Don't Forget the Bubbles

JULY 26, 2023

This has been trialled (out of hospital) in known children with SVT. Upside-down position for the out of hospital management of children with SVT, Bronzetti et al, International Journal of Cardiology 2017 this showed that a modified position (upside down) improved cardioversion rates from 33% to 67%. www.cats.nhs.uk/wp-content/uploads/guideline-intubation.pdf

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

EMDocs

MAY 26, 2023

Patients may be brought to hospital by police under restraint (e.g. 2007 Oct;14(5):265-8. Conversely they may need to be present for patient and staff safety What if a patient arrives in handcuffs in police custody? West J Emerg Med. 2012 Feb;13(1):35-40. PMC3298214. Melamed E, Oron Y, Ben-Avraham R, Blumenfeld A, Lin G.

Pediatrics 98

Pediatrics Emergency Department Psychiatric Documentation/Coding 98

Don't Forget the Bubbles

DECEMBER 16, 2024

Manual for the laboratory diagnosis of measles and rubella infection Geneva: WHO Documents Production Services, 2007 Available from: [link] [Accessed 4 Oct 2024] Government of the United Kingdom. JOINT committee on vaccination and immunisation code of practice June. European Centre for Disease Prevention and Control.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

PulmCCM

FEBRUARY 19, 2024

Let Families Activate Rapid Response Teams, Says SCCM The Society of Critical Care Medicine (SCCM) issued a new guideline on how hospitals and care teams should respond to emergencies outside the ICU or ED (i.e., SCCM now suggests this should be a standard practice at most hospitals. on the medical and surgical wards). Read it here.

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

ACEP Now

AUGUST 1, 2023

Our Indiana ACEP colleagues have helped us all as emergency physicians in championing the passage of state legislation mandating a physician leading a hospital’s emergency department to be physically present in that hospital.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Northwestern EM Blog

SEPTEMBER 12, 2022

Written by: August Grace, MD (NUEM ‘24) Edited by: Andrew Rogers, MD, MBA (NUEM ‘22) Expert Commentary by : Andra Farcas, MD (NUEM ‘21) Introduction In the setting of trauma, most hospitals are adept at treating and managing patients with a variety of injuries. Time begins after the first patient arrives at the hospital [8].

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

EMDocs

JUNE 16, 2023

Episode 4 covered management of the agitated child in the pre-hospital environment. Over the past 50 years, mental health has shifted away from hospital-based to community-based care models. Episode 2 covered non-pharmacologic management and episode 3 covered pharmacologic management of agitation. Why are we boarding?

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

Dr. Smith's ECG Blog

JULY 11, 2018

Figure-1: Initial ECG, obtained pre-hospital from this 40-ish year old woman with new-onset chest pain ( See text ). Figure-2: TOP — Initial ECG obtained pre-hospital. In view of the lack of J waves in the pre-hospital tracing — it would certainly seen that these J waves were ischemia-induced , and markers of the “culprit artery”.

EKG/ECG 52

EKG/ECG Hospitals Documentation/Coding 52

Don't Forget the Bubbles

FEBRUARY 26, 2024

Evidence (although limited) suggests using HFNC can delay the initiation of NIV and result in longer intensive care and hospital stays. 2007 Jan 1;25(1):6-9. uk/document-library/clinical-information/asthma/btssign-asthma-guideline-2019. How does bi-level positive pressure ventilation work? Pediatric Critical Care Medicine.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

Pediatric Education

DECEMBER 10, 2023

The medical record also documented that the family had been provided with education regarding infant safe sleep practices during the newborn period. One study of US National Center for Health Statistics found from 2007-2016 that infants’ deaths from strangulation/suffocation increased for all groups studied.

Pediatrics 40

Pediatrics Documentation/Coding Research Hospitals 40

EB Medicine

JUNE 6, 2019

Taylor and Shaukat of Emory and Coney Island Hospital respectively for their efforts in peer reviewing this huge topic. Jeff: An interesting question for your abdominal pain patient is to ask about the ride to the hospital. Jeff: Before we dive into the meat and potatoes of this month’s issue, let me also recognize Drs. Jeff: True.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EB Medicine

MAY 3, 2019

It’s also important to elicit any psychiatric history, including prior hospitalizations. Next, schedule a follow up appointment, ideally within a week of discharge, and lastly, document the patient’s preferred follow up resources and steps taken to get them there. These patients typically do not require inpatient hospitalization.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

EMDocs

FEBRUARY 12, 2024

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. 2007 Aug;24(8):569-71. PMID: 16342377. (6) Emerg Med J. doi: 10.1136/emj.2007.046979.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 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. Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score. 2007 Oct; 33(3): 233–239. Heart 2008;94(12):1620–6.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

ACEP Now

DECEMBER 11, 2023

These changes are of note because data regarding limited efficacy were presented to the FDA in 2007 and 2015. An internal Schering-Plough study, first presented in 2007, described the metabolism and pharmacokinetics of a single oral dose of phenylephrine in 14 healthy volunteers. References U.S. Food and Drug Administration.

Administration 64

Administration Outcomes Research Stroke 64

EB Medicine

DECEMBER 1, 2018

They also estimate that an epidemic is responsible for 3 million hospitalized days and 31 million outpatient visits each year. Antigen drift refers to small point mutations to the viral genes that code for H and N. Nachi: But before we get into actual hospitalization, treatment, and preventing death, let’s talk about the differential.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40