Remove 2008 Remove Documentation/Coding Remove Outcomes
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SGEM#256: Doctor Doctor Give Me the News, I Gotta Bad Case of RLQ Pain – Should I have an Appendectomy?

The Skeptics' Guide to EM

Background: The first documented appendectomy was done by Claudius Amyand in 1735. Omar et al (2008) showed just how safe laparoscopic appendectomies have become. Exclusion: Patients with co-occurring diagnosis or procedure codes consistent with complicated appendicitis and patients lacking appendectomy codes.

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High Pressure Injection Injury

Cook County EM Blog

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. ➢ 2008 Apr;3(1):27-33. Epub 2008 Feb 2. 2008 Jan;12(1):33-6. 2008 Dec;3(4):340-5.

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The Latest in Critical Care, 10/30/23 (Issue #18)

PulmCCM

IDSA cites multiple large observational studies showing no improvement in sepsis outcomes at many centers after SEP-1 implementation. In 2008, the U.S. And maybe, noticing all the fuss, some clinicians might have started coding for VAP slightly less often in equivocal cases. It used to be highly prevalent in U.S. Just kidding!

Sepsis 52
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Compare these two ECGs. Do either, neither, or both show anything important?

Dr. Smith's ECG Blog

Full case details and outcomes are below. His HEAR score (before troponin resulted) was documented at 3, with documentation stating "low suspicion for ACS." Chest pain is documented as ongoing. de Winter et al in N Engl J Med 359:2071-2073, 2008. Case 1: Case 2: Case 1: What do you think? See text ).

EKG/ECG 52
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The Latest in Critical Care, 2/5/24 (Issue #28)

PulmCCM

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. You can read the document here. Read the original document here. What’s a Fever?

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Episode 14: Thoracotomy

PHEM Cast

Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. Injury; 2008 (39): 967-969. Emergency thoracotomy in thoracic trauma: a review. Injury; 2006 (37): 1-19. Clay et al. World Journal of Emergency Surgery; 2006: 1:4. Rhee et al. J Am Coll Surg; 2000. J Am Coll Surg.

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See this "NSTEMI" go unrecognized for what it really is, how it progresses, and what happens

Dr. Smith's ECG Blog

When Pendell and I are coding ECGs for the Queen's training, this is one category: "Definite ischemia, difficult to differentiate between posterior OMI and subendocardial ischemia." Yet this is rarely followed, and patient outcomes like this are the result once in a while. Smith : I think it looks more like posterior OMI.

EKG/ECG 85