ACEP Now

JUNE 14, 2024

percent of patients—twice the rate in 2010 (Table 1). Once a patient is accepted somewhere, the facility must then begin the process of finding a transport resource, coordinating the right time of transfer with the receiving facility, and completing the required documentation. emergency departments.

Emergency Department 52

Emergency Department Operations Hospitals Leadership 52

Mind The Bleep

SEPTEMBER 17, 2024

Document clearly: The location of all wounds Medical photography or drawn labelled diagrams can aid in explaining the exact location. Always consider an ATLS approach to the assessment. Feel for any swelling/collection/abscess. Move: Assess the range of motion of the surrounding joints to help determine the involvement of adjacent structures.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

Pediatric EM Morsels

AUGUST 18, 2023

None of the patients were documented to have joint disease at follow up. Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications. There were 2523 children included. 451 pediatric patients were included.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Dr. Smith's ECG Blog

JULY 26, 2023

At this point — I learned a bit more about today's patient: The patient is a man who had an inferior STEMI in 2010. Evidence of the 2010 inferior infarction ( in the form of large inferior Q waves ) is present in both ECG #1 and ECG #3. We know today's patient had a documented inferior STEMI in 2010.

EKG/ECG 52

EKG/ECG Documentation/Coding Wellness 52

PHEM Cast

JANUARY 5, 2016

This is the Step 1,2,3 tool described: For more information on the toxidromes associated with various chemicals, biological agents and radiation sources have a look at this document (admittedly it’s a few years old but the content is still good, especially the flow chart which is pasted below): [link] What is an anti-muscarinic chemical?

Mass Casualty Incidents 52

Mass Casualty Incidents Documentation/Coding 52

ACEP Now

MAY 10, 2024

2014 ESC guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. Acad Emerg Med. 2024;31(2):112-118. Taming the zebra: unravelling the barriers to diagnosing aortic dissection. Emerg Med Australas. 2018;30:119–21.

Ultrasounds 52

Ultrasounds Outcomes Documentation/Coding Academics 52

Don't Forget the Bubbles

MAY 6, 2024

This multicentre retrospective cohort study looked at 202 children in California aged 1- 24 months who presented acutely between 2010 and 2021. of patients with follow-up documentation, 70.8% (95% CI 62.9–77.9) Data collected were the worst values documented within the same calendar day as the blood cultures were obtained.

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

ACEP Now

SEPTEMBER 5, 2024

A recent success by the ACEP was averting a decrease of our reimbursement for our 99284 E&M codes, saving an estimated $200 million for emergency physicians in 2023. If ACEP is already doing this, why be a member? ACEP has a voice for all, but its reach is limited by resources.

Leadership 98

Leadership PPE EMS Wellness 98

ACEP Now

MAY 5, 2023

retinal scan, fingerprints) Any unique identifying number or code There are important exceptions to confidentiality, to protect the patient and/or the public. 6 All states have mandatory reporting laws that establish a duty to report certain types of abuse or mistreatment to state and local authorities.

Emergency Department 52

Emergency Department Documentation/Coding 52

Sensible Medicine

AUGUST 14, 2024

” Indeed, cause of death is coded differently over time and across counties, states, and countries. They looked at 770 sudden unexpected infant deaths (SUID) across seven states between 2010 and 2012 to see how comprehensive the autopsies and death-scene investigations were.

CDC 71

CDC Sepsis Research Pediatrics 71

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). Annals of Emergency Medicine: Research Forum abstract| Volume 56, Issue 3, S104, September 2010. 2010.06.369. (22)

Emergency Department 94

Emergency Department Resuscitation COPD Shock 94

Taming the SRU

FEBRUARY 5, 2024

(1) However, it wasn’t until the 1890s that purposeful, successful, and safe attempts to access this fluid were documented (2). The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3).

Infectious Diseases 96

Infectious Diseases Seizures Ultrasounds Sepsis 96

PulmCCM

FEBRUARY 19, 2024

At Shands (the level 1 trauma center admitting adults), the panel relates the impressive results that mortality fell by 58%, and unplanned codes by 47% “after the widespread implementation of patient/ family activated RRT/MET.” Well … no. Family-Activated METs in Adults Halves Mortality?

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

Pediatric Emergency Playbook

AUGUST 1, 2018

0.34) Documented temperature >38° or >38.5°C 2010 Sep;126(3):e557-64. Use this new post-test probability to help in your decision Your patient has palatal petechiae, which confers a positive likelihood ratio (LR+) of 2.7 7.62) 0.94 (0.90-0.97) 0.97) 0.08 (0.05-0.14) 0.14) 0.98 (0.95-0.99) 0.99) Palatal petechiae 2.69 (1.92-3.77)

Pediatrics 52

Pediatrics Documentation/Coding 52

Taming the SRU

NOVEMBER 14, 2023

Foreign body removal steps Assess hearing before and after the procedure and document any suspected damage/injury prior to removal attempts so that these will not later be attributed to the procedure (6). 2010 Dec;26(6):451-5. Laryngoscope. 2015;125(8):1926-1933. doi:10.1002/lary.25197 Greywoode JD, Pribitkin EA, Krein H.

Emergency Department 92

Emergency Department Pediatrics Wellness Documentation/Coding 92

Downeast Emergency Medicine

APRIL 26, 2021

Trauma patients between the ages of 18-90 years had to have either had one documented episode of hypotension (defined as a systolic BP <90 mmHg) or tachycardia (>100 beats/minute) to be included in the study. Lancet 2010; 376:23-32.[ Pdf ] Rubiano AM, Carney N, Chestnut R et al. 2015;527(7578):s193-197.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

SheMD

MAY 11, 2023

Transcripts were coded to sort data into “leadership occurrences” or “unrelated to leadership” as well as critical treatment decisions. CPR-related performance items were coded by the second as present or absent. 2010; 85(8): 1276- 1281. How they measured things: Data was studied through video recordings collected for analysis.

Leadership 52

Leadership Documentation/Coding Teamwork CPR 52

Pediatric EM Morsels

JULY 5, 2024

We collected data directly from the bedside clinician which enabled us to gather pertinent patient symptoms and physical examination findings that may not be well documented in the medical record, but more accurately identify the child’s injuries.” 2010; doi:10.1016/j.annemergmed.2010.08.038. Lancet Child Adolesc Health. Ann Emerg Med.

Pediatrics 161

Pediatrics Head Injuries Dislocations Research 161

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Documents improvements in BVMs previously investigated and found deficient in FIO2. Classic pre-EMS document describing rescue care by rural volunteer squads. **Ruben’s description of essential portability of resuscitation equipment. Note novelty of use without a pressurized cylinder. Anaesthesia and intensive care, 38, 10-15.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

Ken Grauer, MD

JULY 29, 2023

The "good news" — is that we clearly see sinus P waves in ECG #1 , that document conversion to sinus rhythm ( ie, upright P waves in lead II that precede each QRS complex with a constant and normal PR interval ). (NOTE: The filter setting used a 150 Hz high-frequency cutoff. ) When I first saw this ECG — I had more questions than answers.

EKG/ECG 370

EKG/ECG Resuscitation Documentation/Coding Hospitals 370

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

EMS in America: The Foundation Documents. HISTORICAL BACKGROUND TO ACCIDENTAL DEATH AND DISABILITY: THE NEGLECTED DISEASE OF MODERN SOCIETY. Prehospital Emergency Care, 4(4), 285-289. Touchstone, Mike. Accessed 2/29/2016. Sakran, J. Werlin, E., & McCunn, M. No Author, No Date ©2016] American Association of Emergency Medicine.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Sensible Medicine

AUGUST 28, 2024

in 2010 to 19.3% Are parents more sleep-deprived as a result of Safe to Sleep, and what are the health consequence to children of that, for example car accidents? Are the skyrocketing rates of postpartum depression among mothers—from 9.4% ” These are strong words that most physicians would argue against.

Research 78

Research CDC Documentation/Coding 78

The Skeptics' Guide to EM

MARCH 31, 2023

You find her at the desk, asleep with her face on the keyboard, patient documentation half finished. Akerstedt 2010) Evidence is somewhat limited in medicine. As she tries to wipe the drool out of the keyboard, you ask how she has been sleeping recently.

Academics 52

Academics Documentation/Coding Emergency Department Outcomes 52

EB Medicine

AUGUST 6, 2019

Nachi: However, in 2010, the FDA approved the first DOAC, a real game-changer. Interestingly, one retrospective study found limited agreement between EMS records and hospital documentation on current DOAC usage. PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%.

Emergency Department 40

Emergency Department Stroke Wellness Outcomes 40

EB Medicine

JULY 8, 2019

Additionally, back in 2010, it was estimated that 6.6% Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications. PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%. Nachi: It sure is, but maybe even more worrisome is the rising prevalence of obesity.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

RebelEM

JANUARY 29, 2024

CHEST 2010. Efficacy and Safety of Low Dose Recombinant Tissue-Type Plasminogen Activator for the Treatment of Acute Pulmonary Thromboemolism: A Randomized, Multicenter Controlled Trial. PMID: 19741062 Kucher N et al. Circ 2014.

Stroke 136

Stroke Outcomes Hospitals Administration 136

RebelEM

MARCH 27, 2023

There may have very well been a policy where only RTs can make changes to a ventilator after an order was placed to ensure accurate documentation. Unfortunately, its not clear whether the documentation came from RTs or ED providers. 2011 Feb 15; Epub 2010 Aug 27. Am J Respir Crit Care Med. PMID: 20802164 Heimberg DH, et al.

Emergency Department 52

Emergency Department Operations Documentation/Coding Academics 52

EB Medicine

AUGUST 1, 2018

In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. From 2010 to 2011, the number of ED visits by children aged 12 to 17 years old due to synthetic cannabinoid use also has doubled.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Northwestern EM Blog

SEPTEMBER 12, 2022

Other things listed on tags can be a patient’s name, bar code, MRN or other tracking criteria. Florida Department of Health, www.urmc.rochester.edu/MediaLibraries/URMCMedia/flrtc/documents/WNY-Hospital-Medical-Surge-Planning-For-Mass-Casualty-Incidents.pdf. These patients are then able to be treated based on the level of care needed.

Mass Casualty Incidents 52

Mass Casualty Incidents Hospitals EMS Operations 52

RebelEM

SEPTEMBER 26, 2022

As described in the CONSORT statement, the use of p-values in table 1 is inappropriate as the study is not powered to show a difference in baseline characteristics between the treatment and control group in an RCT (Schulz 2010). CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials. Ann Intern Med.

Resuscitation 52

Resuscitation Blood Transfusions Outcomes Hospitals 52

Dr. Smith's ECG Blog

OCTOBER 6, 2018

Diagnosis of acute myocardial infarction in angiographically documented occluded infarct vessel: limitations of ST-segment elevation in standard and extended ECG leads. JACC 2010 Post hoc analysis of the TRITON-TIMI-38 randomized controlled trial comparing prasugrel with clopidogrel among ACS patients undergoing cardiac catheterization.

EKG/ECG 52

EKG/ECG Seizures Documentation/Coding Outcomes 52

RebelEM

MAY 15, 2024

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. Coding for Mucositis.

Infectious Diseases 103

Infectious Diseases Administration Sepsis Anaphylaxis 103

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

The History of Dräeger **An in-house corporate history and profile, shows early respiratory developments from 1889-2010. Accessed July 28, 2014 **Quoting original documents of fascinating history. Study finds EMS able to do more tasks, document better, perform physiological monitoring, with use of ATV. Pulmotor is 1907.

Resuscitation 40

Resuscitation CPR Documentation/Coding EMS 40

Pediatric Emergency Playbook

JUNE 1, 2017

The best documented cormorbidity is sickle cell disease, although other pro-thrombotic conditions also put the child at risk. 2010; 12(3): 3–8. Myocardial infarction in an adult resulting from coronary aneurysms previously documented in childhood after an acute episode of Kawasaki’s disease. 2010 Oct 1;33(10):821-42.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Advanced Emergency Nursing from AENJ

MAY 27, 2014

This is a cased kit of a Sparklet Resuscitator (J size), with pressure chamber, regulator, tubing, reservoir bag, flow stopcock, and funnel mask, with associated documents. St John History Volume 10 (2010-2011) **Australian review of Sparklet Resuscitators and CO2 therapy. Select Bibliography: Fahey, D OStJ. Biographical Memoirs, V.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

EB Medicine

JANUARY 2, 2019

A 2010 Meta-Analysis found a NPV of 99.96% when an er doc identified an IUP on bedside ultrasound. For a completed abortion, you would expect a closed OS with no IUP on ultrasound with a previously documented IUP. So keep doing your bedside scans with confidence. Patients may or may not note the passage of products of conception.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

Don't Forget the Bubbles

NOVEMBER 5, 2023

They analysed the French National Health Insurance registry of all pregnancies and births from 2010 to 2018 and found that there was an increased risk of hospitalization in children who had had a PPI (with adjusted hazard ratios between 1.34 Persaud N, et al. Arch Dis Child. 2023 Oct 27. Græsholt-Knudsen T, et al. Eur J Pediatr. 2023 Oct 27.

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105