The Skeptics' Guide to EM

OCTOBER 1, 2022

Unfortunately, poor pain control persists despite the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) making pain “the fifth vital sign” in 2001 to raise the awareness of oligoanalgesia in the ED. There are many therapeutic options available to clinicians to address their pain. Brown et al , Selbst and Clark ).

Pediatrics 52

Pediatrics Emergency Department Documentation/Coding Research 52

ACEP Now

APRIL 2, 2024

4 The association between ackee ingestion and the illness was initially recognized in 1875 and officially documented in 1904. 5 Despite being endemic to Jamaica, cases of THS have been reported across the world, with the first case in the United States documented in 1993. Am J Trop Med Hyg. 2015;93(5):1122–3. Joskow R, Belson M, et al.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

EMDocs

JUNE 2, 2023

mg/kg/dose (IM/IV) Has a FDA Black Box warning in 2001 citing concerns of QT prolongation and torsades de pointes (TdP). Document what you gave and why, as well as the impact. Haloperidol (Haldol) – 0.5-5 5 mg PO; 0.05-0.15 mg/kg IM (up to 5 mg/dose) Chlorpromazine (Thorazine) – 0.55 mg/kg/dose (PO/IM) Droperidol – 0.03-0.07

Psychiatric 66

Psychiatric Pediatrics Emergency Department Administration 66

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Cardiology consult note written around that time documents that "Pain improved with NTG, morphine in ED but still present." Smith comment: But the tests (ECG and troponin) are extremely specific and so the post test probability is nearly 100%. Repeat cTnI drawn at around 8 AM was 3.910 ng/mL. This patient was not one of the lucky 6.4%

EKG/ECG 113

EKG/ECG Documentation/Coding Wellness Emergency Department 113

PulmCCM

OCTOBER 16, 2023

per 1,000 central-line days between 2001 and 2009. As effective practices spread (and changes in reporting occurred), nationwide rates of CLABSI in the U.S. also decreased from 3.64 CLABSI rates then increased dramatically during the Covid-19 pandemic.

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

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. Video] Sep 15, 2013.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

EB Medicine

OCTOBER 1, 2018

Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Then in 2001, sepsis-2 was introduced. The CMS metrics are slightly different from the 2001 sepsis guidelines also. Jeremy, can you give us a little historical context there? Jeff : Yes it has!

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

Dr. Smith's ECG Blog

OCTOBER 6, 2018

Diagnosis of acute myocardial infarction in angiographically documented occluded infarct vessel: limitations of ST-segment elevation in standard and extended ECG leads. Chest 2001 1788 patients with acute MI (diagnosed by clinical symptoms and positive CK-MB) were prospectively enrolled and all underwent emergent coronary angiography.

EKG/ECG 40

EKG/ECG Seizures Documentation/Coding Outcomes 40

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). 2001 Oct;27(10):1606-13. N Engl J Med. 1989 May 18;320(20):1312-6. doi: 10.1056/NEJM198905183202004. PMID: 2535633. (9)

Emergency Department 94

Emergency Department Resuscitation COPD Shock 94

EB Medicine

DECEMBER 4, 2019

Nachi: AEDs are also required and have been since 2001 and amazingly when a shock was delivered in flight, 40% survived to hospital discharge with a good outcome. PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%. Of course, there are also gloves, an IV start kit, and a few other basic supplies.

Dehydration 40

Dehydration Wellness EMS Burns 40

EB Medicine

AUGUST 1, 2018

In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. Nachi: All of that being said though, there is an absence of high-quality reviews and evidence to support the use of cannabinoids for any of the indications you just mentioned.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

RebelEM

NOVEMBER 11, 2024

Reliance on Electronic Health Records Data : As with many retrospective studies, reliance on EHR data for identifying eligible patients and outcomes is prone to inaccuracies, missing data, and variability in clinical documentation practices. 2001 Nov 8;345(19):1359-67. Intensive insulin therapy in critically ill patients. N Engl J Med.

Sepsis 84

Sepsis Outcomes Administration Shock 84

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. 111(3):177-84, 2001 Aug 15. Rajeswaran A. Metzger JT.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52