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. Just 20% of a person’s health and general well-being is related to access to care and the quality of services.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Pediatric Emergency Playbook

JUNE 1, 2017

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Dr. Smith's ECG Blog

JUNE 20, 2018

A 40 something woman with a history of hyperlipidemia and additional risk factors including a smoking history presented with substernal chest pain radiating to "both axilla" as well as the upper back. The medicine note documents that the patient had worsening pain with lying flat and relief with leaning forward. 2 comments : 1.

EKG/ECG 52

EKG/ECG Documentation/Coding Wellness Ultrasounds 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. If you think your patient is the perpetrator, he may well be an innocent, or even an off-duty or undercover officer.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

EB Medicine

OCTOBER 1, 2018

Jeff : So as well all know Sepsis is bread and butter emergency medicine, but, what is sepsis? If it’s possible to establish an IV and initiate fluids without delaying transport, EMS should do that as well. Meaning, you’ve tried everything else, so you might as well try. Nachi : And of course, oxygen for the hypoxic patients!

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

Pediatric EM Morsels

AUGUST 18, 2023

None of the patients were documented to have joint disease at follow up. Oral Fluoroquinolone Prescribing to Children in the United States From 2006 to 2015. (Jackson 2016) It can also be used in UTIs , but is typically reserved for special cases where the infectious bacteria is found to be multidrug resistant or in complicated UTIs.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

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 134

EKG/ECG Documentation/Coding Wellness Emergency Department 134

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. It has been routine practice in the UK since 2006. In addition, free haem and haemoglobin contribute to the vascular damage. How would you treat priapism?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

The Injectable Orange

JUNE 20, 2017

While well evaluated, you see the residents go back to the shop floor and struggle to apply any of the lessons that the group agreed had been take homes from the previous sim session. How do they do it so well?” Well done”……. You go back to your office and try to come up with how you will make this happen. Stimulus by Prof.

Head Injuries 52

Head Injuries Documentation/Coding Wellness Resuscitation 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. The PSS-3 assesses for depression/hopelessness and suicidal ideations in the past 2 weeks as well as lifetime history of suicide attempt.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

A natural one, and especially suited for increasing capability without regard to physician residency program output of graduates, and in less-well-served rural areas. EMS in America: The Foundation Documents. Below, are in my view, the essential conditions and turning points for advancing to the level of care that we now know.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

RebelEM

MAY 15, 2024

The loss of these cells leads to immunosuppression as well as decreased responsiveness of the immune system as a whole Patients with neutropenia will not only get very sick very quickly, but also will have blunted immune response and may not localize signs of infection well Fever or malaise may be their only presenting symptoms.

Infectious Diseases 86

Infectious Diseases Administration Sepsis Anaphylaxis 86

Dr. Smith's ECG Blog

APRIL 8, 2015

True Syncope: If, on the other hand, the patient is well, had no other serious symptoms , has a normal sinus rhythm, and normal physical exam , then you need to be certain the syncope was not due to a dangerous brady- or tachydysrhythmia that could recur. Vasovagal syncope is generally benign. ED diagnosis of vasovagal syncope (-1) 8.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Don't Forget the Bubbles

JANUARY 20, 2025

Leprosy has been recognized and documented for thousands of years, historically surrounded by severe social stigma and misconceptions. Skin lesions are typically well-defined and hypo-pigmented with sensory loss. Whilst not well-established, this transmission mode is a subject of ongoing research. Scollard, D.M., Adams, L.B.,

Infectious Diseases 59

Infectious Diseases Research Documentation/Coding Hospitals 59

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Expiratory airway obstruction may well have been frequently misdiagnosed as it can produce breath-stacking and ball-valve obstruction that impedes any airflow with mask ventilation if neither a nasal nor an oral airway is used and the lips have closed under the mask. Lubricate well. Gerkin] Priceless. Always be gentle! Ludwig’s angina.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40