Dr. Smith's ECG Blog

MARCH 19, 2019

Assuming the heart rate is not too rapid ( this method works less well with heart rates >90-100/minute ) — one may suspect that the QTc will be long if the longest QT interval that you can clearly see on the tracing is more than half the R-R interval. The computer calculated a QTc = 525 ms for the ECG #1.

EKG/ECG 52

EKG/ECG Seizures Stroke Operations 52

Don't Forget the Bubbles

JULY 26, 2023

A cardiac family history should of course be sought, but think a little outside the box as well. Some families have unexplained deaths during sporting events, an unusual number of car accidents, seizures in someone without a formal diagnosis of epilepsy. On arrival at hospital the child was well with normal observations.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Advanced Emergency Nursing from AENJ

NOVEMBER 24, 2016

If doing what was called "the one-man-band resurrection shuffle" [single person CPR in the back of a moving ambulance], this worked very well, as the bag would stay hanging there on the patient's face. How useful these would have been to let us know how well the patient was oxygenating and ventilating!

Emergency Nursing 40

Emergency Nursing Seizures CPR Wellness 40

Pediatric Emergency Playbook

JUNE 1, 2017

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Dr. Smith's ECG Blog

MARCH 2, 2019

For example R wave amplitude in lead I is >25mm >22mm in aVL ( whereas 12mm qualifies as LVH ) and well over 25mm in each of leads V3, V4, V5 and V6. Often more than one entity is operative as is likely in this case. QRS amplitude in most leads is either off the page, or overlaps with neighboring leads.

EKG/ECG 52

EKG/ECG Operations Seizures Stroke 52

Mind The Bleep

FEBRUARY 7, 2024

meningitis), intractable seizures, low GCS, increased risk of aspiration or airway obstruction such as pathological obstruction (e.g. The reason this doesn’t work well when there is an air leak is because the expired tidal volume detected by the flow sensor is inaccurate. This means that SIMV does not work as well as AC with VG.

Wellness 52

Wellness Seizures Documentation/Coding Operations 52

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

" [Coroners Society] King Richard I (the Lionheart) needed vast sums of money for the Third Crusade, operation of the kingdom, and for his ransom fro m Duke Leopold of Austria. All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Taming the SRU

MAY 30, 2023

hours earlier and went to OR 3.5

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

EB Medicine

AUGUST 1, 2018

Jeff: Medicinally, cannabinoids are currently used in the treatment of chronic pain syndromes, complications of multiple sclerosis and paraplegia, weight loss due to appetite suppression in HIV/aids, chemotherapy-induced nausea and vomiting, seizures, and many other neuropsychiatric disorders.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Taming the SRU

SEPTEMBER 1, 2023

to divert the plane).

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

Dr. Smith's ECG Blog

APRIL 8, 2015

First: Are you sure it was syncope, and not SEIZURE? Conversely , frequently syncope has a short episode of tonic-clonic activity that mimics seizure. Finally, much of this correlates well with The new Canadian Syncope Arrhythmia Risk Score , just published in 2016, results of which are given below in the Annotated Bibliography.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 13, 2023

2019) argue against a minimum NIHSS score to trigger the use of CTA, instead purporting that clinical suspicion of acute ischemic stroke presenting within 24 hours of the last known well was sufficient evidence to order the study. 8 The data in Mayer et al. 9 A later assessment of the VAN score in Beume et al. positivity rate on CTA for BCVI.

Stroke 103

Stroke Radiology Radiology Emergency Department 103

EMDocs

NOVEMBER 4, 2024

Headache red-flag characteristics include neurological symptoms, thunderclap nature, syncope, trauma, immunocompromised, coagulopathy, fever, rash, seizure, nuchal rigidity, altered mental status, pregnancy, temporal tenderness, jaw claudication, and cancer history. This post focuses on pain management for benign headaches.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. What could be the differential diagnosis?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Pediatric Education

SEPTEMBER 1, 2024

Smallpox is an ancient disease and an especially well-known cause of severe morbidity and mortality and therefore was used as a curse or epiphet. The lesions are 7-10 mm in diameter, round, firm, deep-seated and well circumscribed… ” Lesions tend to appear more on the forearms and face than rest of the body. 2020;12(2):138.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Sepsis 40

Don't Forget the Bubbles

JULY 10, 2023

Seizures may also occur, as may paralysis. Analgesia is often necessary for the acute phase, as well as antibiotics for secondary bacterial infections. Orthopaedic operations and supportive measures such as braces or corrective shoes may be needed in the long term as many patients develop skeletal deformities and asymmetric growth.

Seizures 75

Seizures Operations Pediatrics Hospitals 75

Don't Forget the Bubbles

DECEMBER 9, 2024

It is well-recognised that the environment in the PICU can negatively affect children and their parents/caregivers, increasing the probability of delirium. These findings emphasise the need for careful sedation management and monitoring to reduce the risk of this complication. Published 2021 Jun 8. doi:10.1055/s-0041-1730918 Osborn D.A.

Pediatrics 59

Pediatrics Sepsis Hospitals Administration 59