Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. What do you see?

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Pediatric EM Morsels

JULY 28, 2023

A critical MORSEL is that every child you treat for DKA needs to have an initial thorough neuro exam including cranial nerves and then frequent neuro reassessments … and document it ( so your colleagues who take over care for the kid can know if there has been a change )! 2009 Apr;10(2):155-7. Diabetes Ther. 2010 Dec;1(2):103-20.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

EMDocs

MAY 26, 2023

2009 Nov;27(4):655-67, ix. 2009 Jun;21(3):196-202. Restraints should not be applied indefinitely, and multiple reevaluations should be done to determine when it is safe to remove restraints. Coburn VA, Mycyk MB. Physical and chemical restraints. Emerg Med Clin North Am. doi: 10.1016/j.emc.2009.07.003. 2009.07.003. PMID: 19932399.

Pediatrics 97

Pediatrics Psychiatric Emergency Department Documentation/Coding 97

Dr. Smith's ECG Blog

JUNE 8, 2023

Written by Jesse McLaren A 75 year old with a history of CABG called EMS after 24 hours of chest pain. STEMI negative : the EMS automated interpretation read, “STEMI negative. Cardiology documented “late presentation STEMI but likely aborted given resolution of ST changes from EMS to hospital.” What do you think?

EKG/ECG 86

EKG/ECG Documentation/Coding EMS Emergency Department 86

RebelEM

MAY 15, 2024

Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Coding for Mucositis. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 122.0 – Neutropenic Fever appeared first on REBEL EM - Emergency Medicine Blog. Neutropenic Fever: Fever (one reading of 38.3C

Infectious Diseases 98

Infectious Diseases Administration Sepsis Anaphylaxis 98

ACEP Now

MAY 6, 2023

EMS reports starring and significant damage to the windshield and show you a picture (Figure 1). FIGURE 1: EMS Photo of damaged windshield showing star/spider web pattern from impact of occupant. Sudbury, Massachusetts: Jones and Bartlett; 2009. He is completely amnestic to the events of the accident. Click to enlarge.)

Forensics 52

Forensics Documentation/Coding Head Injuries Fractures 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Advocacy for Trauma Care and EMS Development. Development of EM Residencies. Organized EM supporting Rapid Sequence Intubation and other airway advances. Organized EM supporting Rapid Sequence Intubation and other airway advances. EM begins to "Own the Airway" (emergent). EDNA->ENA. Touchstone, Mike.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 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. 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. Ann Emerg Med 2009 Dec; 54:769.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

RebelEM

NOVEMBER 11, 2024

4 The 2023 ACORN Trial ( covered here on REBEL EM ) randomized 2,511 patients requiring antipseudomonal coverage to receive either cefepime or piperacillin-tazobactam. 2009 Dec;37(12):3114-9. 2009 Mar 26;360(13):1283-97. appeared first on REBEL EM - Emergency Medicine Blog. In 2021, Buckley et. 3 The same year, Ross et.

Sepsis 108

Sepsis Outcomes Administration Shock 108

The Skeptics' Guide to EM

MARCH 15, 2025

In typical EM fashion, he spends his spare time SCUBA diving and battling a crippling caffeine addiction. Not only does the liberal presence of such reference numbers impart an aura of scholarship, but their judicious placement after this or that assertion subtly suggests documented validity. This is another SGEM Xtra. J Hand Surg Am.

Academics 65

Academics Research Documentation/Coding EMS 65

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

We’ve heard, or been through, tales of early EM when BNTI was the fall-back for awkward intubations before EM could claim credentialing for RSI. Confirming endotracheal placement: In addition to the usual required methods and documentation, remember that, most likely, your patient will still be breathing. Always be gentle!

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

EB Medicine

DECEMBER 1, 2018

Antigen drift refers to small point mutations to the viral genes that code for H and N. Jeff: In fact, a meta-analysis on vaccine effectiveness from 2004-2015 found that the pooled effectiveness against influenza B was 54%, against the H1N1 pandemic in 2009 was 61%, and against the H3N2 virus was 33%.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

EMDocs

NOVEMBER 6, 2024

tetani infection is also indicated.

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98