How important are old ECGs in Non-obvious cases of potential OMI?
Conclusion: As per Dr. Smith — the cath lab was initially activated on the basis of the history of changing symptoms occurring in association with dynamic ST-T wave changes on these 3 serial ECGs shown in Figure-1.BUT — Review of this patient ' s medical chart revealed previous ECGs showing a similar pattern of labile ECG changes. Some patients do this ... that is, show a pattern of labile ST-T wave changes not due to an acute coronary event.Despite the seemingly worrisome ST-T wave changes on serial tracings shown in Figure-1 — an acute event was definitively ruled out b...
Source: Dr. Smith's ECG Blog - November 14, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
When medical protocol meets family concerns
An excerpt from 2060. Willis murmured, “Not again.” He approached his mother, who was lying in bed with an uneaten tray of food on the bedside table. A stream of drool collected on her gown as she slumped to the right. “Mom.” Willis gently shook her, and she attempted to open her eyes, but fell
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When medical protocol meets family concerns originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 12, 2023 Category: General Medicine Authors: Richard Young, MD Tags: Conditions Emergency Medicine Source Type: blogs
Bonus Features – November 12, 2023 – 93% of clinicians use RPM in cardiac care rehab, telehealth flexibilities remain in place until the end of 2024, plus 25 more stories
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job.
News
The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practiti...
Source: EMR and HIPAA - November 12, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT 1upHealth Apollo ApolloMed Cedar Cognoa CPSI Deloitte Technology Fast 500™ emtelligent Freshpaint Healthcare IT Today Bonus Features HITRUST Certification Hona Innovaccer Inovalon Jim Hundemer Jim Sparks K Source Type: blogs
What is SCAPE in Cardiovascular Medicine?
SCAPE is an acronym for sympathetic crash acute pulmonary edema, which can typcially occur in Pickering syndrome with renal artery stenosis [1]. Another term for transient acute pulmonary edema which occurs in renal artery stenosis is flash pulmonary edema. SCAPE is the extreme end of the spectrum of acute pulmonary edema and needs urgent management in the emergency room [2]. Excessive release of catecholamines may increase the permeability of pulmonary capillaries and facilitate flash pulmonary edema [3]. Endothelial dysfunction secondary to excessive activity of renin-angiotenisn-aldosterone axis, impaired synthesis of ...
Source: Cardiophile MD - November 12, 2023 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
AI and special needs adults: The AI Guardian is in sight
Over the past decade I ' ve written on social media about the concept of an AI Guardian, but I realize I ' ve never put it into a blog post [4]. With the release of the LLM AIs [1] including ChatGP4,ChatGPT plugins, and recentlyGPT Agents (GPTs) the AI Guardian is much closer than I ' d expected. So it ' s time to write something.First, of course, I decided to ask ChatGPT. I ' ve never seen the concept of an AI Guardian online, but evidently I ' ve been looking in the wrong places. As of its April 2023 incarnationChatGPT4 has quite a bit to say:You: What do you know about the concept of an " AI Guardian " for sp...
Source: Be the Best You can Be - November 11, 2023 Category: Disability Tags: autism cognition cognitive impairment computer finance nsAI smartphone smartphone4all sport support technology Source Type: blogs
Emergency department burnout: a cry for change
It’s a busy day in the emergency department. The waiting room is full, and we are short-staffed. I just read an email from administration that morning about how our treat and release times are “slipping,” and in the same breath, they remind us of the importance of patient satisfaction. There are many patients in the
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Emergency department burnout: a cry for change originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 11, 2023 Category: General Medicine Authors: Anonymous Tags: Conditions Diabetes Source Type: blogs
Delegated Agency Authority to Address Chemicals of Emerging Concern: EPA ’s Strategic Use of Emergency Powers to Address PFAS Air Pollution
Robert L. Glicksman (George Washington University), Johanna Adashek (George Washington University), Delegated Agency Authority to Address Chemicals of Emerging Concern: EPA ’s Strategic Use of Emergency Powers to Address PFAS Air Pollution, 48 Harv. Envtl. L. Rev. (2024): PFAS are a... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - November 10, 2023 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
Physicians can write their way to increased empathy
“When and how much?” I tried to recall the list of questions for intoxicated patients. A middle-aged man, much older than the demographics printed on the documents I hold, was writhing in pain, vomiting, and sobbing. The paper stated: chief complaint – mouse poison pellet ingestion, attempting suicide. “How and why?” I kept asking. I
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Physicians can write their way to increased empathy originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 8, 2023 Category: General Medicine Authors: Laya Jalilian-Khave, MD Tags: Physician Emergency Medicine Source Type: blogs
Encountering a gentle soul amidst stomach cancer
It was the final hour of my shift, and I was cleaning up for my colleague who would be taking over. Glancing at the clock, I decided I could see one of the “easy” fast-track patients just to help offload the board a bit. I figured he wasn’t going to take long, as his complaint
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Encountering a gentle soul amidst stomach cancer originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 6, 2023 Category: General Medicine Authors: Veronica Bonales, MD Tags: Conditions Emergency Medicine Oncology/Hematology Source Type: blogs
Healthcare Interoperability is Falling Short. How Do We Address It?
The following is a guest article by A. John Blair, III, MD, CEO at MedAllies
It’s been well-documented for years that the healthcare industry has an interoperability problem.
Frequently fragmented and incomplete patient records may lead to negative downstream consequences, such as delayed and inefficient care, avoidable risks to patient safety, greater administrative burden on healthcare organizations, and excessive costs.
The commercial efforts to date to push interoperability forward have made true advances. For example, 70% of hospitals and over half of ambulatory providers are connected to a national network. Add...
Source: EMR and HIPAA - November 6, 2023 Category: Information Technology Authors: Guest Author Tags: Health IT Company Healthcare IT Interoperability A. John Blair III Health Data Exchange Healthcare Interoperability MedAllies QHIN QHINS TEFCA Source Type: blogs
We all make mistakes. Don ’ t let them define you.
We are human and we all make mistakes. It’s an inherent part of our nature. It’s easy to get caught up in the belief that our mistakes define us or determine our worth; however, this couldn’t be further from the truth. As physicians, mistakes often serve as the uninvited guests in our otherwise meticulously planned
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We all make mistakes. Don’t let them define you. originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 3, 2023 Category: General Medicine Authors: Josh Schwarzbaum, MD, MBA Tags: Physician Emergency Medicine Source Type: blogs
Optimizing Healthcare IT: Four Innovative Ways to Use QR Codes
The following is a guest article by Ravi Pratap, Co-Founder and CTO at Beaconstac
Technology provides the foundation of modern healthcare, with the potential to generate $410 billion in annual revenue by 2025. Efficient IT solutions in healthcare organizations ensure optimal patient care and seamless operational functionality.
One such technology professionals often overlook is the QR code. And in an era where over six billion people have smartphones, incorporating the tool in healthcare makes sense. The following article shows four practical use cases for QR codes within the healthcare IT landscape.
Managing Medical Equip...
Source: EMR and HIPAA - November 3, 2023 Category: Information Technology Authors: Guest Author Tags: Ambulatory Clinical Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System IT Infrastructure and Dev Ops LTPAC Beaconstac Healthcare Asset Tracking Information Access IT Assets Medical Equipme Source Type: blogs
AHA ’ s Poll: A Mere 30% of Patients Discuss OTC Pain Relievers And Blood Pressure
Conclusion
In closing, the heart of the matter is clear: talk is potent medicine.
When it comes to OTC pain relievers, this conversation could be a lifeline for many.
Yet, as it stands, too many are swallowing risks along with their pills, unbeknownst to the silent threat to their blood pressure.
Wrapping up, it’s a shared journey towards health literacy.
Amplifying dialogue can ignite a wave of well-informed choices for managing blood pressure.
If the nation speaks up, listens, and learns, we could see a future where fewer hearts are under pressure.
Read also: 75% Commit To Daily Blood Pressu...
Source: The EMT Spot - November 3, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: News Source Type: blogs
See this " NSTEMI " go unrecognized for what it really is, how it progresses, and what happens
Written by Nathanael Franks MD, reviewed by Meyers, Smith, Grauer, etc.A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. This episode of chest pain began 3 hours ago and was persistent even at rest.Triage ECG at Time = 0: Smith: I am suspicious for posterior OMI due to ST depression in V2 and V3Baseline EKG (several months prior):Smith: Now I am even more suspicious of posterior OMI, as the baseline ECG has normal ST elevation in V2 and V3ECG Interpretation:The tri...
Source: Dr. Smith's ECG Blog - November 3, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
How Healthcare Can Embrace the Cloud Without Jeopardizing Data
The following is a guest article by Rodman Ramezanian, Global Cloud Threat Lead at Skyhigh Security
Healthcare, like other sectors, is undergoing a massive digital transformation to meet the changing needs of patients and workers. As part of this transformation, there are a growing number of roles that can be performed virtually – such as grant administrators, clinical trial coordinators, or telehealth care providers – although some workers, like emergency room physicians, must still be present onsite. Since remote and hybrid employees need to be able to collaborate anytime, anywhere, and from multiple devices, many he...
Source: EMR and HIPAA - November 2, 2023 Category: Information Technology Authors: Guest Author Tags: Ambulatory Health IT Company Healthcare IT Hospital - Health System IT Infrastructure and Dev Ops LTPAC Security and Privacy Cloud Security Cybersecurity Digital Transformation Healthcare Cloud Healthcare Cybersecurity PHI Protec Source Type: blogs
