Dr. Smith's ECG Blog

FEBRUARY 18, 2022

A young man had an accidental exposure to carbon monoxide (CO). He was comatose and intubated and his initial Carboxyhemoglobin level was over 50%. An ECG is always recorded for CO toxicity. This was his ECG. It was shown to me with worry for ischemic ST elevation, which is certainly possible from severe CO toxicity, or concomitant ACS. In fact, there is laboratory evidence that CO toxicity increases Plateletneutrophil aggregates and plasma myeloperoxidase (MPO) concentration and thus may precip

Poisoning 52

Poisoning EKG/ECG Wellness 52

Advanced Medical Reviews

FEBRUARY 17, 2022

The wide array of technologies utilized in the health care industry offers providers a number of advantages, from enhancing patient care and streamlining clinician workflows to increasing access to data and reducing costs. When such solutions don’t integrate with other technologies and systems, though, they often result in problems, mitigating the benefits they’re designed to offer.

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EMergucate

FEBRUARY 16, 2022

The following ECG is from a 52 year old male with a history of bipolar mood disorder and cardiomyopathy. He presents to ED complaining of increasing shortness of breath and leg swelling.

EKG/ECG 52

EKG/ECG 52

Medical Law

FEBRUARY 15, 2022

Financial compensation can’t take away the pain, stress, and upset of a serious car accident caused by someone else’s negligence. It can make it easier to receive the medical care you need and ease the stress of being forced to take time away from work because of your injuries. Our experienced Southern California personal injury lawyers can help you maximize your compensation for a car injury claim.

Documentation/Coding 52

Documentation/Coding 52

Ultrasound Gel

FEBRUARY 14, 2022

Can you believe we have never talked about ectopic pregnancy on this podcast?? Fortunately for you, a new research article allows our faithful hosts to dive into this core application of POCUS. These authors ask the practical question of whether or not a POCUS saves time in patients with ectopic pregnancy requiring an operation. The results may not be too surprising, but there are many twists and turns to this discussion - not unlike the course traversed from the uterus to the adnexa!

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Operations Research 52

Trigger Lab

FEBRUARY 14, 2022

La ventilazione meccanica invasiva prolungata determina, sul polmone del neonato pretermine, un arresto di crescita e maturazione alveolare, conseguente all’infiammazione polmonare indotta dal supporto prolungato, a cui si correla un aumento del rischio di sviluppo di displasia broncopolmonare (1).

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EMergucate

FEBRUARY 15, 2022

The following chest x-rays are from a 65 year old with left sided chest pain and cough.

EMS 52

EMS 52

MEDEST118

FEBRUARY 14, 2022

An original video by Mario Rugna

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Airway Management 52

Emergency Medicine Cases

FEBRUARY 14, 2022

In this Journal Jam podcast we dig deep into the science of FDA-approved outpatient medications for COVID with 3 critical appraisal masters: Dr. Andrew Morris, Dr. Rohit Mohindra and Dr. Justin Morgenstern. What is the evidence for the neutralizing monoclonal antibody medications like Sotrovimab? The nucleoside analogs like Remdesivir and Paxlovid? The inhaled corticosteroids like Budesonide and Ciclesonide?

EMS 52

EMS 52

Dr. Mike Sevilla

FEBRUARY 13, 2022

Super bowl 56 has come and gone. Bummed that the Cincinnati Bengals (#WhoDey) didn’t win, but it was actually a good game this year. I had all of my big game treats and food ready to go. And, don’t ask me why, but I actually watched most of that NBC five hour pre-game show. And, don’t ask me why, I actually enjoyed most of it. But, here are some random opinions (my hot takes) from today: 1) About the game itself: Really enjoyed it.

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Board Bombs

FEBRUARY 13, 2022

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com When you go to the Grand Canyon, our advice is to not bring a 10 foot-long selfie stick…you don’t want to fall victim to nature’s most frightful weather effect. Let’s break down this ACEP PEER question for your boards!

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ER Nurses

FEBRUARY 18, 2022

How many of you care for patients in the ER who shouldn't really be there? At worst we're talking about psychiatric patients who sit in the ER and pose a physical threat to nurses. At best it is a drain on resources and impacts overall healthcare for those who really need it.

Psychiatric 40

Psychiatric 40

Total Medical ComplianceHIPAA

FEBRUARY 17, 2022

Your practice has received a subpoena for client records. What do you need to do? Don’t panic. This is not unusual. There are several things you need to know up front. Read the entire subpoena carefully to determine who is asking for the information and, exactly what information you need to send. Never send more information than is required. Always send the information securely (e.g., mail, encrypted email, fax).

Documentation/Coding 40

Documentation/Coding 40

EMergucate

FEBRUARY 16, 2022

40 year old female with a background of alcohol abuse presents to ED with a headache, abdominal pain and vomiting. The patient is not on oxygen.

EMS 40

EMS 40

Dr. Wes

FEBRUARY 14, 2022

It has been a long time since I have written anything concerning the American Board of Medical Specialties' (ABMS) Maintenance of Certification (MOC) board re-certification program. But when I read pieces in the media, like the one recently published in Medscape that spin the soothing narrative that MOC can become "kinder and gentler," I feel the need to speak out.

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EMergucate

FEBRUARY 15, 2022

40 year old female with a background of alcohol abuse presents to ED with a headache, abdominal pain and vomiting. The patient is not on oxygen.

EMS 40

EMS 40

EMergucate

FEBRUARY 15, 2022

The following ECG is from a 52 year old male with a history of bipolar mood disorder and cardiomyopathy. He presents to ED complaining of increasing shortness of breath and leg swelling.

EKG/ECG 40

EKG/ECG EMS 40

EMergucate

FEBRUARY 14, 2022

Question 1: PH = 7.16, that is severe acidaemia. HCO3 is low (> 24), So we have metabolic acidosis. Next we need to calculate compensation and anion gap.

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