Dr. Smith's ECG Blog

JUNE 27, 2024

By Sofiya Diurba MD, reviewed by Meyers, Grauer A woman in her 50s with PMH known RBBB and prior syncopal events presents to the ED for five syncopal events over the last 24 hours. This is her first ECG in the ED: What do you see? Each event is associated with a prodrome of mild substernal CP, SOB, and “brain fog.”

ED 120

ED OR Emergency Department Emergency Manager 120

Dr. Smith's ECG Blog

SEPTEMBER 29, 2023

Sent by anonymous, written by Pendell Meyers, reviewed by Smith and Grauer A man in his 40s presented to the ED with HTN, DM, and smoking history for evaluation of acute chest pain. Initial emergency management is similar for both entities ). Triage ECG: What do you think?

STEMI 130

STEMI ED OR Coronary 130

REBEL EM

DECEMBER 5, 2023

The risk of a biphasic reaction is what keeps patients in the ED while being observed for a set period of time. Thus, if the patient has complete resolution of symptoms after appropriate treatment of anaphylaxis, there is no set time period for monitoring in the ED. This is called a biphasic reaction.

Epinephrine 81

Epinephrine Allergic Reaction Emergency Department Emergency Management 81

Dr. Smith's ECG Blog

JULY 16, 2024

. == MY Comment , by K EN G RAUER, MD ( 7/7 /2024 ): == Among the most rewarding type of case for me during my days working in the ED — would be seeing a patient who presented with acute CP ( C hest P ain ) — who I would be able to “cure” simply by recognizing and treating their arrhythmia.

ED 59

ED Emergency Management Emergency Manager Paramedic 59

ESO

APRIL 19, 2024

Data is being put front-and-center in the fire services industry with the implementation of the new National Emergency Response Information System (NERIS) by the U.S. Due to this, it’s important for the industry to develop strategies for better supporting psychiatric patients while avoiding unnecessary ED visits and secondary EMS transports.

MIH 105

MIH EMS Paramedic Firefighter 105

Don't Forget the Bubbles

OCTOBER 7, 2024

If the hose is narrow, less water flows through (low current) References Electrocution and Electrical Injury – Emergency Management in Children; Children’s Health Queensland Hospital and Health Service Baird J. In: Walls RM, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. Electrical Injuries.

ACS 80

ACS Life Support OR CPR 80

Dr. Smith's ECG Blog

NOVEMBER 9, 2018

External pacing was attempted but not tolerated and, because the patient was only mildly hypoperfused, she was transported to the ED without further intervention. Here is the first ED ECG: What are you seeing? Try to figure it out before reading the explanation below. Treat hyperkalemia or drug toxicity 2. Treat ischemia (Cath lab) 3.

Epinephrine 52

Epinephrine OR Emergency Manager Emergency Management 52

Don't Forget the Bubbles

MAY 3, 2023

This single-centre academic urban institution in the United States (US) undertook a 10-year retrospective observational study of paediatric intubation and bougie use in their emergency department (ED). However, 273 were excluded, as 173 were intubated outside of ED, and 95 had missing datasets. years in the non-bougie group.

CPR 52

CPR Emergency Department ALS ICU 52

Emergency Medicine Cases

DECEMBER 17, 2019

Among the presentations seen in the ED, few command the same respect as status epilepticus. Status epilepticus can be nuanced to manage. The post Ep 133 Emergency Management of Status Epilepticus appeared first on Emergency Medicine Cases.

Emergency Management 130

Emergency Management Emergency Manager ED OR 130

EMDocs

JUNE 3, 2023

The nuances of fracture patterns and delineating mechanically unstable pelvic fractures from stable ones is less important to the ED. This is less critical in ED management of the unstable pelvic fracture, as the optimal site for identification of rectal or vaginal tears is the operating room.

ED 66

ED Operating Room ALS Frozen Plasma 66

ESO

APRIL 19, 2024

Due to this, it’s important for the industry to develop strategies for better supporting psychiatric patients while avoiding unnecessary ED visits and secondary EMS transports. Mary’s Medical Center and Pam Beach Children’s Hospital and Garrett Hall , Sr.

EMS 105

EMS Paramedic Critical Care STEMI 105

AAEM RSA

DECEMBER 3, 2020

The sensitivity of these scores range, but they cannot exclude FG diagnosis and may have lower sensitivity when used for prediction in ED patient populations. Fournier's gangrene and its emergency management. 22 Computed tomography (CT) with IV contrast has a better sensitivity and specificity for NSTI, 88.5% Postgrad Med J.

Emergency Department 52

Emergency Department E-9-1-1 ALS EMT 52

Don't Forget the Bubbles

JANUARY 27, 2025

Management ED management should focus on appropriate resuscitation of the patient and early referral to the surgical team. Ensure appropriate bay allocation in ED. Pediatr Emerg Care, 1;38(6):e1332-e1335. How unstable is this patient? Do they need to be in the bay in front of your nursing station or in resus?

E-9-1-1 76

E-9-1-1 Emergency Department OR Emergency Manager 76