2009, Documentation/Coding and Emergency Department

2009

Documentation/Coding

Emergency Department

Elbow Dislocations

RebelEM

NOVEMBER 6, 2024

Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. 2009 Mar;17(3):137-51. Anatomy, Shoulder and Upper Limb, Radial Nerve. 2023 Nov 5. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 30521261 Gottlieb M, Schiebout J. 2018.02.011.

Dislocations

Dislocations Fractures Soft Tissue Injuries Outcomes

The Broselow-Luten System

Pediatric EM Morsels

OCTOBER 27, 2023

James Broselow, a family medicine-turned-emergency medicine physician from Hickory, North Carolina , recognized that his team spent a lot of time trying to calculate doses of medications rather than spending their mental energy on the actual medical decisions for the resuscitation. Am J Emerg Med. Am J Emerg Med. x exp[0.02

Pediatrics

Pediatrics Resuscitation Documentation/Coding Wellness

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Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Trending Sources

Health Care Worker Unionization Uncommon, But Sometimes Necessary

ACEP Now

DECEMBER 17, 2024

We deal with difficult and traumatizing situations daily, and nowhere is this more apparent than in the emergency department, where sickness, violence, and death are routine. One of the first documented strikes among house staff officers took place in 1974 at Howard University here in Washington, D.C., died by suicide.

Burns

Burns Hospitals Documentation/Coding Emergency Department

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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The Pause- a recognition of a life

Don't Forget the Bubbles

AUGUST 23, 2023

In most Emergency Departments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’ 23 (2), pp.

Emergency Department

Emergency Department Resuscitation Documentation/Coding Best Practices

Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

MARCH 27, 2023

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. Unfortunately, its not clear whether the documentation came from RTs or ED providers.

Emergency Department

Emergency Department Operations Academics Documentation/Coding

PECARN STELAR Podcast – Episode 2: Food Insecurity

EMDocs

JULY 9, 2024

The emergency department takes care of some of the highest risk patients with the worst access to health care and social services Over the past 20 years, many researchers have created and validated social needs screeners Some examples: iHELP, WE CARE, SEEK, USDA 2-item food insecurity questionnaire Does screening make a difference?

Pediatrics

Pediatrics Emergency Department Research Burns

PEM Currents – Agitation in Children – Episode 2: Non-Pharmacologic Management

EMDocs

MAY 26, 2023

Emerg Med Clin North Am. 2009 Nov;27(4):655-67, ix. Emerg Med Clin North Am. 2009 Nov;27(4):655-67, ix. Structured team approach to the agitated patient in the emergency department. Emerg Med Australas. 2009 Jun;21(3):196-202. Deaths due to physical restraint. Dtsch Arztebl Int. PMC3272587.

Pediatrics

Pediatrics Psychiatric Emergency Department Documentation/Coding

SAEM Clinical Images Series: Fever with Rash

ALiEM

JANUARY 22, 2024

A 40-year-old male, tailor by occupation, was brought to the Emergency Department with complaints of high-grade fever for the past 11 days. Fever was documented to be 102°F and was not associated with any chills or rigors. 2009 Jan;11(1):66-72. Infect Dis Clin North Am. 2007 Dec;21(4):997-1011, ix. doi: 10.1016/j.idc.2007.08.002.

Academics

Academics Documentation/Coding Emergency Department Hospitals

J-Tip for infant Lumbar Puncture? Does needle free anesthetic help?

PEMBlog

MAY 11, 2023

There is inconclusive evidence that it’s better than placebo for IVs too – it may help… ( see Auerbach, 2009 ). These were used by two independent reviewers to determine Neonatal Facial Coding System with pain scores. Acad Emerg Med. 2009 May;16(5):388-93. Epub 2009 Apr 15. doi: 10.1111/j.1553-2712.2009.00401.x.

Documentation/Coding

Documentation/Coding Pediatrics Emergency Department Academics

Diagnostics and Therapeutics: Ear Emergencies in the Department

Taming the SRU

NOVEMBER 14, 2023

Chief complaints involving the ear are a common occurrence in Emergency Departments across the US and include presenting symptoms such as ear pain or fullness, hearing loss, redness, trauma, vertigo, and foreign bodies. A retrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 through 2011 identified 8.6

Emergency Department

Emergency Department Pediatrics Wellness Fractures

2024 ACEP Elections Preview: Meet the Board of Directors Candidates

ACEP Now

SEPTEMBER 5, 2024

While some issues are handled locally, many issues cannot be solved in our emergency department or hospital. As a community “pit doctor,” I believe I have a good understanding of the needs of emergency physicians. We must have a community of like-minded individuals working towards shared goals.

Leadership

Leadership PPE EMS Wellness

SGEM#229: I Fought the Law and the Law Won – But Would it Matter if I had a Resident?

The Skeptics' Guide to EM

SEPTEMBER 15, 2018

Intervention: Malpractice claims involving trainees (residents) in an emergency department setting over a three-year period from 2009-2012. Outcomes: Coded information covering a number of domains. Comparison: Malpractice claims not involving trainees in the same time period.

Documentation/Coding

Documentation/Coding Teamwork Hospitals Emergency Department

Forensic Evaluation of Motor Vehicle Accidents

ACEP Now

MAY 6, 2023

Case A 35-year-old male is brought to the emergency department (ED) following a single-motor-vehicle collision in which two people were ejected and pronounced dead at the scene. Manual of Forensic Emergency Medicine: A Guide for Clinicians. Sudbury, Massachusetts: Jones and Bartlett; 2009. Discussion There were over 2.1

Forensics

Forensics Documentation/Coding Head Injuries Fractures

emDOCs Podcast – Episode 81: Hemophilia

EMDocs

JULY 11, 2023

2009 Nov;15(6):1281-90. PMID: 7382250 MASAC Document 257 – Guidelines for Emergency Department Management of Individuals with Hemophilia and Other Bleeding Disorders. PMID: 7382250 MASAC Document 257 – Guidelines for Emergency Department Management of Individuals with Hemophilia and Other Bleeding Disorders.

Head Injuries

Head Injuries Pediatrics Dislocations CDC

SGEM#310: I Heard A Rumour – ER Docs are Not Great at the HINTS Exam

The Skeptics' Guide to EM

DECEMBER 5, 2020

Case: A 50-year-old female presents to your community emergency department in the middle of the night with new-onset constant but mild vertigo and nausea. As an alternative diagnostic method, the HINTS exam was first established in 2009 to better differentiate central from peripheral causes of AVS [4].

Stroke

Stroke Documentation/Coding Emergency Department Hospitals

The Silent Crisis: The impact of paediatric hospital social admissions

Don't Forget the Bubbles

MARCH 19, 2024

Becasue paediatric emergency departments are accessible out-of-hours they become the de facto place of safety with access to immediate support. Key messages Consider social determinants of health and document these in a child’s clinical notes. What can clinicians do? They can assume a ‘coordinating role’.

Hospitals

Hospitals Psychiatric Documentation/Coding Pediatrics

Big Labs, Little People

Pediatric Emergency Playbook

APRIL 1, 2016

used BNP in the emergency department to differentiate heart failure from respiratory causes in infants and children with heart failure and those with no past medical history. 2009; (55) 12:2098–2112. for the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. Cohen et al.

Pediatrics

Pediatrics Sepsis Shock Outcomes

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

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. Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients Arch Intern Med 2009 Jul 27; 169:1299-1305. Arch Intern Med 2009 Jul 27; 169:1262. Thiruganasambandamoorthy, V.,

Emergency Department

Emergency Department EKG/ECG Outcomes Seizures

75 year old with 24 hours of chest pain, STEMI negative

Dr. Smith's ECG Blog

JUNE 8, 2023

As they documented, “Paramedics noted patient’s 12 Lead appeared to have 1mm of elevation in III and borderline 1mm elevation in aVF, with mild depression in I and aVL. Cardiology documented “late presentation STEMI but likely aborted given resolution of ST changes from EMS to hospital.” Eur Heart J 2009 4 Lemkes et al.

EKG/ECG

EKG/ECG Documentation/Coding EMS Emergency Department

REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

MAY 15, 2024

Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. Application of the MASCC and CISNE Risk-Stratification Scores to Identify Low-Risk Febrile Neutropenic Patients in the Emergency Department.

Infectious Diseases

Infectious Diseases Administration Sepsis Anaphylaxis

Is Pip-Tazo Harming Sepsis Patients?

RebelEM

NOVEMBER 11, 2024

What They Did: Investigators performed a retrospective cohort study in the Emergency Department at the University of Michigan between July 1, 2014 through December 31, 2018. 2009 Dec;37(12):3114-9. 2009 Mar 26;360(13):1283-97. appeared first on REBEL EM - Emergency Medicine Blog. Ann Transl Med. Crit Care Med.

Sepsis

Sepsis Outcomes Administration Shock

Episode 23 - Influenza Diagnosis and Management in the Emergency Department

EB Medicine

DECEMBER 1, 2018

Antigen drift refers to small point mutations to the viral genes that code for H and N. When cells are infected by 2 or more strains, a new strain can emerge after genetic reassortment. In the emergency department, standard isolation and droplet precautions should be maintained for suspected or confirmed infections.

Emergency Department

Emergency Department CDC Infectious Diseases EMS