Don't Forget the Bubbles

MARCH 11, 2024

Recommendations for sudden infant death syndrome prevention: a discussion document. A., & Sauvé, R. The Incidence of Positional Plagiocephaly: A Cohort Study. Pediatrics, 132(2), 298–304. link] Mitchell, E. Archives of Disease in Childhood, 92(2), 155–159.

Radiology 57

Radiology Radiology Pediatrics Documentation/Coding 57

PHEM Cast

APRIL 21, 2021

Guidance documents College of Paramedics Statement on Intubation, available here. Annals of Emergency Medicine 2006; 47(6):548-555 Lewis SR, Butler AR, Parker J, Cook TM, Smith AF. AAGBI Safer Prehospital Anaesthesia 2017, available here. Tracheal intubation. Anaesthesia & Intensive Care Medicine. 20(12);681-686.

Airway Management 52

Airway Management Resuscitation EMS Hospitals 52

Don't Forget the Bubbles

MARCH 19, 2024

A 2006 publication on newborns hospitalised for over six months found that parents struggled to maintain their child’s high care needs, and 23% of infants lost contact with their birth parents. Key messages Consider social determinants of health and document these in a child’s clinical notes. What can clinicians do?

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Sensible Medicine

AUGUST 14, 2024

” Indeed, cause of death is coded differently over time and across counties, states, and countries. A rotavirus vaccine debuted in 2006. The definition of SIDS adopted at the Second International Conference of Sudden Death in Infants in 1969 did not require a death scene examination.

CDC 76

CDC Sepsis Research Pediatrics 76

The Injectable Orange

JUNE 20, 2017

This is met with resistance, “we’re too busy theirs not enough staff or time”, “the staff have done mock codes before, they really disrupt things and they hated them”. 1(1):49-55, Spring 2006 Symon, B, Simulcast Journal Club Summary August 2016 – Debrieifer Knows Best [link] Stimulus by Prof. ” Simulation in Healthcare 10 (2).

Head Injuries 52

Head Injuries Documentation/Coding Wellness Resuscitation 52

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. ➢ 2006 Jul;20(7):503-11. Epub 2008 Feb 2. PMID: 18427921; PMCID: PMC2291478. Hogan CJ, Ruland RT.

Documentation/Coding 52

Documentation/Coding Fractures Operations Research 52

PulmCCM

OCTOBER 16, 2023

A 2006 analysis showed much lower rates of CLABSI with PICC lines, compared to conventional central venous catheters (0.5 Are PICCs Less Infection-Prone than Other Central Lines? Peripherally-inserted central catheters (PICCs) are inserted through the skin into an arm vein, and advanced under ultrasound into large central veins.

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

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 120

EKG/ECG Documentation/Coding Wellness Emergency Department 120

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

It is well documented with continuous 12-lead monitoring that acute re-occlusion is frequently asymptomatic. Eur Heart J 2001;22:1997–2006. Here is the most recent documentation that T-wave inversion does indicate reperfusion: [link] 6. New ST elevation diagnostic of STEMI [equation value = 25.3 Gottlieb SO, et al.

EKG/ECG 52

EKG/ECG Documentation/Coding Emergency Department Wellness 52

Pediatric Emergency Playbook

APRIL 1, 2016

for the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. ACCF 2012 Expert Consensus Document on Practical Clinical Considerations in the Interpretation of Troponin Elevations. 2006; 118(4): 1165-1168. 2006; 107(1)21-31. Am J Cardiol. 2012;110:284 –289. Newby KL et al.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. Natural psycho-physiological responses may alter perceptions during the life-threatening event. Tejwani, N.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Dr. Smith's ECG Blog

JUNE 20, 2018

The medicine note documents that the patient had worsening pain with lying flat and relief with leaning forward. Journal of Emergency Medicine 2006; 31(1):67-77. I n the intervening 3 hours, new Q-waves have developed in leads V3 and V4, and deepened in V5 and V6. There was no history of preceding viral symptoms. 2 comments : 1.

EKG/ECG 52

EKG/ECG Documentation/Coding Wellness Ultrasounds 52

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. 2006; 87:e168-e171. 1986; 108(2):198-203. 15:1002-1004.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

MAY 3, 2019

Jeff: If those figures seem a bit high, another CDC study found that in a general population survey of a quarter million people between 2006-2008, 9% met the criteria for major depression. PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006. (US

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Don't Forget the Bubbles

JULY 5, 2023

It has been routine practice in the UK since 2006. However, there are documented adverse events such as haemorrhagic cerebrovascular accidents or recurrence of VOC after drug withdrawal, which represent a drawback in its regular use. How is sickle cell disease diagnosed?

Blood Transfusions 125

Blood Transfusions Stroke Dehydration Sepsis 125

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

EMS in America: The Foundation Documents. 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 medicine in the United States: a systemic review.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

RebelEM

MAY 15, 2024

2006 May 15;106(10):2258-66. Coding for Mucositis. Neutropenic Fever: Fever (one reading of 38.3C Clin Infect Dis. 2004;39(Suppl. 1):S32–S37 Kuderer NM, Dale DC, Crawford J, Cosler LE, Lyman GH. Mortality, morbidity, and cost associated with febrile neutropenia in adult cancer patients. Marín M, Gudiol C, Ardanuy C, Garcia-Vidal C.

Infectious Diseases 105

Infectious Diseases Administration Sepsis Anaphylaxis 105

EMDocs

NOVEMBER 16, 2024

Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 8 Perform and document distal neurovascular exam. 5 CT if concern for occult fracture. Hospitals, 2018.

EMS 76

EMS Dislocations Fractures Operations 76

EB Medicine

OCTOBER 1, 2018

Since this 2006 study, other studies have had mixed results - with studies showing increased odds of death with delays in abx administration and others showing only a benefit in those with septic shock with or without hypotension with no benefit to those without shock. But this isn’t limited to the air. vasopressin.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Confirming endotracheal placement: In addition to the usual required methods and documentation, remember that, most likely, your patient will still be breathing. If a beveled ETT, then rotate 90° to left to allow wedge shaped tip to center; if fails, rotate 90° again (total 180°) to move bevel fully left. Always be gentle! Do not miss.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

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. Quinn et al.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52