What do you think of this ECG that was texted to me?
This ECG was texted to me by a colleague. I assumed it was from a patient with symptoms compatible with ACS/OMI.What do you think?There is sinus rhythm with RBBB and ST Elevation in V2 which is concordant with the QRS. The ST segment in RBBB should be ST depression, discordant to the positive R ' -wave (i.e., opposite direction of the upright R ' -wave). But we sometimes see this concordant STE even in non-ischemic ECGs:PseudoSTEMI and True ST elevation in Right Bundle Branch Block (RBBB). Don ' t miss case 4 at the bottom.This STE suggests OMI, but we have seen many cases like this th...
Source: Dr. Smith's ECG Blog - November 1, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Eko ’s Newest CORE 500 Stethoscope: A Review
Arriving in two boxes reminiscent of Apple product packaging – one for the chest piece (the part that contacts the body), and another for the detachable earpiece (tubes + ear tips) – the CORE 500 is clearly an upgrade from the Eko DUO stethoscope. Similar to its predecessor, the CORE 500 can be used with your own headphones, smart phone, and just the chest piece, making it free of any hassle with the earpiece tubes. It has a USB-C charging port and is good for a continuous five-hours of use.
The CORE 500 chest piece itself is a bit heavier than the DUO at 6.6 oz (instead of 3.6 oz), but the construction feels a lot ...
Source: Medgadget - October 31, 2023 Category: Medical Devices Authors: Alice Ferng Tags: Cardiology Emergency Medicine Exclusive Pediatrics Telemedicine Eko_Health Source Type: blogs
An emergency physician ’ s insights on health partnerships [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Drew Remignanti, an emergency physician, as he delves into the fascinating world of medicine and discusses his book, The Healing Connection: A Partnership for Your Health. Get ready to explore the insights and experiences of a medical professional who has dedicated his life
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An emergency physician’s insights on health partnerships [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 30, 2023 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Emergency Medicine Source Type: blogs
The hypoglycemia fear syndrome
In this episode of BDI Briefs, we dive into causes, symptoms, and strategies for managing fear of hypoglycemia for people with type 1 and type 2 diabetes.Learn about the Be Safe and Feel Safe strategies, the importance of diabetes technology, and how to regain confidence in blood sugar management.Polonsky, W. H., Guzman, S. J., & Fisher, L. (2023). The Hypoglycemic Fear Syndrome: Understanding and Addressing This Common Clinical Problem in Adults With Diabetes. Clinical diabetes : a publication of the American Diabetes Association, 41(4), 502–509. https://doi.org/10.2337/cd22-0131
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Source: Scott's Diabetes Blog - October 30, 2023 Category: Endocrinology Authors: Scott K. Johnson Tags: Blog Posts Source Type: blogs
" Non-STEMI " is a worthless term.
A 60 yo with 2 previous inferior (RCA) STEMIs, stented, called 911 for one hour of chest pain. He had no h/o heart failure. Here is the first prehospital ECG (time 0, after one hour of pain): I do not see evidence of OMI, and neither did the Queen of HeartsHere is the 2nd prehospital ECG (time 10 minutes, after 70 minutes of pain): No changeOn arrival, the first ED ECG was recorded 20 minutes after the last one (90 minutes after pain onset): What do you think?Here is his most recent previous ECG:This was recorded after intervention for inferior STEMI (with massive ST Elevation, see below), and shows inf...
Source: Dr. Smith's ECG Blog - October 30, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
We got the new COVID vaccine. It was a whopping $191 per shot.
As emergency physicians, my husband and I were determined to protect ourselves, our teenagers, and society at-large with the latest, monovalent COVID vaccine, which the CDC recently recommended for every American 6 months and older. I realized, though, we were in for turbulence when my 78-year-old mother arrived for her appointment at a national pharmacy chain
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We got the new COVID vaccine. It was a whopping $191 per shot. originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 28, 2023 Category: General Medicine Authors: Michelle Finkel, MD Tags: Conditions Emergency Medicine Source Type: blogs
Tomb of the unknown emergency physician
An overly familiar alarm buzzes at 4:20 a.m. My first thought was, “I should have slept more.” I lazily brush my teeth with the combination of spearmint and reflux mixing in the back of my throat. With heavy arms and legs, I wearily climb into scrubs in the dark and carefully exit the house –
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Tomb of the unknown emergency physician originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 26, 2023 Category: General Medicine Authors: Yogin Patel, MD, MBA Tags: Physician Emergency Medicine Source Type: blogs
Security and Privacy Hurdles Plaguing AI-Driven Health Services
Conclusion
In the rapidly evolving healthcare landscape, the integration of artificial intelligence (AI) has brought numerous security and privacy hurdles. While AI-powered health services promise to revolutionize patient care, diagnosis, treatment, and administrative efficiency, this new technology also presents serious security concerns that demand our immediate attention—both as patients and IT professionals in the healthcare industry.
About Sriram Rajagopalan, Ph.D.
Sriram Rajagopalan, Ph.D. is the Head of Training & Learning Services as well as Enterprise Agile Evangelist at Inflectra. Sriram designs and orch...
Source: EMR and HIPAA - October 25, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Ambulatory C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System LTPAC Security and Privacy App Permissions Dr. Sriram Rajagopalan EHR HCO HCP Healthcare AI Healthcare Cybersecurity H Source Type: blogs
Metric shaming in medicine and 3 ways to overcome it
Looking back at my career as an emergency physician, I remember how my first year out of residency was a roller coaster ride with many ups and downs, practicing as an emergency physician in a semi-rural town in Illinois. But once I found my stride and confidence as an attending physician, I recall distinctly knowing
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Metric shaming in medicine and 3 ways to overcome it originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 25, 2023 Category: General Medicine Authors: Archana Reddy Shrestha, MD Tags: Physician Emergency Medicine Source Type: blogs
A man in his 60s with syncope and ST depression. What does the ECG mean?
Written by Sean Trostel MD, peer reviewed by Meyers, Smith, Grauer, etc.A man in his 60s with a history of severe alcohol use disorder and epidural abscess on long-term ciprofloxacin presented to the emergency department after an episode of syncope while standing in line at a grocery store.He did not have chest pain.Here is his triage ECG: What do you think?My interpretation:Sinus rhythm, normal QRS, widespread wavy ST depression leading into late T/U-waves with very prolonged QT. No evidence of OMI. QTc/QUc is in the range of 630 msec.What is the most likely cause of the patient ’s ECG findings, and wha...
Source: Dr. Smith's ECG Blog - October 25, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Cortica Closes $40 Million Series D Extension Led by CVS Health Ventures, LRVHealth, and Other Strategic Investors, Bringing Round Total to $115 Million
Funding to Support Expanded Access to Whole-Child, Value-Based, Outcomes-Driven Autism Care
Cortica, the United States’ leading physician-led, whole-child, value-based autism services company, has raised $40 million in a Series D extension, bringing the total Series D round to $115 million. The extension was entirely strategic, led by CVS Health Ventures, in conjunction with LRVHealth, Ascension Investment Management (a subsidiary of Ascension), and the University of Wisconsin Foundation.
“There is an increasing need for access to evidence-based care for children with neurodivergent conditions and autism...
Source: EMR and HIPAA - October 24, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT AIM Ascension Ascension Investment Management Cortica CVS Health Ventures Ellen Herlacher Health IT Funding Health IT Fundings Health IT Investment Justin Brock LRVHealth Neil Hattangadi MD Unive Source Type: blogs
Turning adversity into hope: my path to a career in medicine
I have wanted to work in medicine ever since my eleven-year-old cousin passed out during my uncle’s birthday party. He suddenly fainted when we were supposed to cut the cake. We rushed to the emergency room. Doctors diagnosed him with blood cancer after a couple of months, which was too late for him to survive.
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Turning adversity into hope: my path to a career in medicine originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 23, 2023 Category: General Medicine Authors: Maryam Chloé Pervaiz Tags: Conditions Infectious Disease Source Type: blogs
Does this T wave pattern mean anything?
Written by Michael Doyle DO and Timothy Palmieri MD. Edited by Bracey, Meyers, Grauer, and SmithA 50-something-year-old female with a history of an unknown
personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return
of spontaneous circulation. The described rhythm was an irregular, wide complex
rhythm. By EMS report, open pill bottles were found nearby at the scene, including quetiapine, fluoxetine, hydroxyzine, and gabapentin. She was successfully revived
after several rounds of ACLS including defibrillation and amiodarone.On arrival to the ED the patient was intubated with normal vi...
Source: Dr. Smith's ECG Blog - October 23, 2023 Category: Cardiology Authors: Bracey Source Type: blogs
Aspects of Social Determinants of Health: Specific Types of Help
This is the final article in a series about social determinants of health (SDoH). Previous articles covered the definition, collection, sharing, and use of SDoH. I’ll finish with a look at some specific areas of intervention.
We’ve seen the importance of personal interventions, through interviews and evaluating SDoH, to solve problems. In rural areas, where it might be daunting either to travel to a doctor or to schedule an online visit with poor Internet access, home visits fill the gap. Conduit Health Partners is one organization that does so. A patient can speak to a nurse immediately—as opposed to calling...
Source: EMR and HIPAA - October 20, 2023 Category: Information Technology Authors: Andy Oram Tags: Analytics/Big Data C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Case Management Cheryl Dalton-Norman Clara Lambert Conduit Health Partners Genpact Health Link Adviso Source Type: blogs
“ Low quality ” Interventions in “ high quality ” cath labs
Recently, I visited a seven-star cardiology center. It had a fascinating lab with a near-360-degree roaming arm and floor (even the roof, I think!). The lab also had provision for optional thoracotomy support by surgeons and a CT scan. What’s more, I was told that an adorable robot will soon be added to the cath lab workforce to assist in delivering and maneuvering catheters. It’s truly amazing to see the advancements in science!
I asked the chief staff nurse how many procedures are being performed per day. She pulled out an Excel chart from a gesture-controlled touch panel. It was clocking about 20 to 25 ca...
Source: Dr.S.Venkatesan MD - October 20, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized comparative efficacy trials cost effectiveness in medicine ethics in medicine EVO;LUTE PRO SAPIENS XT health economics HYBRID CATH LAB TAVR TAVI VALVE IN VALVE Source Type: blogs
