Ken Grauer, MD

SEPTEMBER 15, 2024

== Review of ECG Rhythms — MIS-C Case Report ( 9/5 /2024 ): == What follows below are my first impressions of the ECG rhythms sent to me from the Case Report by Dimah Jarmakani et al — of a 12-year old boy with MIS-C ( M ultisystem I nflammatory S yndrome in C hildren ). For full discussion of the case — CLICK HERE — ECG Rhythm Overview: A 12-year-old boy was admitted to our hospital with severe myocardial dysfunction and chaotic rhythm with tachy- and bradycardic arrhythmias.

EKG/ECG 195

EKG/ECG Hospitals Wellness 195

The Trauma Pro

SEPTEMBER 17, 2024

Various trauma professionals (prehospital, emergency physician, surgeon) may provide this “service” at various places around the world. In the US, it is usually a physician and typically a surgeon. In my opinion, anyone can be trained to do a basic field amputation. Much depends on local policies and procedures, training, as well as availability. In most cases, prehospital providers are on the scene, so it makes sense that they could do a field amputation with appropriate training.

Airway Management 221

Airway Management Operations Hospitals Wellness 221

Sensible Medicine

SEPTEMBER 19, 2024

Dr. Marty Makary has a powerful new book, BLIND SPOTS: When medicine gets it wrong and what it means for our health , that came out on Tuesday and instantly hit #2 bestselling book on Amazon. I loved the book and highly recommend it. In this piece, he discusses one of those blind spots of the modern medical establishment—America is getting sicker right before our eyes.

Research 145

Research Military Poisoning Burns 145

St. Emlyn

SEPTEMBER 18, 2024

St.Emlyn's - Emergency Medicine #FOAMed Case series of dirty epi drips in Australia. A potentially useful tool in austere/remote settings, but lots of caveats and cautions before we all start doing this! Be careful, but do learn about this potential therapy. #FOAMed @stemlyns The post The Dirty Adrenaline (Epi) drip. appeared first on St.Emlyn's.

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Science Based Medicine

SEPTEMBER 20, 2024

If Drs. Vinay Prasad and Tracy Hoeg want to prove they actually care about routine vaccines, they can do what the should have done a long time ago and openly and unequivocally denounce Mr. Kennedy and his fire hose of anti-vaxx disinformation. The post A Simple Challenge For Drs. Vinay Prasad and Tracy Hoeg: Denounce Robert Kennedy Jr. For Promoting The Movie Vaxxed 3: Authorized to Kill first appeared on Science-Based Medicine.

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The Trauma Pro

SEPTEMBER 20, 2024

Now it’s time to look at the logistics involved in carrying out a field amputation/dismemberment. There are two main considerations here: getting the right people and equipment to the scene and keeping them safe. The following presumes that the procedure will be done by a physician who is based at a trauma center. It will be different if performed by other trauma professionals.

Hospitals 188

Hospitals EMS Wellness 188

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

By Smith, peer-reviewed by Interventional Cardiologist Emre Aslanger Submitted by anonymous A 53 y.o. male presents to the ED at 6:45 AM with left sided chest dull pressure that woke him up from sleep at 3am. The pain radiated to both shoulders. He arrived to the ED at around 6:45am, and stated the pain has persisted. He has had similar pain in recent weeks that has occurred at rest, but it typically goes away after about an hour.

EKG/ECG 115

EKG/ECG Ultrasounds Documentation/Coding Wellness 115

Science Based Medicine

SEPTEMBER 14, 2024

Maybe this isn't a drill. The post We Want Them Infected Doctors Sanewashed Robert F. Kennedy Jr. Will He Reward Them With Appointments at the CDC, FDA, and NIH? first appeared on Science-Based Medicine.

CDC 111

CDC 111

PulmCCM

SEPTEMBER 20, 2024

China has supplanted the U.S. as the largest producer of scientific articles. More and more Chinese clinical trials are being published in Western medical journals, including elite publications like the New England Journal of Medicine , JAMA , and The Lancet. The trend can only be expected to grow. Many of these trials report new findings that could significantly impact the practice of medicine in the U.S. and worldwide.

Academics 105

Academics Forensics Research Operations 105

NRC Health

SEPTEMBER 20, 2024

Healthcare experiences are human experiences, and the use of advanced technology has often come at the expense of human connections – until now. The post The Promises, Pitfalls & Personalization of AI in Healthcare appeared first on NRC Health.

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Sensible Medicine

SEPTEMBER 16, 2024

Few things interest my writing brain more than when a common practice gets overturned. That’s why I was drawn to Paula Span’s column in the New York Times titled, Three Medical Practices That Older Patients Should Question. One of these practices is the prescription of thickened liquids to older patients with swallowing problems. The idea goes like this: aspiration pneumonia is a common cause of death in the frail and elderly.

Outcomes 115

Outcomes Hospitals Research 115

First 10 EM

SEPTEMBER 16, 2024

Readers of First10EM will know that I spend way too much time on PubMed searching the medical literature. I use the website daily. It is probably the most used link on my computer. Despite that, I am more than willing to admit that PubMed – and specifically the search function – sort of sucks. It […] The post Using AI to improve scientific literature search results appeared first on First10EM.

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St. Emlyn

SEPTEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed A reminder of a great lecture from Cliff Reid on why emergency medicine is a great (but really challenging) job. This talk is 11 years old but is arguably still true today. #FOAMed @stemlyns The post EM is a great job. After 11 years is Cliff Reid still right? appeared first on St.Emlyn's.

EMS 101

EMS 101

NRC Health

SEPTEMBER 18, 2024

In a joint discussion, they offered their perspectives on AI’s potential, the need for ethical safeguards and building trust in AI. The post Even with AI, healthcare must be in ‘the humanity business’ appeared first on NRC Health.

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Sensible Medicine

SEPTEMBER 20, 2024

Dr. Milyavsky submitted this piece in response to my most recent Friday Reflection. It looks at similar issues from a different angle -- the ground floor ER rather than the 3 rd floor medicine clinic -- and comes to subtly different conclusions. Adam Cifu Sensible Medicine is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.

Blood Transfusions 94

Blood Transfusions Wellness 94

Science Based Medicine

SEPTEMBER 18, 2024

Attention-deficit/hyperactivity disorder (ADHD) is one of the most commonly diagnosed neurodevelopment disorders and seems to be on the rise, in both children and adults. The diagnosis in children requires having various symptoms of attention deficit or hyperactivity which is functionally impairing with onset by age 12. Recognition of the disorder actually goes back farther than you might think – the observation that […] The post Why Is ADHD On The Rise first appeared on Science-Base

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RebelEM

SEPTEMBER 18, 2024

Take Home Points Anticipate anatomically challenging airways and consider early intubation prior to loss of airway anatomy. Skip the zones of the neck and focus on hard signs of vascular ( Shock w/o another source, Pulsatile bleeding, Expanding hematoma, Audible bruit, Signs of stroke) or aerodigestive (Airway compromise, Bubbling wound, Extensive SubQ air, Stridor, Significant hemoptysis/hematemesis).

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Stroke Shock EMS 94

EMCrit

SEPTEMBER 16, 2024

There is more than one form of differential gas exchange on VA ECMO--remember differential ventilation! EMCrit Project by Katrina Augustin.

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Don't Forget the Bubbles

SEPTEMBER 18, 2024

Topic Immunodeficiencies Author Ravi Mistry Expert Reviewer Sanjay Patel Facilitator Level ST4+ Learner level Case 1: Foundation doctors, paediatric trainees, paediatric nurses, GPs; Cases 2+3: Paediatric trainees. Equipment Required None Outline Pre-reading for learners Background Case 1 Case 1: Discussion Case 2 Case 2: Discussion Case 3 Discussion Quiz Take home tips References (Bibliography) ● Background – setting the scene and objectives for this module ● Main session – 3 x 10-15 minute cas

Emergency Department 78

Emergency Department Wellness Infectious Diseases Pediatrics 78

Sensible Medicine

SEPTEMBER 15, 2024

I learned a lot from Elizabeth Fama’s multipart series on the back-to-sleep recommendation for infants. She agreed to put the entire series into an audio file. Here you go. JMM Sensible Medicine is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.

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ALiEM

SEPTEMBER 20, 2024

A 50-year-old male with insulin-dependent Type 2 Diabetes presented to the emergency department with three days of pain and swelling on the right side of his neck. He endorsed progression of his symptoms, reporting that he was now having fevers, myalgias, and intermittent difficulty swallowing solid foods. Additional Images Physical Exam Vitals : BP 153/96; HR 110; T 100.0°F; RR 16; O2 sat 97% General : Appears uncomfortable HEENT : Mild right-sided facial swelling.

Academics 70

Academics Emergency Department Infectious Diseases 70

EMDocs

SEPTEMBER 14, 2024

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Sedation, Aspiration, and the Risk of GLP-1 Agonists Spoon Feed Patients on GLP-1 agonists might be at risk of delayed gastric emptying, which has significant implications for procedural sedation and endotracheal in

Emergency Department 71

Emergency Department Resuscitation Pediatrics Research 71

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

Written by Magnus Nossen — with edits by Grauer The tracings in today’s case is from a patient in his 80s being admitted due to dyspnea. Below is the presentation ECG. What do you think? The above ECG shows sinus rhythm. There is one premature atrial contraction which is blocked and this causes a short pause. The following sinus P wave conducts with a slightly shorter PR interval.

EKG/ECG 67

EKG/ECG Resuscitation Academics Operations 67

Science Based Medicine

SEPTEMBER 16, 2024

AI reviews the medical literature on the mechanisms of various SCAMs The post AI and the SCAM Literature first appeared on Science-Based Medicine.

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NRC Health

SEPTEMBER 20, 2024

Healthcare experiences are human experiences, and the use of advanced technology has often come at the expense of human connections – until now. The post The Promises, Pitfalls & Personalization of AI in Healthcare appeared first on NRC Health.

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EMDocs

SEPTEMBER 16, 2024

Author: Joshua Lowe, MD (EM Attending Physician, San Antonio, TX) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Manpreet Singh, MD (@MPrizzleER); Brit Long, MD (@long_brit) The fluorescent lights above cast a clinical pallor over the bustling ED. A cacophony of sounds envelops you. The relentless beeping and chirping of monitors created a dissonant symphony.

EKG/ECG 68

EKG/ECG Wellness Fractures Emergency Department 68

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

A 60-something ow healthy male had syncope while on treadmill. 911 was called and the patient was found by medics to be diaphoretic and hypotensive. This strip was obtained: Apparent Wide Complex Tachycardia at a rate of 280 What do you think? What do you want to do? Appropriately, the medics electrically cardioverted immediately. They did not feel they had time to sedate.

EKG/ECG 64

EKG/ECG Wellness Hospitals 64

AED Leader

SEPTEMBER 20, 2024

You’re lounging comfortably at home, enjoying family time, when out of the blue, a family member takes a sudden fall. It’s a moment that makes your heart miss a beat, quite literally. During a cardiac crisis, every tick of the clock matters significantly. This is where owning a defibrillator for home use shifts the scales in your favor. Now, getting your hands on the Philips HeartStart Home AED Machine is even more appealing with an enticing $200 discount – yes, you saw that correctly!

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CPR Shock Operations Resuscitation 52

NRC Health

SEPTEMBER 20, 2024

Healthcare experiences are human experiences, and the use of advanced technology has often come at the expense of human connections – until now. The post The Promises, Pitfalls & Personalization of AI in Healthcare appeared first on NRC Health.

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Emergency Live

SEPTEMBER 20, 2024

An international study is testing a new drug that can preserve the function of pancreas beta cells Type 1 diabetes, an autoimmune disease that mainly affects children and adolescents, is a major challenge for the scientific community. The progressive destruction of the beta cells in the pancreas, which are responsible for producing insulin, leads to […] The post New hope for young people with type 1 diabetes: the Meyer research in Florence appeared first on Emergency Live.

Research 52

Research 52

EM SIM Cases

SEPTEMBER 19, 2024

This case comes from JoAnne Slinn. JoAnne is a nurse (background in emergency nursing) and one of the Sim Knowledge Coordinators based at the Pritchard Simulation Centre in Kelowna, BC. JoAnne has her master of nursing degree and nurse practitioner designation and is passionate about all things sim! WHY IT MATTERS Patients in hemorrhagic shock require blood products expeditiously as well as identification and definitive management of the source of bleeding.

Shock 52

Shock Emergency Nursing Administration Operations 52

Total Medical ComplianceHIPAA

SEPTEMBER 19, 2024

Selecting the right IT company for a healthcare organization is critical to safeguarding data security, regulatory compliance, and optimal operational performance. Healthcare providers need to find a partner that can meet their specific needs while maintaining high standards of compliance, particularly with regulations like HIPAA. Below is a breakdown of key factors to consider when evaluating healthcare IT companies, along with critical questions to ask. 1.

Operations 52

Operations Documentation/Coding 52

NRC Health

SEPTEMBER 18, 2024

In a joint discussion, they offered their perspectives on AI’s potential, the need for ethical safeguards and building trust in AI. The post Even with AI, healthcare must be in ‘the humanity business’ appeared first on NRC Health.

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Emergency Live

SEPTEMBER 20, 2024

The discovery of the virus in three dairies in the region raised national and international alarm A recent and unexpected outbreak of bird flu H5N1 has hit the Californian dairy industry hard. The discovery of the virus in three dairies in the region has raised national and international alarm bells, underlining the complexity and evolution […] The post Bird flu alert: California dairy farms to show outbreak appeared first on Emergency Live.

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Mind The Bleep

SEPTEMBER 17, 2024

Introduction Patients regularly present to the emergency department with animal bites. This article aims to help guide you through managing these patients and what factors you might want to consider. Epidemiology The number of animal bites presented to A&E is largely underestimated, as many who are bit don’t present to receive medical care 1 or won’t receive treatment in a hospital setting so they are not counted in the statistics for bites 2.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

Total Medical ComplianceHIPAA

SEPTEMBER 17, 2024

OSHA: TRUE or FALSE? Federal law requires employers to notify OSHA of a work-related hospitalization, amputation, or loss of an eye within 24 hours of the incident? TRUE: Standard Number 1904.39(a)(3) states you must report inpatient hospitalization, amputation, or loss of an eye within 24 hours using one of the following methods: By telephone or in-person to the OSHA Area Office nearest the incident’s site.

Operations 52

Operations Hospitals 52

Board Bombs

SEPTEMBER 16, 2024

This is the Little Resus that could! We are covering Neonatal Resuscitation on this episode, simplifying the most complex, most scary aspects of caring for the tiniest humans. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. Cite this podcast as: Briggs, Blake. 234. September 17th, 2024.

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Resuscitation 52