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SGEM#294: Blood Pressure – Do Better, Keep Rising with NorEpi

The Skeptics' Guide to EM

You scan through the EMR and see the blood pressure is 60/40. Six hours into your shift, you finish dispo’ing the “really quick sign-out” from the night before. The triage nurse places a 61 year-old-man with fever, hypotension, cough into the smallest room in the ED. It’s uncomfortably low – is it time to start a norepinephrine infusion?

EMR 130
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SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

He is interested and experienced in healthcare informatics, previously worked with ED-directed EMR design, and is involved in the New York City Health and Hospitals Healthcare Administration Scholars Program (HASP). Five Rules of the SGEM Journal Club Case: A 70-year-old woman is found unresponsive and apneic at home by her partner.

EMR 130
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SGEM Xtra: On the Edge of Burnout ACEM18

The Skeptics' Guide to EM

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
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SGEM#346: Sepsis – You Were Always on My Mind

The Skeptics' Guide to EM

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.

EMR 100
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The Concomitant Use of Calcium and Diltiazem for Rapid Atrial Fibrillation

REBEL EM

They utilized EMR to gather comprehensive data on patients who received IV calcium and IV diltiazem, or IV diltiazem monotherapy for the treatment of patients with AF/AFL with RVR. The study was dependent on EMR documentation which is prone to error. Population: Inclusion Criteria: Patients 18 years old or greater.

E-9-1-1 98
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Proportionality is a major element in the ECG Diagnosis of OMI.

Dr. Smith's ECG Blog

I published, and Emre Aslanger externally validated, the 4-Variable formula for differentiating the ST Elevation of LAD OMI from Normal ST Elevation. Let's stretch out the QRS vertically so it is not so tiny: On upper left is the original. On the right are the precordial leads stretched vertically, so that the QRS is not tiny.

EMR 114
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How to Become an EMT in New Jersey

Paramedic Training Spot

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.

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