PHEM Cast

DECEMBER 12, 2016

Resuscitation; 2011: 1194-1197 pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out. Guidelines for withholding or termination of resuscitation in prehospital cardiopulmonary arrest.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

RebelEM

JANUARY 29, 2024

Management of Massive and Submassive Pulmonary Embolism, Iliofemoral Deep Vein Thrombosis, and Chronic Thromboembolic Pulmonary Hypertension: A Scientific Statement from the American Heart Association. PMID: 21422387 Wan S et al. Circ 2004.

Stroke 136

Stroke Outcomes Hospitals Administration 136

Maria Yang, MD

DECEMBER 14, 2024

Internet platforms profit from obtaining information from children without parents knowledge or consentand social medias effect on the well-being of American children is well-documented. adolescents between 2011 and 2019, with similar trends worldwide. Around 2012, American teens experienced a dramatic decline in wellness.

Documentation/Coding 40

Documentation/Coding Wellness 40

ACEP Now

NOVEMBER 13, 2023

FIGURE 1: Number of nonfatal workplace violence injuries and illnesses with days away from work, 2011-18. 5 Hospitals commonly activate a “code” in response to agitated patients, alerting security personnel to the location of that patient. Click to enlarge.) are caused by a behavioral crisis.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

Mind The Bleep

FEBRUARY 27, 2024

The FEAST study published in 2011 was undertaken across centers in Uganda, Kenya and Tanzania, and randomly allocated children presenting with severe infection and impaired perfusion to groups receiving albumin bolus, saline bolus or no bolus.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records. Based upon California Health and Safety Code 102850 and Government Code 27491. Based upon California Health and Safety Code 102850 and Government Code 27491.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Dr. Smith's ECG Blog

AUGUST 26, 2009

Research presented at 2011 SAEM in Boston. Methods : We searched the catheterization laboratory database for all cases coded as acute Inferior STEMI from January 2002 through March 2008. Also, remember the value of lead aVL: see this post. And this one Click here for a great case of developing inferior MI with hyperacute T-waves.

EKG/ECG 52

EKG/ECG Documentation/Coding Research Academics 52

Dr. Smith's ECG Blog

JULY 21, 2024

In both tracings — an exceedingly fast PMVT is documented. Of interest — the ectopic beats triggering PMVT/VFib in such studies were often mapped to endocardial sites displaying Purkinje potentials within the myocardial scar — suggesting potential responsivity to a 1A agent ( Nogami — Pacing Clin Electrophysiol 34(8): 1034-1049, 2011 ).

EKG/ECG 131

EKG/ECG Shock Hospitals Sepsis 131

PHEM Cast

APRIL 21, 2021

Guidance documents College of Paramedics Statement on Intubation, available here. 2011 Dec;82(12):1519-24. Epub 2011 Jul 2. AAGBI Safer Prehospital Anaesthesia 2017, available here. Tracheal intubation. Anaesthesia & Intensive Care Medicine. 20(12);681-686. Resuscitation. doi: 10.1016/j.resuscitation.2011.06.028.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Don't Forget the Bubbles

FEBRUARY 26, 2024

2011 Oct;46(10):949-55. uk/document-library/clinical-information/asthma/btssign-asthma-guideline-2019. 2011 Aug;37:1338-43. Mayordomo‐Colunga J, Medina A, Rey C, Concha A, Menéndez S, Arcos ML, Vivanco‐Allende A. Non‐invasive ventilation in pediatric status asthmaticus: a prospective observational study. Pediatric pulmonology.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

Don't Forget the Bubbles

MAY 6, 2024

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. The data was collected from a cohort from 2011- 2015 (nearly ten years ago). Of the 74.9% showed clinical improvement without antibiotics.

Sepsis 75

Sepsis Pediatrics Outcomes Documentation/Coding 75

ACEP Now

OCTOBER 26, 2023

In this case, reasonable would mean that the person requesting PHI confirms that they are the patient’s clinician and that any transmitted documents will have secure receipt, e.g., to the department’s fax machine at the clerk’s desk, away from any general access. Published 2011. GovInfo website. Accessed October 9, 2023.

Infectious Diseases 52

Infectious Diseases Documentation/Coding Hospitals Emergency Department 52

RebelEM

SEPTEMBER 11, 2023

Moreover, surgeons may seek “official” documentation in a patient’s chart before surgery. 2011 Mar;18(3):227-35. Furthermore, images were stored in a PACS system, allowing ED physicians to interpret the images and store them in the patient’s electronic medical record. Acad Emerg Med. PMID: 21401784.

Ultrasounds 68

Ultrasounds Radiology Radiology Emergency Department 68

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. Myocardial infarction in an adult resulting from coronary aneurysms previously documented in childhood after an acute episode of Kawasaki’s disease. 2011; 2(1):70-72. 2011 Jan-Jun; 4(1): 81–83.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Taming the SRU

NOVEMBER 14, 2023

A retrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 through 2011 identified 8.6 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).

Emergency Department 94

Emergency Department Pediatrics Wellness Fractures 94

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. PMID: 19325480 Gajic O, et al. Am J Respir Crit Care Med.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. Natural psycho-physiological responses may alter perceptions during the life-threatening event. Gustafson, C.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

ACEP Now

AUGUST 1, 2023

emergency department deserves access to an emergency physician no matter their zip code. Three take home points for what I believe. There is no substitution for the physician led team. Every patient in a U.S. At no point should a physician role be replaced by a NPP for any reason, but especially as a perceived profit/control strategy.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. 2 The astute paramedic recognized this possibility and announced a CODE STEMI. Heart 2011; 97 : 838-843 [link] 14. Look at the aortic outflow tract. What do you see? J Am Coll Cardiol.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

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

Dr. Smith's ECG Blog

APRIL 15, 2019

In this abstract from 2011, we found that 4%(4 of 99) type 2 MI and 38% of type 1 MI had ST Elevation. CLICK HERE — for the ESC/ACC/AHA/WHF 2018 Consensus Document on the 4th Universal Definition of MI, in which these concepts are discussed and illustrated.

EKG/ECG 40

EKG/ECG Sepsis Documentation/Coding Shock 40

Don't Forget the Bubbles

JUNE 10, 2024

The history of necrotising enterocolitis The earliest documented cases resembling Necrotising enterocolitis (NEC) date back to the late 19th and early 20th centuries. Let’s delve into the significant challenges posed by small bellies: big battles – the not-so-simple case of necrotising enterocolitis. Necrotizing enterocolitis.

Pediatrics 40

Pediatrics Sepsis Fluid Resuscitation Outcomes 40

Mind The Bleep

FEBRUARY 7, 2024

Should also document presence of shunt, size and direction. 52-60, 2011. If performing an echo you should assess left and right ventricle output, myocardial performance, systemic vascular resistance, mean arterial pressure, diastolic function, and filling. Filling may be reduced in severe pulmonary hypertension. 2/3 systemic is normal.

Wellness 52

Wellness Seizures Documentation/Coding Operations 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

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). Epub 2011 Dec 12. 2011 Aug;71(2 Suppl 3):S364-9. Epub 2011 Jun 9. Am J Emerg Med. 2012 Oct;30(8):1371-7.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

RebelEM

MAY 15, 2024

2011 Jun;153(6):773-9. Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america, Clinical Infectious Diseases, 2011, 52(4):e56-93.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

Don't Forget the Bubbles

JUNE 5, 2023

Babies born between March-May 2020 were compared with a historic baseline” cohort of babies (1 629 babies ) born between 2008-2011. This prospective cohort study tried to document the effectiveness of antibiotics prescribed for chest infections in children. vs 89.3%), could point (83.8% vs vs 92.8%) or wave bye-bye (87.7% vs

Outcomes 124

Outcomes Research Wellness Documentation/Coding 124

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

Oxygen Therapy: The First 150 Years Curiosities, Quackeries, and Other Historical Trivia A CHRONOLOGY FROM PRIESTLEY TO HALDANE, BASED MAINLY ON ORIGINAL SOURCES With Editorial Comment Website updated 4/12/2011. Accessed July 28, 2014 **Quoting original documents of fascinating history. Grainge, C. Copass, M. K., & Joyce, T.

Resuscitation 40

Resuscitation CPR Documentation/Coding EMS 40

Taming the SRU

SEPTEMBER 1, 2023

for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

EB Medicine

JANUARY 2, 2019

For a completed abortion, you would expect a closed OS with no IUP on ultrasound with a previously documented IUP. Per a 2010 and 2011 Cochrane review, there is not evidence to recommend one antibiotic over another, so let your local antibiograms guide your treatment. Patients may or may not note the passage of products of conception.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

Pediatric EM Morsels

OCTOBER 6, 2023

Obasi 2020) Hepatic and splenic abscesses have been documented in children, and splenic rupture is particularly associated with cases of MDR typhoid fever. 2011 May 26:342:d2978. (Shah 2021) Acalculous cholecystitis has been described in children which has led to rare reports of gallbladder perforation. Diagnosis of Enteric Fever.

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

Don't Forget the Bubbles

AUGUST 10, 2023

Descriptive Terms When describing injuries of the hand for documentation or referral purposes it is important to know the terminology that is widely in use in order to convey an accurate description to others. Hand dominance, mechanism of injury and vascular, neurological, and musculoskeletal status should all be evaluated and documented.

Fractures 52

Fractures Soft Tissue Injuries Emergency Department Operations 52

Mind The Bleep

DECEMBER 6, 2024

and (2022), A BURST-BAUS consensus document for best practice in the conduct of scrotal exploration for suspected testicular torsion: the Finding Consensus for Orchidopexy in Torsion (FIX-IT) study. British Association of Urological Surgeons (BAUS) consensus document for the management of male genital emergencies – testicular trauma.

Documentation/Coding 52

Documentation/Coding Operations Ultrasounds Hospitals 52

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Confirming endotracheal placement: In addition to the usual required methods and documentation, remember that, most likely, your patient will still be breathing. June 6, 2011. If a beveled ETT, then rotate 90° to left to allow wedge shaped tip to center; if fails, rotate 90° again (total 180°) to move bevel fully left. Rogue Medic.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

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