from hospital up to 60 days?
RebelEM
FEBRUARY 22, 2023
Take Home Points: Suspect glaucoma in any patient with an acute change in vision and get an intraocular pressure measurement First line treatment in acute angle closure glaucoma is a topical beta blocker Consider giant cell arteritis in patients with unilateral headache, jaw claudication and change in vision Don’t wait for the biopsy to start steroids in giant cell arteritis as this therapy is vision saving REBEL Core Cast 96.0 – Acute Vision Loss I Click here for Direct Download of the Po
EMergucate
FEBRUARY 21, 2023
Chest x-ray from a 20 year old with cough. What can be seen? Answer will be posted later.
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