Ken Grauer, MD

AUGUST 29, 2024

The ECG in Figure-1 was obtained from an 80-year old woman — who presented to the ED ( E mergency D epartment ) — with a several hour history of "palpitations" and CP ( C hest P ain ). She was hemodynamically stable at the time ECG #1 was recorded. QUESTIONS: The ECG in Figure-1 was seen by a number of physicians — the majority of whom thought the rhythm was some form of SVT ( S upra V entricular T achycardia ) with LBBB ( L eft B undle B ranch B lock ) aberration.

EKG/ECG 389

EKG/ECG Hospitals Wellness 389

The Trauma Pro

AUGUST 27, 2024

Here’s the last one… for now. If you have followed this blog for any period of time, you are aware of the skepticism I bring to bear when I am reading new material or learning of new ideas. Why is this? Because it is very difficult in this day and age to ascertain the veracity of anything we see, hear, or read. This is not new compared to, say, a hundred years ago.

Head Injuries 202

Head Injuries Operations Research 202

EMCrit

AUGUST 26, 2024

We often joke that the right ventricle is the “forgotten ventricle,” but there is a sad truth behind this joke. Recently, there has been increased recognition of the importance of right ventricle failure and systemic congestion within some circles (e.g., nephrologists and resuscitationists). However, overall the right ventricular failure continues to be commonly overlooked.

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Dr. Smith's ECG Blog

AUGUST 26, 2024

A 60-something woman with no cardiac history presented with epigastric and right upper quadrant pain after eating spicy food. She had an ECG recorded at triage: What do you think? This was sent to me without any info while I was out and about, and I looked at it on my phone. I responded: "That is a tough one. V2 is very worrisome. But no other leads are.

EKG/ECG 122

EKG/ECG Outcomes 122

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

Outcomes

Stop and Think

AUGUST 28, 2024

One area continues to dominate my field of cardiology. It is the search for and treatment of ischemic heart disease. Coronary heart disease dominates the minds of patients and doctors alike. Find blockages so they can be fixed before a heart attack or death occurs—goes the thinking. Coronary artery scans are the newest tool. But stress labs run days and weekends.

Outcomes 120

Outcomes Shock Hospitals Wellness 120

Sensible Medicine

AUGUST 27, 2024

We’ve had a number of articles on Sensible Medicine about medical education. It is probably not surprising as many of our writers and readers have had personal experience with medical education and/or work with trainees everyday. One of our early series (fall 2022) featured these two pieces. Today we have a current trainee extending Dr. Prasad’s most recent critique.

Outcomes 112

Outcomes Research Wellness 112

American Medical Compliance

AUGUST 27, 2024

According to Rock Health , digital health funding still totaled $15.3 billion in 2022, despite economic challenges. This figure underscores the critical role technology continues to play in healthcare, particularly in advancing access and equity. As healthcare providers, organizations, and policymakers increasingly recognize the persistent disparities in health outcomes across different populations, technology is emerging as a powerful tool to bridge these gaps.

Outcomes 105

Outcomes 105

Life in the Fast Lane

AUGUST 26, 2024

Caleb Lin Hyperbaric Oxygen for the ICU Patient OVERVIEW INTENSIVE CARE INDICATIONS PRACTICAL ISSUES IN CRITICAL CARE Consideration & Prior to Treatment In the Chamber A: ETT cuff to be filled with sterile water or connected to dynamic cuff inflator B: Titrate ventilation to PaCO2, note that EtCO2 is not linearly proportionate at higher pressures C: Haemodynamic shifts related to hyperoxic vasoconstriction D: Increased […]

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Sensible Medicine

AUGUST 29, 2024

I discuss how medical students are selected, and perhaps how they should be selected.

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Emergency Live

AUGUST 29, 2024

The virus is spreading rapidly in all age groups, with a peak among children aged 5-9 Parvovirus B19, also known as “slap cheek disease” due to the characteristic rash it causes, is on the rise in the United States. According to a recent warning from the Centers for Disease Control and Prevention (CDC), the virus […] The post Parvovirus B19 on the rise in the USA appeared first on Emergency Live.

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CDC 98

American Medical Compliance

AUGUST 27, 2024

As the global population ages, the demand for assisted living facilities has surged dramatically. In the United States alone, over 800,000 Americans currently reside in assisted living, according to the National Center for Assisted Living. These facilities play a vital role in providing essential care and support for elderly individuals who may no longer be able to live independently.

Elder Abuse 105

Elder Abuse Domestic Violence Administration Incident Reporting 105

Don't Forget the Bubbles

AUGUST 26, 2024

While enjoying a well-deserved lunch break recently, a group of Paediatric Registrars and I discussed the usual topics of family-friendly dinners, recent interesting cases from the birth centre and fun scrub tops. As is typical in a large teaching hospital, this dialogue progressed to staffing levels and skill mix in Paediatrics. Then one of the Registrar’s said, ‘If not a single doctor turned up to work tomorrow I am sure that all of the patients would be fine, but I seriously doubt it if not a

Hospitals 98

Hospitals Wellness 98

Sensible Medicine

AUGUST 26, 2024

Atrial fibrillation ablation began around the turn of the century. Millions of people have had this procedure over the past 24 years. Millions. In population studies, AF associates with worse outcomes. Strokes and heart failure are the main complications of AF. Plus, many patients have symptoms from AF. Drugs to suppress AF are not the best. Their efficacy is modest; their side effects can be problematic.

Stroke 100

Stroke Outcomes Shock Research 100

EM Literature of Note

AUGUST 25, 2024

Move over ketamine and TXA, there’s another medication gradually approaching do-it-all darling status in Emergency Medicine: dexamethasone. Sore throats? Croup? Headaches? Non-specific aches? Well, yes to all of the above, in the appropriate clinical context – But, most prominently, as featured in this brief report, for asthma – particularly childhood asthma.

Emergency Department 94

Emergency Department Administration Wellness Pediatrics 94

American Medical Compliance

AUGUST 29, 2024

Providing high quality care for seniors and people with disabilities requires specialized knowledge, skills, and a compassionate approach. This Comprehensive Care training is designed specifically for healthcare personnel to enhance their understanding of comprehensive care tailored to the unique needs of these vulnerable populations. Participants will learn about best practices in caregiving, communication strategies, and techniques to ensure safety, dignity, and improved quality of life for se

Best Practices 98

Best Practices Wellness 98

EB Medicine

AUGUST 29, 2024

In this episode, Sam Ashoo, MD interviews social media marketing expert Adam Goodcoff, DO, Founder and CEO of MedFluencers. Meet Dr. Adam Goodcoff The Role of Physicians on Social Media Legal Considerations for Physicians on Social Media Employer Policies and Social Media Creating Engaging Content Balancing Professionalism and Personal Life on Social Media Navigating Negative Comments and Trolls Handling Low Engagement and Negative Feedback Becoming a Medfluencer: Tips and Strategies Connecting

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Sensible Medicine

AUGUST 28, 2024

In Post #1 , Ms. Fama introduced her critical appraisal series on the back-to-sleep recommendation. In Post #2 , she explored the downsides of back sleeping. Post #3 explained the nuances of sudden infant death syndrome. Post #4 featured an evidence review. This week, Ms Fama concludes this amazing series. JMM Sensible Medicine is a reader-supported publication.

Research 99

Research CDC Documentation/Coding 99

Taming the SRU

AUGUST 27, 2024

Bullous skin lesions, a subset of cutaneous blistering disorders, are a group of illnesses with predominately dermatologic findings that can occur in a wide variety of clinical settings, including autoimmune, pharmacologic reactions, infection, genetic disorders, or physical injury. This differential is broad and reflects the clinical diversity of their presentations - in this post we will parse through the specifics of bullous lesions as well as what there is to do for them acutely.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

American Medical Compliance

AUGUST 29, 2024

Accurate injury identification and timely reporting are vital components of patient care in healthcare settings. This Comprehensive Injury Identification and Reporting training is designed to equip healthcare professionals with the skills and knowledge necessary to identify various types of injuries accurately, understand their causes, and report them effectively.

Patient Safety 98

Patient Safety Documentation/Coding Wellness 98

ALiEM

AUGUST 26, 2024

A 27-year-old male with no past medical history presents to the Emergency Department with right eye pain. He states that approximately one week prior, he was working on a wire fence when he lost hold of a wire under tension, and it subsequently hit him in his right eye. He had immediate pain in his affected eye and was unable to see anything but light for the next three days.

Emergency Department 70

Emergency Department Academics Ultrasounds 70

Pediatric Education

AUGUST 25, 2024

Patient Presentation A 4-year-old male came to clinic for his well-child evaluation. He was doing well and would start pre-school in the fall. The past medical history showed that after birth he had a history of macroglossia and possible hemihypertrophy, both of which he outgrew. Genetic consultation had recommended testing for Beckwith-Wiedemann syndrome which was done and was negative.

Ultrasounds 64

Ultrasounds Pediatrics Wellness 64

Sensible Medicine

AUGUST 25, 2024

A few weeks ago John Mandrola broke twitter (as we used to say) with this tweet. Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber. I’ll admit that nothing I have ever said or written has every garnered 4.5M views. He followed it up with an article. Vinay Prasad took a swipe at him.

Academics 62

Academics Leadership Wellness Research 62

American Medical Compliance

AUGUST 29, 2024

In today’s healthcare environment, ensuring compliance with the Health Insurance Portability and Accountability Act (HIPAA) is more crucial than ever, especially for business associates. Business associates, including vendors, contractors, and third-party service providers, play a vital role in handling protected health information (PHI). This HIPAA Business Associates Refresher Training is designed to reinforce the responsibilities of business associates under HIPAA, highlighting the impo

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ALiEM

AUGUST 30, 2024

A 5-year-old female presented to the emergency department (ED) with a one-year history of gradually increasing anterior neck swelling. The patient had no significant past medical history. She also endorsed three weeks of cough and congestion, and one day of muffled voice. She denied difficulty swallowing, fatigue, cold intolerance, or hair and nail changes.

Pediatrics 64

Pediatrics Ultrasounds Academics Emergency Department 64

The Skeptics' Guide to EM

AUGUST 24, 2024

Date: August 19, 2024 Reference: Partyka et al. Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management: The SABRE Randomized Clinical Trial. JAMA Surg 2024 Guest Skeptic: Dr. Sean Baldwin is an Emergency Physician practising in Sydney, Australia in both a large tertiary emergency department and a small regional emergency department. Interests include information systems and digital health, research and education.

Fractures 53

Fractures Emergency Department Ultrasounds Radiology 53

Emergency Live

AUGUST 29, 2024

Increasing numbers of boys and girls are dealing with substance abuse, gambling and digital addictions Substance use and digital addiction among young people is an emergency that requires increasing attention. According to the latest data, an increasing number of boys and girls are facing issues related to substance abuse, pathological gambling and internet addiction.

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American Medical Compliance

AUGUST 29, 2024

Healthcare providers play a critical role in identifying and reporting elder and domestic violence abuse. This training is designed to equip healthcare professionals with the knowledge and skills needed to recognize signs of abuse, understanding reporting requirements, and take appropriate action to protect vulnerable individuals. In this comprehensive Elder and Domestic Violence Abuse Reporting course, participants will learn about the different types of abuse, mandatory reporting laws, and bes

Domestic Violence 52

Domestic Violence Elder Abuse Best Practices Fractures 52

EMergucate

AUGUST 29, 2024

Dental Trauma in Paediatrics Learn about how to number children’s teeth correctly, what lateral luxation vs subluxation means, and how … Continue reading →

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PulmCCM

AUGUST 28, 2024

Tranexamic acid (TXA) is a synthetic analog of the amino acid lysine which reversibly binds to plasminogen, reducing its fibrinolytic action. TXA has FDA indications for the prevention of heavy bleeding during tooth extraction in patients with hemophilia, and also for heavy menstrual bleeding. It’s sold inexpensively in the U.S.

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Emergency Live

AUGUST 28, 2024

Prolonged loneliness can induce neurobiological alterations, with cognitive and emotional consequences Social isolation, understood as a lack of meaningful social interactions, is an increasing public health problem with profound implications for the mental and physical health of individuals. Numerous studies have shown that prolonged loneliness can induce neurobiological alterations, with significant consequences on cognitive and […] The post Social isolation: a risk factor for brain heal

Research 52

Research 52

American Medical Compliance

AUGUST 29, 2024

End of life care planning is a critical aspect of healthcare that ensures individuals receive compassionate and respectful care aligned with their wishes as they approach the end of life. This End of Life Care Planning Training is designed to equip healthcare professionals with the knowledge and skills necessary to support patients and their families during this sensitive time.

Hospitals 52

Hospitals Research 52

EMergucate

AUGUST 29, 2024

Neonatal Jaundice In this quick hits presentation, learn about what tests to request for a jaundice baby, what the possible … Continue reading →

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NRC Health

AUGUST 28, 2024

During a recent Becker's Hospital Review podcast sponsored by NRC Health, Vinitha Ramnathan, Chief Product Officer at NRC Health, discussed opportunities for next-level thinking in how organizations manage and deliver optimal healthcare experiences. The post Integrating next-generation thinking in healthcare experience management appeared first on NRC Health.

Hospitals 52

Hospitals Leadership 52

Emergency Live

AUGUST 28, 2024

A study conducted in France has demonstrated the safety of anti-Covid mRNA vaccines An in-depth study conducted in France has shed new light on the safety of mRNA vaccines against Covid, particularly with regard to possible side effects on the heart. Published in the prestigious journal Jama, the study analysed a considerable number of cases […] The post Covid vaccines and heart: a reassuring balance appeared first on Emergency Live.

Research 52

Research 52

American Medical Compliance

AUGUST 27, 2024

Continuous blood glucose monitoring (CGM) is revolutionizing diabetes management, providing real-time insights into glucose levels that empower patients and healthcare professionals to make more informed decisions. As technology advances, the need for healthcare professionals to master these tools becomes increasingly critical. The Advanced Continuous Blood Glucose Monitoring course is designed to equip you with the latest knowledge and skills to effectively utilize CGM technology in clinical pr

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EMergucate

AUGUST 29, 2024

Concussion This session covers the range of symptoms experienced in concussion, what can be done to reduce the risk of … Continue reading →

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