Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

Smith’s ECG Blog — Assuming there is no bundle branch block, ischemia or infarction ( as these entities can prolong the QT ) — THINK OF: i ) DRUGS ( many drugs [including herbal preparations] may prolong the QT interval — and combinations of drugs can result in marked prolongation ) ; ii ) LYTES ( ie, Think of low K+ , low Mg++ , low Ca++ ) ; and / (..)

Seizures 114

Seizures EKG/ECG EMS Stroke 114

ACEP Now

APRIL 2, 2024

8,9 There is one case of a 17-year-old who died from acute cerebellar stroke after participating in the “One Chip Challenge” (eating a capsaicin infused food chip as a game) that prompted Hershey Co. 2022 annual report of the National Poison Data System® (NPDS) from America’s Poison Centers®: 40th annual report. Eur J Pharmacol.

Burns 40

Burns Poisoning Seizures Stroke 40

EB Medicine

SEPTEMBER 1, 2018

Nachi: And don’t forget our peer reviewers this month, Dr. Daniel Sessions, a medical toxicologist working at the South Texas Poison Center, and our very own editor-in-chief, Dr. Andy Jagoda, who is also Chair of the Department of Emergency Medicine at Mount Sinai in New York City. Jeff: What a team! But, let’s get back to the snakes.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Pediatric Emergency Playbook

JULY 1, 2016

They look like stacks of paper within normal bone – you can see them also in anemia, lead poisoning, and other causes. N – Neurologic Not to scare you, but children do have strokes; unlike adults, half are hemorrhagic, half are thromboembolic. Also look for periosteal new bone formation, sclerosis, or lysis.

Fractures 52

Fractures Poisoning Wellness Sepsis 52

Taming the SRU

APRIL 13, 2023

Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Pediatric Emergency Playbook

JUNE 1, 2016

Conversely, is the heart rate too slow – even if the stroke volume is sufficient, if there is severe bradycardia, then cardiac output -- which is in liters/min – is decreased. Is this in an infarction, an infection, a poisoning? If so, use 1 J/kg to synchronize cardiovert. Chemically pace with atropine, 0.01 mg/kg up to 0.5

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

EB Medicine

MAY 3, 2019

In one study, sending a brief postcard 9 times a year with a quick “hope things are well” type message to patients discharged after deliberate self-harm reduced self-poisonings by 50%. And this doesn’t even have to be something as time consuming as a phone call. Jeff: Next we have to discuss the various screening tools.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

RebelEM

JUNE 12, 2024

According to the 2022 Annual Report of the National Poison Data System from America’s Poison Center, CCBs and BBs account for the sixth and seventh largest number of fatalities from overdose. 1 Recall that cardiac output is a function of both stroke volume and heart rate. References Gummin DD, Mowry JB, Beuhler MC, et al.

Poisoning 95

Poisoning Stroke Shock Administration 95

EB Medicine

AUGUST 1, 2018

First up is the link between cannabis use and stroke or TIA. times higher risk of stroke or TIA. Jeff: And according to the national poison data system, states with marijuana use laws have seen a 30% increase in calls related to marijuana use by children. times higher risk of stroke or TIA.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EB Medicine

FEBRUARY 1, 2019

Nachi: And patients with neurologic deficits or severe sudden-onset headaches, should be transported immediately to the nearest available stroke center. Jeff: Do consider adding on a venous or arterial carboxyhemoglobin in the right clinical scenario, as CO poisoning represents an important cause of headache you wouldn’t want to miss.

Emergency Department 40

Emergency Department Stroke Ultrasounds Outcomes 40

Taming the SRU

SEPTEMBER 1, 2023

for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95