EMDocs

SEPTEMBER 23, 2023

Brugada sign refers to the findings on ECG, while Brugada syndrome is the combination of ECG findings with one of the following: documented ventricular tachycardia or fibrillation, syncope, family history of sudden cardiac death at < 45 years old, or inducible ventricular tachycardia with programmed electrical stimulation. Heart Rhythm.

EMS 102

EMS EKG/ECG Documentation/Coding Emergency Department 102

EMDocs

MAY 26, 2023

2012 Jan;109(3):27-32. 2012 Feb;13(1):35-40. Restraints should not be applied indefinitely, and multiple reevaluations should be done to determine when it is safe to remove restraints. Deaths due to physical restraint. Dtsch Arztebl Int. PMC3272587. Coburn VA, Mycyk MB. Physical and chemical restraints. Emerg Med Clin North Am.

Pediatrics 94

Pediatrics Emergency Department Psychiatric Documentation/Coding 94

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. Around 2012, American teens experienced a dramatic decline in wellness. adolescents between 2011 and 2019, with similar trends worldwide.

Documentation/Coding 40

Documentation/Coding Wellness 40

Pediatric Emergency Playbook

AUGUST 1, 2018

0.34) Documented temperature >38° or >38.5°C 2012 This post and podcast are dedicated to Sarah Werner for her constant encouragement of the story in all of us. 0.34) Documented temperature >38° or >38.5°C 2012 This post and podcast are dedicated to Sarah Werner for her constant encouragement of the story in all of us.

Pediatrics 52

Pediatrics Documentation/Coding 52

Resus Review

SEPTEMBER 28, 2015

Inappropriate delay of establishing a surgical definitive airway with a cricothyrotomy has been documented in field and hospital operations 1,2. 2012; 12:17. This can be attributed to many factors including: Failure to recognize Can’t Intubate-Can’t Ventilate scenario. Selected Readings Mabry RL, Frankfurt A.

Operations 52

Operations Documentation/Coding Hospitals 52

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

mEq/L for Mg++ ) — given that ECF levels of these cations comprise only ~1-2% of total body stores ( Jahnen-Dechent and Ketteler — Clin Kidney J 5(Suppl 1):i3-i14, 2012 — and — Udensi and Tchounwou — Int J Clin Exp Physiol 4(3): 111-122, 2017 ). mEq/L for K+ and 1.76

Seizures 114

Seizures EKG/ECG EMS Stroke 114

Mind The Bleep

SEPTEMBER 14, 2024

References British Society for Surgery of the Hand – Flexor Sheath Infection Document Pang H-N, Teoh L-C, Yam AK, et al. 2012; 17 (2):199–203. 2007) Factors affecting the prognosis of pyogenic flexor tenosynovitis. J Bone Joint Surg Am 89 (8):1742–1748 Nikkhah D, Rodrigues J, Osman K, Dejager L.

Operations 52

Operations Sepsis Documentation/Coding 52

PEMBlog

MAY 11, 2023

These were used by two independent reviewers to determine Neonatal Facial Coding System with pain scores. The primary outcome was the difference between the Neonatal Faces Coding Scale (NFCS) before the procedure and during LP needle insertion. 2012 Jul;28(7):687-90. for the lidocaine group and 4.8 (0.5) Pediatr Emerg Care.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 52

Pediatric Emergency Playbook

APRIL 1, 2016

2012; 33:1040–1045. for the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. ACCF 2012 Expert Consensus Document on Practical Clinical Considerations in the Interpretation of Troponin Elevations. 2012; 60(23): 2427-2463. 2012; 19:1276–1280. Clinical Chemistry.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Don't Forget the Bubbles

JULY 26, 2023

Cardiac testing and outcomes in infants after an ALTE, Hoki et al, Archives of Disease in Childhood 2012 showed significant cardiac disease was present in <1% of patients presenting with ALTE (although cardiac abnormalities were found in 4% overall). The only clinical predictor of cardiac disease was prematurity.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

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. 8, 2012 12:12 a.m. Spinal Cord (2014) 52, 504–510; doi:10.1038/sc.2014.56; By John Fund.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

ACEP Now

JULY 7, 2023

Mental health evaluation teams can rely on documentation and interviews to understand a patient’s initial agitation level. 2012 Feb;13(1):17-25. 2012 Feb;13(1):26-34. However, rapid initiation of treatment is actually patient-centered care that can both lead to better outcomes and limit ED boarding. West J Emerg Med.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

Sensible Medicine

MARCH 27, 2024

Peter Attia - From Surgeon to Longevity Guru I first encountered Peter Attia online while researching ketosis , the Atkins diet and low carb diets in 2012 and found his writing to be incredibly well-researched and helpful. I keep my own apoB and LDL-C levels in the 40s.

Research 113

Research Documentation/Coding Wellness 113

Pediatric Emergency Playbook

JUNE 1, 2017

The Systemic Lupus International Collaborating Clinics (SLICC) revised the criteria in 2012. The best documented cormorbidity is sickle cell disease, although other pro-thrombotic conditions also put the child at risk. 2012; AID 471759. 2012; 7:19796. Blog Post] July 22, 2012. 2015; 19(2):e107-e109. Cardiol Young.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Cardiology consult note written around that time documents that "Pain improved with NTG, morphine in ED but still present." Smith comment: But the tests (ECG and troponin) are extremely specific and so the post test probability is nearly 100%. Repeat cTnI drawn at around 8 AM was 3.910 ng/mL. This patient was not one of the lucky 6.4%

EKG/ECG 132

EKG/ECG Documentation/Coding Wellness Emergency Department 132

Advanced Emergency Nursing from AENJ

JULY 9, 2015

Pull out the manikins (or use a volunteer; BVM only) and run some awkward codes! Video] Oct 30, 2012. Pediatric Airway: brief intro for trauma providers} [Video] May 21, 2012. Video] Dec 19, 2012. How versatile are your airway skills? Oh, sure, you can handle any supine situations! Gather everyone. Nickson, Chris.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

PHEM Cast

APRIL 21, 2021

Guidance documents College of Paramedics Statement on Intubation, available here. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2 AAGBI Safer Prehospital Anaesthesia 2017, available here. Tracheal intubation. Anaesthesia & Intensive Care Medicine. 20(12);681-686. e2 Delson NJ et. Levitan RM et al.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Northwestern EM Blog

SEPTEMBER 26, 2022

It is well-documented that ED physicians have historically high rates of burnout compared to other specialties as well as a high incidence of post-traumatic stress disorder (PTSD) compared to the general population. Gilmartin, S., Callanan, I., & Salter, N. Promoting hot debriefing in an emergency department. Tannenbaum, S.

Resuscitation 52

Resuscitation Emergency Department Academics Wellness 52

Don't Forget the Bubbles

MARCH 11, 2024

Recommendations for sudden infant death syndrome prevention: a discussion document. The Incidence of Positional Plagiocephaly: A Cohort Study. Pediatrics, 132(2), 298–304. link] Mitchell, E. Archives of Disease in Childhood, 92(2), 155–159. Helmet therapy in infants with positional skull deformation: randomised controlled trial. Wilbrand, M.,

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

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. Arch Surg 2012; 147:113-119.[ J Thromb Haemost 2019;17:852-862.[ Pubmed ] Morrison JJ, Dubose JJ, Rasmussen TE et al.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Dr. Smith's ECG Blog

JULY 22, 2023

Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon. Drugs that have been associated with Brugada ECG patterns include tricyclic antidepressants, anesthetics, cocaine , methadone, antihistamines, electrolyte derangements, and even tramadol. [2]. Fever and Brugada syndrome.

EKG/ECG 92

EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Administration 92

Don't Forget the Bubbles

OCTOBER 10, 2024

2012 Aug 15;(8):CD004872. Inclusion criteria required documented acute streptococcal pharyngitis, as per positive throat swab culture or rapid antigen testing, in patients 1-18 years of age. Short-term late-generation antibiotics versus longer-term penicillin for acute streptococcal pharyngitis in children. Cochrane Database Syst Rev.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

ACEP Now

MARCH 13, 2024

Consequences of this are well documented and include delayed treatment, exposure to error, increased length of stay, and increased mortality. 2012): 2470-2478. Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. J Natl Med Assoc.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

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.” Family-Activated METs in Adults Halves Mortality?

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

Dr. Smith's ECG Blog

MAY 8, 2023

Code STEMI was activated by the ED physician based on the diagnostic ECG for LAD OMI in ventricular paced rhythm. Annals of Emergency Medicine 2012; 60(12):766-776. Triage ECG: What do you think? This is diagnostic of proximal LAD occlusion. This is a huge anterolateral OMI. I cannot be anything else.

EKG/ECG 52

EKG/ECG Documentation/Coding Outcomes Shock 52

RebelEM

DECEMBER 28, 2022

Conducted at 2 US Veterans Affairs medical centers from 2012–2019. Patients were enrolled after the initiation of treatment through a search for diagnosis codes and antibiotic prescriptions. PMID 34313686 Clinical Question: Are seven days of antibiotics noninferior to 14 days in afebrile men with presumed UTIs?

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

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. Scand J Trauma Resusc Emerg Med, 20, 64. PMC copy ] AAEM History. [No

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Dr. Smith's ECG Blog

JANUARY 30, 2019

Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon. Drugs that have been associated with Brugada ECG patterns include tricyclic antidepressants, anesthetics, cocaine , methadone, antihistamines, electrolyte derangements, and even tramadol. [2]. Fever and Brugada syndrome.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 52

Northwestern EM Blog

MAY 16, 2022

Please ensure that you document and discuss with the patient accordingly. Emergency department visits, use of imaging, and drugs for urolithiasis have increased in the United States. Kidney international , 83 (3), 479-486. Coursey, C. Casalino, D. Arellano, R. Bishoff, J. Dighe, M., & Leyendecker, J. Ultrasound quarterly, 28(3), 227-233.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 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. ©Tom Trimble, RN CEN; object from Author’s Collection CLICK FOR LARGER IMAGE. Scientists, prohibition, and the normalization of drinking. Efforts to repeal Prohibition.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

EB Medicine

MARCH 1, 2019

Post opiate hypotension in prehospital trauma patients is a rare but documented complication. Jeff: And if it does happen to be an ALS transport crew, without delaying transport, pain management with fentanyl is both safe and reasonable and preferred over morphine. TEE should be saved for those in whom a optimal TTE study isn’t feasible.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

EMDocs

NOVEMBER 16, 2024

Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 8 Perform and document distal neurovascular exam. 2012 Sep;3(3):107-20. Curr Rev Musculoskelet Med.

EMS 94

EMS Dislocations Fractures Operations 94

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). 2012 Oct;30(8):1371-7. 2012 Jul;30(6):896-900. Am J Emerg Med. doi: 10.1016/j.ajem.2011.09.027. 2011.09.027.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

ACEP Now

OCTOBER 9, 2023

Physicians should document the interpreter’s name and identification number if available in the patient’s chart. Documentation Providing patient-facing documentation such as procedural consent forms, discharge instructions, and medication prescriptions in the appropriate language can provide a distinct challenge. Annals of EM.

Emergency Department 64

Emergency Department Documentation/Coding EMS Wellness 64

Ziqitza HealthCare Ltd

JULY 14, 2023

Of these, about 7 lahks, or 30 per cent, were reported under Section 498A of the Indian Penal Code (IPC), the report says. In India, In the six years from 2016 to 2021, nearly 22.8 lakh crimes against women were recorded. Section 498A pertains to cruelty by a husband or his relatives against a woman.

Domestic Violence 52

Domestic Violence Documentation/Coding Operations Ambulance Services 52

EMDocs

JULY 3, 2023

This neurological evaluation should include assessment and documentation of the GCS, the presence of any neurologic deficits, and an NIHSS. 2012 Jun;14(2):84-9. Baseline neurological deficits from prior pathology should be elicited from the patient or family members if possible. Kim SY, Kim SM, Park MS, Kim HK, Park KS, Chung SY.

Seizures 98

Seizures Stroke Outcomes EMS 98

Don't Forget the Bubbles

JANUARY 22, 2024

The campaign started in the United States in 2012, in Canada two years later, and in the United Kingdom in 2016. Choosing Wisely is an international initiative to reduce unnecessary tests, treatments, and procedures. Another QIP conducted in a tertiary children’s ED demonstrated a significant reduction in unnecessary LFTs.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90