Don't Forget the Bubbles

AUGUST 23, 2023

2016) “Implementation of a Post-Code Pause: Extending Post-Event Debriefing to Include Silence”. 2014) “Death of a child in the emergency department” American Academy of Pediatrics. 2012) “Implementation of a Rapid Post-Code Debrief Quality Improvement Project in a Community Emergency Department Setting”. & Liska, H.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

EMDocs

FEBRUARY 12, 2025

Published 2014 Jan 31. J Appl Clin Med Phys. 2022;23(3):e13526. doi:10.1002/acm2.13526 Writing Committee Members, Hirshfeld JW Jr, Ferrari VA, et al. Radiat Res 1 September 2020; 194 (3): 310313. doi: [link] Chan RJ, Webster J, Chung B, Marquart L, Ahmed M, Garantziotis S. BMC Cancer. 2014;14:53. Clin J Oncol Nurs. 2020;24(6):681-684.

Best Practices 56

Best Practices Documentation/Coding Radiology Radiology 56

Don't Forget the Bubbles

NOVEMBER 20, 2023

Document the size, consistency and location in the notes to compare if they represent. December 2014 Soldes O, Yunger J, Hirschl R. They may grow again with subsequent upper respiratory tract infections. Lymphadenitis can result from bacterial or viral infections resulting in enlarged, firm nodes that are tender to touch.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Triage documented a complaint of left shoulder pain. Both the outdated 2014 AHA/ACC guidelines and the updated 2023 ESC guidelines recommend immediate invasive management of patients with uncontrolled chest pain. 2014 AHA/ACC guideline for the management of patients with non–ST-elevation acute coronary syndromes. Kontos, M.

EKG/ECG 123

EKG/ECG Outcomes Academics Documentation/Coding 123

Northwestern EM Blog

MARCH 1, 2025

Document thorough skin assessment every nursing shift, and inspect weight-bearing ventral surfaces. Slight, intermittent lateral repositioning (20-30 degrees) should also be used, changing sides at least every 2 hours. The PROSEVA trial used 6 mL/kg for tidal volume for increased lung protection. Pelosi P, Brazzi L, Gattinoni L. Samanta, S.,

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

EMDocs

JULY 9, 2024

Insurance companies paying more attention to addressing social needs Medicaid: 1115 Demonstration Waivers, CalAIM in California ICD-10 code modifiers to acknowledge – and compensate—for the added complexity of social needs Additional resources/further reading: Liberman DB, Pham PK, Semple-Hess JE. Pediatrics. 2015 Feb;135(2):e296-304.

Pediatrics 74

Pediatrics Emergency Department Research Burns 74

PHEM Cast

JANUARY 5, 2016

2014; 72: 37-45. The NARU video we mention in the podcast can be accessed here: [link] And the paper we discuss is: Chilcott RP. Managing mass casualties and decontamination. Environmental International.

Mass Casualty Incidents 52

Mass Casualty Incidents Documentation/Coding 52

Sensible Medicine

AUGUST 7, 2024

Moreover, a 2014 Brazilian study shows that prone-sleeping premature babies have lower salivary cortisol concentration, a better Brazelton sleep score, and a lower respiratory rate, indicating deeper sleep. In the resulting document , the working group changed the ages at which children can be expected to reach developmental milestones.

CDC 114

CDC Documentation/Coding Research Pediatrics 114

RebelEM

MARCH 9, 2023

Prerost 2014) In a patient with chronic alcohol use, hallucinations should prompt consideration of acute intoxication, alcoholic hallucinosis, or delirium tremens (DT). Hamilton 2014) Patients with alcohol intoxication have an extremely high risk of intracranial pathology, and the threshold for obtaining head imaging should be very low.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

ACEP Now

JUNE 14, 2024

And the Board approved a new clinical policy, “Critical Issues in the Management of Adult Patients Presenting to the ED with Seizures,” rescinding the 2014 clinical policy with same title. Open applications will be coming soon, but you can find out more and get on the interest list today at acep.org/EDap.

Sexual Assault 52

Sexual Assault Seizures Documentation/Coding EMS 52

RebelEM

JANUARY 29, 2024

CHEST 2010. PMID: 19741062 Kucher N et al. Randomized, Controlled Trial of Ultrasound-Assisted Catheter-Directed Thrombolysis for Acute Intermediate-Risk Pulmonary Embolism. PMID: 24226805 Piazza G et al.

Stroke 136

Stroke Outcomes Hospitals Administration 136

The Injectable Orange

APRIL 4, 2017

Quite simply, document your intended personal learning objective; identify a high quality resource that addresses this (article, workshop, conference); document a reflection on your achieved personal learning outcome. Remember this all counts toward your nursing continuing professional development. The Article Carpenter, C. Avidan, M.

Emergency Department 52

Emergency Department Evidence-Based Practice Academics Documentation/Coding 52

American Medical Compliance

DECEMBER 6, 2023

These principles were initially presented in 2014, and they have been described as a health approach that takes into account the individual, family, and society as a whole, as well as their environment and interactions, and adopts the notion of using all healing approaches in health care.

Documentation/Coding 52

Documentation/Coding Wellness 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives The number of Asylum Seekers awaiting decisions on their claims has tripled since 2014. A thematic analysis framework was developed by highlighting relevant codes within the transcriptions and combining and categorising these into relevant themes and subthemes. All interviews were recorded and transcribed.

Documentation/Coding 40

Documentation/Coding Research Emergency Department 40

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. Spinal Cord (2014) 52, 504–510; doi:10.1038/sc.2014.56; de Barros Filho, T. Cristante, A. Marcon, R.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Don't Forget the Bubbles

MARCH 19, 2024

In 2014, 71% (397) of emergency removals of children by police occurred out-of-hours or at weekends. Acknowledging the challenges associated with paediatric social admissions begins with documenting social issues and assessing their social history with the same level of detail as their medical history. What can clinicians do?

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 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. Accessed May 17, 2014. Accessed May 17, 2014. Accessed May 17, 2014. Accessed May 17, 2014. Accessed May 17, 2014. West, John B.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

RebelEM

MARCH 2, 2023

2014 AHA/ACC Guideline for the Management of Patients with Non-ST-Elevation Acute Coronary Syndromes: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 2014. Low O2 protocol: 3.1% aOR 0.96, 95% CI 0.86 Low O2 protocol: 10.6% aOR 0.78; 95% CI 0.63

Outcomes 52

Outcomes EMS EKG/ECG Hospitals 52

Advanced Emergency Nursing from AENJ

MAY 3, 2014

link] Accessed 04/24/2014 ** An Eighteenth-Nineteenth century bellows kit for artificial ventilation, or for insufflating the rectum with tobacco smoke. Wellcome Images Copyrighted work available under Creative Commons Attribution only licence CC BY 4.0 Documents improvements in BVMs previously investigated and found deficient in FIO2.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

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." The note also says "slight lateral ST elevations noted, likely early repolarization since unchanged compared to 2014." This patient was not one of the lucky 6.4%

EKG/ECG 131

EKG/ECG Documentation/Coding Wellness Emergency Department 131

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Erratum in Mouth-to-Airway [adjunct] 4/22/2014. EMS in America: The Foundation Documents. Reviewed and revised 4 December 2014. Trimble, Tom, RN CEN. Oral Airways, early resuscitation, & recognition of airway care. Advanced Emergency Nursing Blog. Trimble, Tom, RN CEN. Mouth-to-Airway (adjunct). Trimble, Tom, RN CEN.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

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. Taming the zebra: unravelling the barriers to diagnosing aortic dissection. Emerg Med Australas. 2018;30:119–21. Erbel R, Aboyans V, Boileau C, et al.

Ultrasounds 52

Ultrasounds Outcomes Academics Documentation/Coding 52

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. 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease. What do you see?

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Dr. Smith's ECG Blog

MARCH 8, 2021

Echo immediate: 35% EF with anterior, septal, and apical wall motion abnormalities Echo convalescent, 2 months later: Better, with EF up to 45-50% I posted this in 2014: Is the LAD really completely occluded when there are de Winter's waves? This is the longest lasting I have ever documented a hyperacute T wave without going "up" or "down."

EKG/ECG 52

EKG/ECG Documentation/Coding Hospitals 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. Pediatric Annals, 52(1), e10–e17. link] van Wijk, R. van Vlimmeren, L. Groothuis-Oudshoorn, C.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

Advanced Emergency Nursing from AENJ

JULY 9, 2015

Pull out the manikins (or use a volunteer; BVM only) and run some awkward codes! Video] Sep 15, 2014. Mar 27, 2014. Video] Feb 11, 2014. How versatile are your airway skills? Oh, sure, you can handle any supine situations! Gather everyone. Most airway management is done with the patient supine and on a table. YouTube.com.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

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. KEY Point: A number of conditions other than Brugada Syndrome may temporarily produce a Brugada-1 ECG pattern ( World J Cardiol 6(3):81-86, 2014 ).

EKG/ECG 92

EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Wellness 92

Cook County EM Blog

MARCH 20, 2023

Further document handedness, occupation, site of injury, and thorough review of systems to evaluate for potential complications ○ Complications as distant as pneumomediastinum following air injection of the hand have been reported5,6. ➢ 2014 Jan;22(1):38-45. Ulus Travma Acil Cerrahi Derg. 2020 Nov;26(6):899-904. doi: 10.14744/tjtes.2020.26751.

Fractures 52

Fractures Documentation/Coding Operations Research 52

Northwestern EM Blog

MAY 16, 2022

This is a great summary of the landmark randomized trial published in NEJM in 2014 assessing CT vs two types of US for patients with suspected renal colic in the ED setting. Please ensure that you document and discuss with the patient accordingly. ACR Appropriateness Criteria® acute onset flank pain–suspicion of stone disease.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

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. 2014; 14(1): 23-227. 2014; 5(4)L631-634. 2014; 12:15. Take the child seriously who has disproportionate symptoms to what should be a minor injury. Congenit Heart Dis. 2007; 2:2-11. Aliku TO et al.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 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.” Well … no. Family-Activated METs in Adults Halves Mortality?

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

Dr. Smith's ECG Blog

JULY 3, 2018

After admission he undergoes another ECG, though it is unclear from documentation whether there was a change in his chest pain. Documentation strongly suggests that this finding was what ultimately convinced the cardiologists that this was not pericarditis. After this result he was given therapeutic enoxaparin.

EKG/ECG 52

EKG/ECG Documentation/Coding Administration Outcomes 52

Pediatric Emergency Playbook

APRIL 1, 2016

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. 2014; 14:83. Use and Misuse of Serum Troponin Assays in Pediatric Practice. Am J Cardiol. 2012;110:284 –289.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

ACEP Now

FEBRUARY 11, 2024

There have been documented cases of overdose, and of note, there is no known antidote. Deerfield, Illinois: Takeda Pharmaceuticals America Inc; 2014. At times, patients may also be taking other diabetes medications such as sulfonylureas or insulin, which could precipitate worsening persistent hypoglycemia. Published December 18, 2023.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

Pediatric Education

NOVEMBER 12, 2023

No specific documentation regarding the duration of the car seat testing could be identified in the medical records. 2014-3527 Davis NL, Shah N. The pertinent physical exam showed the patient was now 3.34 kg (10-50% using premature infant growth chart), 47 cm length and 32 cm head circumference (10%) without any abnormal findings.

Pediatrics 40

Pediatrics Poisoning Hospitals Documentation/Coding 40

Dr. Smith's ECG Blog

MAY 16, 2023

A DDENDUM ( 5/16/2023 ) : In the following 5 Figures — I post written summary from my ECG-2014-ePub on the ECG diagnosis of A cute P ericarditis. This is not to say that acute pericarditis never occurs — but rather to emphasize that the diagnosis of acute pericarditis should only be made after you've ruled out an acute coronary syndrome.

EKG/ECG 52

EKG/ECG Stroke Documentation/Coding Outcomes 52

EB Medicine

JULY 8, 2019

Jeff: A 2014 study even showed an up to 80% reduction in the likelihood of developing DM2 postoperatively at the 7-year mark. overall, these surgeries are relatively safe with one 2014 review publishing a 10-17% overall complication rate and a perioperative 30 day mortality of less than 1%. 2014(8):CD003641. Am J Emerg Med.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40