The Skeptics' Guide to EM

DECEMBER 2, 2017

Case: You are working a regular shift in the emergency department when you hear a code blue called. The survival rate for IHCA has almost doubled from the year 2000 when it was only 13.7%. DISCLAIMER: The views and opinions of this podcast do not represent the United States Government or the US Air Force.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

Cook County EM Blog

MARCH 20, 2023

Further document handedness, occupation, site of injury, and thorough review of systems to evaluate for potential complications ○ Complications as distant as pneumomediastinum following air injection of the hand have been reported5,6. ➢ 2019 Nov 16;8(11):2000. 2000 Jul;45(1):64-6. J Clin Med. doi: 10.3390/jcm8112000.

Fractures 52

Fractures Documentation/Coding Operations Research 52

The Skeptics' Guide to EM

APRIL 24, 2021

Exclusions: Prisoners or those in police custody, pregnant or breast-feeding, or with documented allergy to any study medications. Dr. Martel is a practicing emergency physician at Hennepin County medical center in Minneapolis, Minnesota since 2000. This is an SGEMHOP episode, which means we have the lead author on the show.

Emergency Department 40

Emergency Department Research Outcomes Documentation/Coding 40

Sensible Medicine

MARCH 27, 2024

I have long aimed for LDL-C and apoB levels/non HDL levels <60 in my patients with documented ASCVD (either by CAC, CCTA or ASCVD events). Attia calls the era exemplified by Hippocrates and lasting for 2000 years after his death Medicine 1.0. I keep my own apoB and LDL-C levels in the 40s. Outlivingly Yours, -ACP N.B. (1).

Research 111

Research Documentation/Coding Wellness 111

RebelEM

MARCH 27, 2023

There may have very well been a policy where only RTs can make changes to a ventilator after an order was placed to ensure accurate documentation. Unfortunately, its not clear whether the documentation came from RTs or ED providers. 2000 May 4; PMID: 10793162 Harvey CE, et al. N Engl J Med. Crit Care Explor.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

ACEP Now

AUGUST 1, 2023

emergency department deserves access to an emergency physician no matter their zip code. Three take home points for what I believe. There is no substitution for the physician led team. Every patient in a U.S. At no point should a physician role be replaced by a NPP for any reason, but especially as a perceived profit/control strategy.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Sensible Medicine

FEBRUARY 28, 2024

Since 2000 the landmark MESA study has been looking at the prevalence, correlates, and progression of these nontraditional risk markers of subclinical atherosclerosis in a multi-ethnic population without known ASCVD at baseline. For many individuals, this is life-transforming.

Stroke 45

Stroke Documentation/Coding Outcomes Wellness 45

Advanced Emergency Nursing from AENJ

JULY 9, 2015

Pull out the manikins (or use a volunteer; BVM only) and run some awkward codes! How versatile are your airway skills? Oh, sure, you can handle any supine situations! Gather everyone. Most airway management is done with the patient supine and on a table. Most training is likewise done with the patient on a table. Beckham, J., & Cortes, V.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

EMS in America: The Foundation Documents. Journal of Trauma and Acute Care Surgery, 47(3), S8-S14. Howard, J. HISTORICAL BACKGROUND TO ACCIDENTAL DEATH AND DISABILITY: THE NEGLECTED DISEASE OF MODERN SOCIETY. Prehospital Emergency Care, 4(4), 285-289. Touchstone, Mike. Accessed 2/29/2016. Sakran, J. Werlin, E., & McCunn, M.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Pediatric Emergency Playbook

JUNE 1, 2017

The best documented cormorbidity is sickle cell disease, although other pro-thrombotic conditions also put the child at risk. Myocardial infarction in an adult resulting from coronary aneurysms previously documented in childhood after an acute episode of Kawasaki’s disease. 2000; 35(6):618-622. 1986; 108(2):198-203.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

PulmCCM

FEBRUARY 17, 2025

But the range was broad: 25% were coded for less than 13 minutes, and 25% for more than 30 minutes. adults who underwent CPR between 2000 and 2021 at hospitals participating in the American Heart Association’s Get With The Guidelines program. who died) was 21 minutes. BMJ 2024 ) of a large registry of ~350,000 hospitalized U.S.

CPR 112

CPR Hospitals Resuscitation Documentation/Coding 112

EB Medicine

AUGUST 6, 2019

Interestingly, one retrospective study found limited agreement between EMS records and hospital documentation on current DOAC usage. PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%. Isaac Tawil from the University of New Mexico. This can help with destination selection when relevant.

Emergency Department 40

Emergency Department Stroke Wellness Resuscitation 40

Don't Forget the Bubbles

DECEMBER 2, 2024

This study relied on coding, and if the patient had not been coded as asthma, for example, and coded as pneumonia instead, these patients would not have been included in the study set. Cohort studies published between 2000 and November 2022, with 40 children, were included in the review. and 16.7% , respectively.

Documentation/Coding 98

Documentation/Coding Pediatrics Emergency Department Fractures 98

Dr. Smith's ECG Blog

APRIL 8, 2015

Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful. Syncope and cause of death were identified by codes from the International Classification of Disease, Ninth Revision. 21(11):935-40, 2000 Jun. European Heart Journal.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EB Medicine

JANUARY 2, 2019

For a completed abortion, you would expect a closed OS with no IUP on ultrasound with a previously documented IUP. However, if necessary, it’s certainly appropriate as long as there is a documented discussion of the risk and benefits with the patient. For a threatened abortion, the os would be closed with an IUP seen on ultrasound.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

Sensible Medicine

AUGUST 14, 2024

” Indeed, cause of death is coded differently over time and across counties, states, and countries. The pneumococcal vaccine arrived in 2000, solving 700 cases of meningitis, 17,000 cases of bloodstream infections, 200 deaths and five million ear infections per year in children. A rotavirus vaccine debuted in 2006.

CDC 91

CDC Sepsis Research Pediatrics 91

Sensible Medicine

JANUARY 27, 2025

The difference in use of statins and aspirin were about 100 (of 2000 per group) patients. The third problem with SCOT-HEART was that it was open-label and MI events were tallied using coding data. Comments: In 2018, I offered 5 reasons why I did not think a CT scan alone could shred MI rates by 41%.

Outcomes 120

Outcomes EKG/ECG Documentation/Coding Academics 120

Pediatric Education

NOVEMBER 19, 2023

Common routine treatment that parents may refuse includes: Hepatitis B vaccine is recommended to be given to all medically stable newborns of > 2000 gram birth weight in the United States to prevent vertical transmission and possible chronic hepatitis in the newborn. The author does not advocate alternative treatments or schedules.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40