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A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith.  Ken ' s piece at the bottom is excellent.A 50-something presented with sudden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior. A brief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality.Initial ED ECG:What do you think?This wa...
Source: Dr. Smith's ECG Blog - September 20, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

A 50-something with Regular Wide Complex Tachycardiaa: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith.  Ken ' s piece at the bottom is excellent.A 50-something presented with sudden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior. A brief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality.Initial ED ECG:What do you think?This wa...
Source: Dr. Smith's ECG Blog - September 20, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Healthcare IT Regulations – What Needs to Be Added and What Needs to Be Removed
There are a lot of rules and regulations in place in the world of healthcare. These are put into place in order to protect patients and organizations. However, the world of healthcare is constantly changing and evolving as we come up with new ideas and solutions. Have the regulations done the same though? Or are there areas that are missing regulations? Or are there areas in healthcare where past regulations are now too restrictive and are holding us back? In search of answers to these questions, we reached out to our incredibly beautiful Healthcare IT Today Community to see what areas they would add, remove, or update re...
Source: EMR and HIPAA - September 19, 2023 Category: Information Technology Authors: Grayson Miller Tags: Administration Ambulatory C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System LTPAC Regulations 1upHealth 4medica Amanda Heidemann Andrea Mazzoccoli Andrew Norden MD Bill Charnetski Cheryl Cheng Commur Source Type: blogs

Bonus Features – September 10, 2023 – 77% of clinicians see RPM outpacing traditional inpatient care within five years, Microsoft partnering with Paige on pathology and oncology AI models, and more
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 Executives for Healthcare Innovation is transferring its assets to the American Telemedicine Association, and ATA will extend engagement opportunities to current EHI members through its various Special Interest Groups. More...
Source: EMR and HIPAA - September 11, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Adrian Agostini Alo American Telemedicine Association Andrea Rowe Anki ATA AVIA Black Book Research Canopy Edifecs Experity Healthcare IT Today Bonus Features HITRUST Ibex Medical Analytics iMerit Inovalon K Source Type: blogs

Judge for yourself the management of this patient with " NSTEMI, multivessel disease "
DISCUSSION:The administration of opioid analgesia prior to cath in patients with concern for ACS is associated with longer door-to-balloon times, and greater peak troponin levels. The rate of Occlusion MI in those who received pre-cath opioids was double the rate of those without pre-cath opioids, and STEMI(-) OMI patients who received pre-cath opioids waited 10 hours on average longer to get cath than those who did not received opioids. These results add support to our hypothesis that a major mechanism of harm caused by opioid medications in ACS patients involves delays to the cath lab for patients with STEMI(-) OMI.=====...
Source: Dr. Smith's ECG Blog - September 10, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Bonus Features – September 3, 2023 – 60% of cybersecurity incidents impact patient care, the average medical device has six or more security vulnerabilities, and more
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 and Research ONC renewed its contract for The Sequoia Project to be the Recognized Coordinating Entity for TEFCA implementation. That process will involve working with seven current Qualified Health Information Network can...
Source: EMR and HIPAA - September 3, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT AION Biosystems Akshay Sharma Alexander Group American Telemedicine Association Asimily ATA Atropos Health BeMe Health Carenet Health Claroty Cognizant Craig Hovda Digital Medicine Society eClinicalWorks eCW E Source Type: blogs

Post-surgery opioid risks PODCAST
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Amy Baxter, a clinical associate professor of emergency medicine, as we explore the intricate balance between physicians’ roles in perpetuating the crisis, addressing systemic factors, and the influence of pharmaceutical industry-sponsored education. Discover the brain’s response to pain and opioids, contextual risk factors Read more… Post-surgery opioid risks [PODCAST] originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - August 27, 2023 Category: General Medicine Authors: Tags: Podcast Pain Management Source Type: blogs

Gene Therapy Targets Chronic Pain
Scientists at New York University have developed a gene therapy for chronic pain. The technology works by targeting the NaV1.7 sodium ion channel present on neurons, which is an important component of the pain response. The researchers encoded a vers...
Source: Medgadget - August 25, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Genetics Medicine Pain Management chronic pain nyu Source Type: blogs

Provider-Led Value-Based Care at Vanderbilt University Medical Center
In this video, two experts at Vanderbilt University Medical Center (VUMC) in Tennessee describe how they implemented value-based care from the provider’s point of view. They distinguish provider-led from payer-led bundles, reveal how VUMC had to evolve, and describe which medical conditions are most appropriate for value-based care. Value-based care is not new. Kaiser Permanente, a well-known employer-based provider, started in 1945. Even earlier, in 1937, the member-owned Group Health Association (GHA) formed in Washington, D.C. But in the current wave of taking on risk, payers dominated. According to C.J. Stimson, ...
Source: EMR and HIPAA - August 24, 2023 Category: Information Technology Authors: John Lynn Tags: Administration Analytics/Big Data Clinical Health IT Company Healthcare IT Hospital - Health System Revenue Cycle Management Brittany Cunningham CJ Stimson Healthcare IT Video Interviews Healthcare Scene Featured HFMA HFMA 2023 H Source Type: blogs

75 year old dialysis patient with nausea, vomiting and lightheadedness
Written by Jesse McLaren A 75 year-old patient with diabetes and end stage renal disease was sent to the ED after dialysis for three days of nausea, vomiting, loose stool, lightheadedness and fatigue. RR18 sat 99% HR 90 BP 90/60, afebrile. Below is the 15 lead ECG. What do you think? There ’s normal sinus rhythm, normal conduction, normal axis, normal R wave progression and normal voltages. There’s subtle inferior ST elevation with straightening of the ST segment, reciprocal ST depression and T wave inversion in aVL, and ST depression in V2. This is diagnostic of infero-posterior OMI, but it is falsely n...
Source: Dr. Smith's ECG Blog - August 19, 2023 Category: Cardiology Authors: Jesse McLaren Source Type: blogs

Bonus Features – August 13, 2023 – 75% of executives thing generative AI has reached the point where it will reshape healthcare, 64% of patients would trust AI over a doctor to make a diagnosis, and more,
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 Drug Enforcement Administration will hold listening sessions Sept. 12 and 13 to discuss allowing a “special registration” to allow physicians to remotely prescribe certain controlled substances without the ...
Source: EMR and HIPAA - August 13, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT American Telemedicine Association Ana Sirbu AssureCare ATA ATA Nexus Azure Bain CitiusTech DEA DrFirst eClinicalWorks eCW Epic Generative AI Healthcare Generative AI Healthcare IT Today Bonus Features health Source Type: blogs

IoT Security Risks – How to Make Sure Your Patients and Your Organization are Safe
There have been so many talented people solving problems and finding new and easier ways to do things in healthcare recently and it is amazing! The world of healthcare is full of individuals that are always seeking improvement. How do we reach more patients? How do we make our clinicians’ lives easier? How do we ease this pain? And who among us doesn’t enjoy getting to break out and play with the latest innovations in healthcare? The Internet of Things (IoT) is one of many great additions you can make to your organization. IoT helps your organization be more patient-focused as it makes it easier for your patien...
Source: EMR and HIPAA - August 3, 2023 Category: Information Technology Authors: Grayson Miller Tags: C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System Security and Privacy Cybersecurity directtrust Fred Pinkett Grayson Miller Healthcare IoT Security Healthcare Security Kyle Neuman Lee Barrett Scott Stue Source Type: blogs

Bonus Features – July 30, 2023 – Amazon gets into the generative AI game, HIMSS plans to sell off the annual trade show, and more
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 HIMSS is planning to sell its annual conference to Informa. Fierce Healthcare confirmed the news as initially reported by Trade Show Executive. The deal only appears to involve the trade show – next slated for March 1...
Source: EMR and HIPAA - July 30, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT 3M ABOUT Partners Amazon AWS Babylon Carta Healthcare Cognizant CoxHealth eClinicalWorks eCW Gilead Gozio Health Healthbook Healthcare IT Today Bonus Features Healthcare VR HealthLock HealthScribe HEDIS He Source Type: blogs

Help Desk Updates: Your Super Weapon to Boost Clinician Productivity
The following is a guest article by Bill Lewkowski, Vice President, Strategic Client Services at HCTec Clinicians Remain Overwhelmed, Overworked, and Burned Out. Improved EHR Help Desk Support Mitigates these Issues while Making a Positive Impact on Clinician Workflow and Patient Care. Among many well-documented pain points for clinicians is the complexity of dealing with electronic health record (EHR) systems. While EHRs deliver valuable benefits to patient outcomes and the healthcare industry, they are often cited as a drag on clinician productivity. This is especially true for the clinical documentation function where 5...
Source: EMR and HIPAA - July 24, 2023 Category: Information Technology Authors: Guest Author Tags: Ambulatory C-Suite Leadership Clinical EMR-EHR Health IT Company Healthcare IT Hospital - Health System Application Management Bill Lewkowski Care Settings Clinician Productivity Clinician Requests Clinician Workflow EHR Help Des Source Type: blogs

Thinking on Your Feet Well: Building Adaptive Expertise in Learners Using Simulation
On this episode of the Academic Medicine Podcast, Sam Clarke, MD, MAS, and Jon Ilgen, MD, PhD, join host Toni Gallo to discuss the importance of teaching adaptive expertise to prepare learners for the types of complex cases they will encounter in clinical practice. This conversation also covers what adaptive expertise is, how simulation can be used to foster this skill in learners, and the complementary relationship between performance-oriented cases and adaptive cases in health professions education. This episode is now available through Apple Podcasts, Spotify, and anywhere else podcasts are available. ...
Source: Academic Medicine Blog - July 24, 2023 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast adaptive expertise medical education medical students residents simulation Source Type: blogs