Cassling

JUNE 30, 2023

The impact of these shortages has affected the gamut of healthcare worker roles -- from physicians and nurses to medical technicians and yes, radiologic technologists. House of Representatives Energy and Commerce Committee that deemed them a "national emergency." imaging market has an expected compound annual growth rate (CAGR) of 4.2%

Radiologic Technologist 52

Radiologic Technologist Chronic Disease Nursing Technology 52

Conquering CHD

APRIL 30, 2024

As a nurse, I understand basic medical terminology. For example, it is okay to expect that the hospital has a dedicated CICU, with specialized CICU nurses. They went above and beyond to make me feel as comfortable as possible, while providing a realistic prognosis and expressing genuine concern for the well-being of my daughter.

Open-Heart Surgery 75

Open-Heart Surgery Nursing Hospital Outcomes 75

Dr. Smith's ECG Blog

DECEMBER 11, 2023

She contacted her neighbor, a nurse, for help. We have shown that morphine is associated with worse outcomes (see learning points below) and have published many blog posts about it , such as this one: Another myocardial wall is sacrificed at the altar of the STEMI/NonSTEMI mass delusion (and Opiate pain relief). The case continues.

Myocardial Infarction 123

Myocardial Infarction Chest Pain STEMI Blood Pressure 123

Society of Thoracic Surgeons - Technology

MARCH 2, 2022

Blog Introducing New Technology to an Institution jbagley Wed, 03/02/2022 - 11:15 Innovation and new technology are essential to the progress of any specialty. Consistent Team In the operating room, it is important to develop a consistent team including nurses, anesthesiologists, physician assistants, and surgical assistants.

Technology 52

Technology Blog Cardiothoracic Outcomes 52

Conquering CHD

JANUARY 16, 2024

Watch Chris’ story *This blog post is sponsored by the Heart Institute at Children’s Hospital Colorado. These teams work together to coordinate a unique care plan for each patient, which adapts and evolves as children grow. Kay are trained and ready to ensure the best quality of life for those who began with the odds stacked against them.

Congenital Heart Disease 52

Congenital Heart Disease Congenital Heart Disease Quality of Life 52

Global Cardiac Surgery

AUGUST 20, 2018

Today, for the second blog of this series, Global Cardiac Surgery is featuring Guatemala, a lower-middle-income country in Central America serving as a hub and leading example for cardiac surgery in the Region. Since the establishment, over 1300 surgeries have been performed, with over 20,000 patients seen in the outpatient clinic.

Catheterization Laboratory 52

Catheterization Laboratory Outpatient Laboratory Nursing 52

The Beat Blog

JUNE 9, 2022

Programs receive a set amount monthly from Medicare and Medicaid to provide nearly everything for people over 55 whose needs qualify them for a nursing home but who don’t want to enter one.

Reimbursement 52

Reimbursement Medicaid Medicare Nursing 52

Cardiometabolic Health Congress

AUGUST 8, 2024

This blog post explores the development of such partnerships and their potential to transform healthcare outcomes. We can revolutionize patient care and significantly reduce cardiometabolic risk by fostering collaborative relationships and leveraging diverse expertise and experiences.

Education 59

Education Cardiovascular Disease Diabetes Kidney Disease 59

Dr. Smith's ECG Blog

JANUARY 30, 2018

Thanks to one our great HCMC nurses, Ryan Burch. He figured this one out. A dialysis patient presented with dyspnea. He was a bit fluid overloaded and not hyperkalemic. This ECG was recorded: This was sent to me in a text that woke me from sleep, but not simultaneous with patient care.

Article 52

Article Nursing RN Circulation 52

Society of Thoracic Surgeons - Early Career

OCTOBER 3, 2024

Blog Giving Credit Matters. You should be giving credit to just about everyone you encounter: the medical student, resident, fellow, scrub tech, physician assistant, clinic nurse, respiratory therapist, pharmacist, research coordinator, office manager, parking attendant, cafeteria worker, IT help desk worker; you get the drift.

Blog 52

Blog Outcomes Research Nursing 52

The Beat Blog

APRIL 8, 2022

For patients without easy access, we work closely with family members, nurses, and medical assistants who can facilitate virtual visits. Back to blog Twitter Facebook Instagram Jana Goldberg, MD VP of Clinical Services & National Medical Director, Heartbeat Health Want to learn more?

Cardiogenic Shock 52

Cardiogenic Shock Blood Pressure Heart attacks Heart Attack 52

Dr. Smith's ECG Blog

MARCH 30, 2014

My most talented blog readers are paramedics because they have to put themselves on the line every time they activate the cath lab. One of my most talented readers is a health care assistant (a nursing assistant) who has taken a keen interest in ECGs. And they teach me a lot. He can beat nearly anyone.

Outcomes 52

Outcomes Cardiogenic Shock STEMI Chest Pain 52

Dr. Smith's ECG Blog

DECEMBER 20, 2013

However, the triage nurse wrote a note saying that he did admit to chest pain yesterday, which he vaguely endorsed when questioned again. It was pointed out (using examples from this blog) that his ST elevation was morphologically more consistent with early repolarization, with ST/T ratio < 0.25 in V6 and J-point notching.

Pericarditis 52

Pericarditis Chest Pain Pulmonary STEMI 52

The Beat Blog

MAY 23, 2023

This program was unique because it placed nurses in hospitals to work with patients to create post discharge plans and reduce readmissions. Back to blog Twitter Facebook Instagram The post The Heartbeat in Conversation Interview Series, with Kristie Servais. We worked tirelessly to design and implement a program in record time.

Technology 52

Technology Gerontology Medicare Nursing 52

Dr. Smith's ECG Blog

DECEMBER 23, 2014

The patient was diagnosed with esophageal reflux and was being discharged by the nurse when he had a cardiac arrest. Formula : There is not enough ST elevation in V2-V4 to be applying the LAD/early repol formula, but if it is applied, one gets 1.5 mm of STE at 60 ms after the J-point in lead V3, 400 ms QTc, and 6 mm of R-wave amplitude in V4.

Chest Pain 52

Chest Pain Cardiac Arrest Ischemia STEMI 52

Dr. Smith's ECG Blog

OCTOBER 8, 2023

Triage is backed up, and 10 minutes into your shift one of the ED nurses brings your several ECG s that has not been overread by a physician. Imagine you just started your ED shift. It's a busy Friday afternoon. All of the patients presented with chest pain , and they are all in triage.

Ischemia 123

Ischemia Chest Pain Cardiogenic Shock Cardiac Arrest 123

Dr. Smith's ECG Blog

JULY 3, 2018

At 0800 the cardiology fellow is called to the bedside by the nurse as the patient again complains about 4/10 chest pain. Firstly, we have shown on this blog that the ECG is not perfectly sensitive for OMI even in the best of hands. In Figure-1 I have excerpted from the above blog post, the Pearls of Wisdom from Drs.

Pericarditis 52

Pericarditis Chest Pain Stent Stents 52

Global Cardiac Surgery

AUGUST 14, 2018

Today, for the first blog of this series, Global Cardiac Surgery is featuring Ghana, a lower-middle-income country in West Africa with a strong history in the realms of cardiothoracic surgery.

Cardiothoracic 52

Cardiothoracic Open-Heart Surgery Bicuspid/Mitral Congenital Heart Disease 52

The Beat Blog

FEBRUARY 27, 2023

So, we have to be able to work in teams in order to leverage the expertise of each of the team members, the nurses, and the medical assistants, technicians, as well as the cardiologists. Back to blog Twitter Facebook Instagram The post Welcome to the Heartbeat in Conversation Interview Series. appeared first on Heartbeat Health.

Heart Failure 40

Heart Failure Nursing Blog Hospital 40

Dr. Malcolm Kendrick

OCTOBER 9, 2023

As I say to nurses, when some new ‘thing’ – which absolutely must be done – thuds onto their desk. If we assume that nurses are busy, and they sure are, you can’t simply squeeze extra stuff into their working day. But if it helps people with gambling then this is all fine, wonderful, super great? Or maybe not.

Chronic Disease 40

Chronic Disease Nursing Document Cholesterol 40

GEMMS

MARCH 20, 2024

Choosing GEMMS ONE For Organizational Interoperability Healthcare leaders know that achieving ongoing and reliable organizational interoperability will take a lot of work.

Document 52

Document Laboratory Nursing Patient Care 52

Dr. Smith's ECG Blog

APRIL 7, 2019

This was sent by a reader: Dear Dr Smith, I am an EM resident and a rather new reader of your blog. Our triage nurse therefore ordered an ECG for him (which is standard in our dept for epigastric pain patients): What do you think? I am writing to ask for your opinion on an ECG one of my colleagues recently came across.

Chest Pain 52

Chest Pain Ischemia Nursing STEMI 52

Dr. Malcolm Kendrick

NOVEMBER 27, 2023

I was in the midst of writing another blog on what is wrong with the NHS, happily highlighting a few of the many pointless tasks that get in the way of clinical work. more nurses and health visitors, and 18.5% A nurse must also accompany you, to ensure that … what? 27th November 2023 Relentlessly falling productivity (Part a).

Hospital 52

Hospital Nursing Outpatient Blog 52

Dr. Smith's ECG Blog

APRIL 15, 2020

Although not expressly stated in the presentation here — I’ll assume that despite palpitations that awakened this nursing home patient + diaphoresis and some shortness of breath — that the patient was still hemodynamically stable — since Adenosine was given by EMS. PEARL #1 — Remember statistical likelihoods.

Tachycardia 52

Tachycardia Nursing Heart Disease Dysrhythmia 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

She had home health nurse visits, and a BMP was sent the next day (the day prior to admission, presumably after 120 mEq of KCl replacement -- if she was taking as directed). It would be difficult to get a nurse to give it faster! Hospital admission had been recommended, but she left that ED against medical advice. Is 40 mEq too much?

Cardiac Arrest 40

Cardiac Arrest Tachycardia Nursing Ultrasound 40

Dr. Smith's ECG Blog

OCTOBER 24, 2019

It had started just after nursing her newborn, about an hour prior, and she described it as a severe non-pleuritic “pressure” radiating to the back. This is written by Brooks Walsh. link] A 30 year-old woman was brought to the ED with chest pain. She had given birth a week ago, and she had similar chest pain during her labor.

Chest Pain 52

Chest Pain SCAD STEMI Cardiogenic Shock 52

Dr. Smith's ECG Blog

FEBRUARY 2, 2017

During the resuscitation, I ordered 10 mEq KCl push, but the patient received 40 mEq of KCl, push (far more than recommended) The resident had ordered 40 mEq and that is what the nurses heard. Is 40 mEq too much? Or the right amount? Contrary to my expectations, after pushing 40 mEq, the K only went up to 4.2

Cardiac Arrest 52

Cardiac Arrest Dysrhythmia Arrhythmia Nursing 52

GEMMS

APRIL 8, 2024

Improved Provider Access Provider access refers to the ability of healthcare providers, such as physicians, nurses, and other medical professionals, to access relevant patient information, medical records, and clinical data within healthcare systems.

Medicare 52

Medicare Innovation Medicaid Patient Care 52

Dr. Sanjay Gupta

MARCH 6, 2022

Finally she saw a cardiologist who confirmed that she did indeed have heart failure and needed to start some medications as soon as possible and he would arrange for a heart failure nurse to see her. How can you possibly build rapport and trust if you never see the same doctors/ nurses more than once?

Chronic Disease 40

Chronic Disease Quality of Life Heart Failure Nursing 40

Dr. Smith's ECG Blog

JANUARY 9, 2023

This case reminds me of this 27 year old totally healthy nurse who was previously healthy, presented with acute pulmonary edema and the below ECG that is diagnostic of proximal LAD occlusion, and was dismissed because of her age. This gets drilled into them.

Chest Pain 52

Chest Pain Aneurysm STEMI Thrombosis 52

Dr. Smith's ECG Blog

OCTOBER 26, 2011

In spite of aggressive questioning, he denied chest pain, but he did tell one triage nurse that he had had some chest burning, and so he underwent an ECG: There are deep Q-waves and QS-waves in precordial leads V2-V3, with a bit of R-wave left in V4. This 42 yo diabetic male presented with cough and foot pain.

STEMI 52

STEMI Chest Pain Myocardial Infarction Angioplasty 52

MIBHS

SEPTEMBER 30, 2024

This blog post aims to provide comprehensive information and support for families navigating the challenges of CHDs, offering insights into the medical, emotional, and practical aspects of managing this condition. Finding the Right Specialists : The first step in managing a CHD is finding the right medical team.

Congenital 52

Congenital Education Open-Heart Surgery Pediatrics 52

Dr. Smith's ECG Blog

APRIL 8, 2016

It would be difficult to get a nurse to give it faster! During the resuscitation, I ordered 10 mEq KCl push, but the patient received 40 mEq of KCl, push (far more than recommended) The resident had ordered 40 mEq and that is what the nurses heard. In the case presented, it is not clear to me that the 10 mEq of K was given rapidly.

STEMI 52

STEMI Myocardial Infarction Cardiac Arrest Arrhythmia 52

Dr. Malcolm Kendrick

JANUARY 30, 2023

There were GPs who simply refused to visit elderly residents in nursing homes. On my patch this was all GPs and all nursing homes. Here is a section from a blog I wrote in March 2020. I worked with doctors who strode around the wards in positive pressure protective gear. It is one of the few satisfactions I get in life nowadays.

COVID-19 52

COVID-19 Article Nursing Cancer 52

Dr. Smith's ECG Blog

DECEMBER 5, 2022

It’s an intubated septic nursing home patient." I received this ECG in a text message, with the message: "Hey, these look like hyperacute T waves to me, what do you think? Here is her old ECG:" What do you think? Here is my response: "There is something wrong with this ECG. It might be another case of pulse tapping artifact.

Article 52

Article Chest Pain Circulation Electrocardiogram 52

Dr. Smith's ECG Blog

AUGUST 3, 2018

In the evening, a middle-aged man complained of chest pain at the nursing home. Nurses found him with a BP of 50/30 and heart rate of 130 and called EMS. He was awake, with a pulse of 130 and BP of 50/30. Fluids were started. The patient arrived alert but cool and clammy. His chest pain was vague. He complained of chronic dyspnea.

Chest Pain 40

Chest Pain Tachycardia Atrial Flutter Ultrasound 40

EMS 12-Lead

APRIL 2, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Expert commentary provided by Dr. Ken Grauer CASE 1 An 82 y/o Male called 911 for sudden onset dizziness while at rest. Upon arrival he was found alert and oriented, and without gross distress. He denied difficulty breathing, epigastric pain, or chest discomfort.

Myocardial Infarction 52

Myocardial Infarction Stent Stents STEMI 52