Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

By Smith, peer-reviewed by Interventional Cardiologist Emre Aslanger Submitted by anonymous A 53 y.o. male presents to the ED at 6:45 AM with left sided chest dull pressure that woke him up from sleep at 3am. The pain radiated to both shoulders. He arrived to the ED at around 6:45am, and stated the pain has persisted.

Coronary 128

Coronary ACS OR EMR 128

American Burn Association

MAY 31, 2022

It is conditionally recommended that early mobilization and rehabilitation (EMR) be considered in critically ill burn patients in the ICU to reduce ICUAW and delirium. .” This CPG will be of most use to nurses, physicians, and rehabilitation therapists who provide care to critically ill patients in the burn-ICU.

EMR 40

EMR ICU OR 40

Dr. Smith's ECG Blog

JANUARY 1, 2024

This was contributed by Co-editor Emre Aslanger, an interventional cardiologist in Turkey. AslangerE A 65-year-old gentleman presented to the emergency department after experiencing two recent ICD shocks in the preceding hours.

Coronary 118

Coronary EMR STEMI Emergency Department 118

EMDocs

OCTOBER 3, 2023

Something to pay attention to is your inner dialogue when it’s time to close the loop of each patient’s EMR. There’s always later, right? For one chart, that’s OK, but they add up quickly. What are you doing instead of charting? What are you telling yourself is more important?

EMR 107

EMR EMS OR ED 107

AAEM RSA

MAY 7, 2021

Uber recently partnered with Cerner, and Lyft recently paired with Epic, two of the largest electronic medical record (EMR) providers, to make it easier for hospitals to order rides for patients. The integration with EMRs also provides a better way for hospitals to collect data to determine the true impact of their transportation programs.

EMR 52

EMR Emergency Medical Services Ambulance Emergency Department 52

REBEL EM

MAY 11, 2023

History of liver disease, history of substance abuse disorder, and history of delirium tremens were also extracted from the hospital EMR. Electronic Health Record (EHR) database review using keywords for demographics, triage vital signs, and administered medications.

Emergency Department 95

Emergency Department ED EMR OR 95

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

Written by Emre Aslanger. Emre is a new Editor of the Blog. PMID: 34523597. == MY Comment by K EN G RAUER, MD ( 11/13/2022 ): == Highly interesting case by Emre Aslanger. He is an interventionalist in Turkey. Turk Kardiyol Dern Ars. 2021 Sep;49(6):488-500. doi: 10.5543/tkda.2021.21026. 2021.21026.

EMR 52

EMR Coronary OR STEMI 52

AAAM

JANUARY 12, 2024

I can foresee an increase in the use of AI as an adjunct to manual EMR abstraction in order to streamline the data collection process – but I am confident that there will always be a need for HUMAN analysts to ensure the quality and accuracy of that data! I have a yarn collecting addiction, and I enjoy knitting in my spare time.

EMR 52

EMR ACS OR 52

NCOAE

MAY 25, 2022

National Registry Certification examinations evaluate the competence of EMS practitioners at a variety of levels, including Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT), and Paramedic.

EMT 52

EMT EMT Emergency Medical Technician AEMT 52

Dr. Smith's ECG Blog

JANUARY 30, 2018

Arterial pulse tapping artifact [link] This online article references the article below by Emre Aslanger, a great guy who occasionally corresponds with me about ECGs. Indeed , the patients dialysis fistula was on the left arm and was pulsating with each heart beat, moving the electrode and causing artifact. Aslanger E, Yalin K.

EMR 52

EMR OR 52

REBEL EM

JUNE 8, 2023

The retrospective design of this study omitted assessment of ventricular dysrhythmias related to push dose pressor administration, as they were reliant on information in the EMR. Adrenergic agonists certainly have the potential to affect sympathetic sequelae, and adverse events.

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

Dr. Smith's ECG Blog

JULY 31, 2020

Data: OMI-NOMI paradigm established as better than STEMI-NSTEMI with new article by Emre Aslanger, with some help from Smith "ACOMI" = Acute Coronary OMI DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction (DIFOCCULT Study) Free full text: [link] == MY Comment by K EN G RAUER, MD ( 7/31/2020 ): == (..)

STEMI 52

STEMI Coronary EMR ALS 52

Dr. Smith's ECG Blog

MARCH 3, 2023

Smith and Emre Aslanger, but we also thank external researchers for their demonstrative ECGs (thanks to Philip L. You will find a fully zoomable example ECG for each step, an explanatory text and clickable direct links to some calculators to be used as ECG tools for OMI diagnosis. The majority of the ECGs are from Stephen W.

STEMI 52

STEMI EMR Coronary OR 52

REBEL EM

MARCH 27, 2023

Reason for intubation, severity of illness, ARDS risk score, and ventilator settings were extracted from the electronic medical record (EMR). Data was automatically captured in the EMR so that accurate information was able to be extracted for the study.

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

Don't Forget the Bubbles

SEPTEMBER 11, 2024

You have no control over the number of ambulances ramped outside your emergency department, You have no control over the glitches in the EMR. First, let’s talk about autonomy and recognising what is not in your circle of control. You have no control over the length of time a patient is waiting for an outpatient appointment.

EMR 83

EMR OR Emergency Department Ambulance 83

Peter Canning

JANUARY 14, 2024

Here are some of the highlights: EMRs and EMTs may administer Naloxone IM in a dose of 0.4 For all the fancy changes over the year, the bottom line has always been to provide good CPR compressions and timely defibrillation. Speaking of protocol changes, Connecticut released its latest two year update. mg via syringe.* micrograms/kg/min.

CPR 52

CPR Naloxone Advanced Life Support Defibrillator 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Written by Emre Aslanger (Emre is our newest editor. He is an interventionalist in Turkey and one of 3 originators of the OMI/NOMI paradigm, along with Pendell and Smith. Here are his publications.) Case A 39-year-old male without prior medical history presents with chest pain that started 2 hours prior to presentation.

EMR 40

EMR OR ALS Coronary 40

NAEMSP

APRIL 19, 2023

Additionally, low ionized calcium levels have been correlated with increasing mortality in sepsis and other critical illnesses in adults and children (Bora, Ramazan, Oznur, Emre, & Basar, 2021), (Sanchez, et al., References: 1. Ramazan, K., S., & Basar, C. Journal of Acute Disease, 10 (6), 247-251.

E-9-1-1 52

E-9-1-1 Advanced Life Support Overdose Defibrillator 52

Dr. Smith's ECG Blog

JUNE 11, 2021

Which was the culprit lesion?

EMR 52

EMR STEMI ED CPR 52

AAEM RSA

APRIL 8, 2021

Propelled by the loss of autonomy and an unnatural tethering to a computer and an EMR system, we have seen the rate of burnout approach nearly 50% of physicians, and signs of burnout have been seen in residents and medical students alike.1,2 Burnout has been an increasing topic of discussion for physicians over the past several years.

ICU 52

ICU EMR OR ED 52

ESO

JULY 3, 2024

Patient Registry | FHIR Integration Now officially in the Epic Showroom, the Patient Registry FHIR integration improves your data abstraction efficiency by importing data from the hospital EMR system directly into a patient encounter record in the registry.

Mobile Integrated Health 52

Mobile Integrated Health MIH Critical Care Community Paramedicine 52

Paramedic Training Spot

MARCH 29, 2018

You Also Might Like: The 10 Best Ways to Study for the NREMT Exam EMT Test Questions and Answers to Expect on the NREMT Exam How to Use EMT Practice Tests to Pass the NREMT Exam What’s the Best EMR Practice Test? How to Pass the NREMT Exam on Your First Try? What’s the Best NREMT Test Prep?

EMT 52

EMT EMT Paramedic CPR 52

Dr. Smith's ECG Blog

DECEMBER 5, 2022

Arterial pulse tapping artifact [link] This online article references the article below by Emre Aslanger, a great guy who occasionally corresponds with me about ECGs. Indeed , the patients dialysis fistula was on the left arm and was pulsating with each heart beat, moving the electrode and causing artifact. Aslanger E, Yalin K.

EMR 52

EMR OR 52

Paramedic Training Spot

SEPTEMBER 18, 2017

One of the most thorough NREMT prep websites, this website offers exam prep software for EMR, EMT, AEMT, and Paramedic exams with a money back guarantee. One Stop Shopping While dozens of websites exist that offer NREMT exam study suggestions, the incredibly inclusive website, EMT National Training , is a resource worth visiting.

EMT 52

EMT EMT Paramedic Emergency Medical Technician 52

Paramedic Training Spot

MARCH 29, 2018

What’s the Best EMR Practice Test? Please “like us” on our Paramedic Training Spot Facebook page ! You Also Might Like: EMT Test Questions and Answers to Expect on the NREMT Exam What’s the Best NREMT Practice Test? How to Pass the NREMT Exam on Your First Try? What’s the Best NREMT Test Prep?

EMT 52

EMT EMT Paramedic EMS 52

Dr. Smith's ECG Blog

APRIL 21, 2023

Therefore, cardiologists in general should not be used as the reference standard for interpreting OMI on the ECG, either in clinical practice or in research papers.

STEMI 52

STEMI Coronary EMR OR 52

BoostPrep

APRIL 26, 2022

The NREMT administers different emergency medical professional tests like the following: Emergency Medical Responder (EMR) Emergency Medical Technician (EMT) Advanced Emergency Medical Technician (EMT) Paramedic All of the above exams and certifications build on each other. We offer a 100% pass guarantee.

EMT 52

EMT EMT Emergency Medical Technician CPR 52

On Time Medical Transportation

SEPTEMBER 10, 2021

Originally starting as a Mobility Assistance Vehicle Operator and is now a Field Supervisor, we learned more about Koran's career journey with us so far.

Medical Transportation 52

Medical Transportation EMR Ambulance EMT 52

On Time Medical Transportation

JANUARY 17, 2022

We caught up with Kaitlyn to ask about what made her want to join EMS, tips on getting promoted from within, and her career goals. Here’s what we learned.

EMT 52

EMT EMT EMS Medical Transportation 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

Beyond-The-Core: As discussed in the November 13, 2022 post by Emre Aslanger in Dr. Smith's ECG Blog — ST elevation in both anterior and inferior leads does not necessarily indicate an LAD "wraparound" lesion, as used to be thought ( Bozbeyoğlu, Yildirimtürk, Aslanger et al — Anatol J Cardiol 21:253-8, 2019 ).

Emergency Department 52

Emergency Department E-9-1-1 Coronary STEMI 52

The Skeptics' Guide to EM

NOVEMBER 24, 2018

One of the most common reasons cited for burnout is the electronic medical record (EMR) (Shanafelt et al 2016). The highest prevalence of burnout (70%) was reported by emergency physicians (Shanafelt et al 2015). Burnout can have negative consequences on physicians.

EMR 130

EMR ALS Emergency Department OR 130

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

Despite the lack of high-quality evidence to support these sepsis bundles, many hospitals incorporated them into their electronic medical record (EMR). Specifically, the fluid, antibiotics, and pressor requirements within the first hour of being triaged in the emergency department.

Emergency Department 100

Emergency Department EMR ICU ALS 100

Dr. Smith's ECG Blog

DECEMBER 22, 2022

by Emre Aslanger Dr. Aslanger is our newest editorial member. Dr. Aslanger is also the author of the DIFFOCULT study: Emre K. He is an interventional cardiologist in Turkey. Aslanger , a, ⁎ Özlem Yıldırımtürk , b Barış Şimşek , c Emrah Bozbeyoğlu , c Mustafa Aytek Şimşek , a Can Yücel Karabay , b Stephen W.

STEMI 52

STEMI EMR Coronary OR 52

Paramedic Training Spot

NOVEMBER 29, 2021

EMR vs. EMT vs. MICP vs. MICN There are four different levels of medical first responders in New Jersey: EMRs, EMTs, MICPs, and MICNs. EMRs, or Emergency Medical Responders , know the basics of emergency medical care; They are trained in basic First Aid and CPR, and are taught proper body mechanics when lifting and moving patients.

EMT 52

EMT EMT EMR Emergency Medical Technician 52

Peter Canning

DECEMBER 19, 2024

Volunteer ambulances may have an EMT and an EMR (emergency medical responder), but there is no “ambulance driver” category of certification. Ambulances, at least those in high volume areas in our state, and I expect in most of the country, all have at least 2 EMTs in a crew.

Ambulance Driver 52

Ambulance Driver Ambulance Emergency Medical Technician EMT 52

Medgadget

JUNE 8, 2022

Both stethoscope sounds and ECGs can be immediately visualized on the Eko app, recorded, and linked to an electronic medical record (EMR), or shared with a clinician for review. In fact, in clinical studies, Eko detected atrial fibrillation with 99% sensitivity and 97% specificity and heart murmurs with 88% sensitivity and 88% specificity.

EMR 73

EMR OR 73

Dr. Smith's ECG Blog

JANUARY 6, 2016

Wang (21) Dressler's syndrome (2) Drug Effect (2) Dual AV nodal pathways (6) Dynamic T-waves (10) ECG Radiologist (1) ECG misdiagnosis (2) ECLS -- Extracorporeal Life Support (1) ECMO -- Extracorporeal Membrane Oxygenation (3) EMS voltage cutoff (2) EP study (1) ESRD (1) Early Intervention for NonSTEMI (3) Early Repol Inferior and Lateral (1) Early (..)

STEMI 52

STEMI Coronary CPR ACS 52