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." Comparative early and late outcomes after primary percutaneous coronary intervention in st-segment elevation and Non–St-segment elevation acute myocardial infarction (from the Cadillac trial). Stuckey, T.,

EKG/ECG 132

EKG/ECG Documentation/Coding Wellness Emergency Department 132

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. The hot debrief allowed for concrete actions to be taken about these issues and for a dedicated plan of action for correction.

Resuscitation 52

Resuscitation Emergency Department Academics Wellness 52

ACEP Now

JULY 7, 2023

However, rapid initiation of treatment is actually patient-centered care that can both lead to better outcomes and limit ED boarding. 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. West J Emerg Med.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

RebelEM

DECEMBER 28, 2022

Conducted at 2 US Veterans Affairs medical centers from 2012–2019. No difference in exploratory outcomes. Low rates of missing data allowed other exploratory outcomes Included a diverse and potentially high-risk group, including patients with indwelling catheters and intermittent catheter use.

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

PHEM Cast

APRIL 21, 2021

Guidance documents College of Paramedics Statement on Intubation, available here. The Effect of Paramedic Rapid Sequence Intubation on Outcome in Patients with Severe Traumatic Brain Injury. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2 AAGBI Safer Prehospital Anaesthesia 2017, available here.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Northwestern EM Blog

MAY 16, 2022

Do outcomes for patients with suspected nephrolithiasis differ based on the initial imaging? However, with ultrasonography becoming more prevalent in EDs, it may be possible that initial imaging may avoid this radiation risk and still have similar outcomes for patients. Would you be satisfied with only US and no follow-up CT?

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 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. Queen of Hearts Interpretation: Would 20 minutes earlier diagnosis have made a difference in his clinical outcome? Triage ECG: What do you think?

EKG/ECG 52

EKG/ECG Documentation/Coding Outcomes Shock 52

EB Medicine

MARCH 1, 2019

Post opiate hypotension in prehospital trauma patients is a rare but documented complication. Early defibrillation is linked to better outcomes. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial.

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. 2015;97(17):1386-1397.

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. Notably, in the initial analysis of blunt chest trauma (i.e. Open Access Emerg Med. 2011.09.027.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

EMDocs

JULY 3, 2023

Introduction SAH has the potential for rapid progression and devastating outcomes. This neurological evaluation should include assessment and documentation of the GCS, the presence of any neurologic deficits, and an NIHSS. Short- and long-term outcome of patients with aneurysmal subarachnoid hemorrhage.

Seizures 98

Seizures Stroke Outcomes EMS 98

ACEP Now

OCTOBER 9, 2023

This demographic is higher risk of adverse events during hospital encounters, often due to communication issues, leading to tragic outcomes and malpractice suits including cases of missed intracerebral hemorrhages, unnecessary or incorrect surgeries, misused medical devices, and fatal medication dosing. 2012; 60(5): 545-553.

Emergency Department 64

Emergency Department Documentation/Coding EMS Wellness 64

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 40

Documentation/Coding Teamwork Hospitals Emergency Department 40

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. According to data from 2012, of the 130 million people reporting illicit drug use within their lifetime, 25% were children between 12 and 17 years of age.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EB Medicine

JANUARY 2, 2019

With opportunities to improve outcomes for both the fetus and the mother, I’m confident that this episode will be worth your time. Nachi: For patient who have a threatened miscarriage in the first trimester, there is a 2-fold increased risk of subsequent maternal and fetal adverse outcomes.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

American Medical Compliance

FEBRUARY 18, 2025

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes. Overview of the Physician Payment Sunshine Act The Physician Payment Sunshine Act became federal law in the United States in January 2012.

Hospitals 52

Hospitals Documentation/Coding Outcomes 52

ACEP Now

FEBRUARY 19, 2025

As mentioned, AI has tremendous potential for automating non-teaming tasks such as documentation and data retrieval, and for managing ED workflow processes. This unified, data-supported approach may enhance patient outcomes and strengthen team trust and communication for a smoother, more cohesive environment. Published April 25, 2012.

Teamwork 51

Teamwork Clinical Decision Support Systems Administration Radiology 51

Dr. Smith's ECG Blog

MARCH 8, 2025

Was her outcome to be expected for ostial RCA OMI? International expert consensus document on takotsubo syndrome (part I): Clinical characteristics, diagnostic criteria, and pathophysiology. The patient certainly had OMI and received treatment for it. There is no specific treatment for stress cardiomyopathy, only supportive treatment.

EKG/ECG 77

EKG/ECG CPR Resuscitation Wellness 77

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. 2014;46(6):814-820 on Medscape.com. ** Example trauma case report requiring airway control; the decision process, algorithms, and alternatives, outcome. Always be gentle!

Airway Management 40

Airway Management Resuscitation EMS CPR 40

Don't Forget the Bubbles

NOVEMBER 5, 2023

Reviews and opinion articles An update on the role of fluid overload in the prediction of outcome in acute kidney injury. Parental physical disease severity and severe documented physical child abuse: a prospective cohort study. Newborn and Early Infant Outcomes Following Maternal COVID-19 Vaccination During Pregnancy.

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105