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. For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. Look at the aortic outflow tract.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

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

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%. Nachi: So we have a lot to cover!

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 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. Systemic Infections : Sepsis and other systemic infections can predispose infants to NEC by compromising the gut barrier and promoting inflammation. Gordon, P.

Pediatrics 40

Pediatrics Sepsis Fluid Resuscitation Outcomes 40

RebelEM

MAY 15, 2024

Antibiotics are effectively the only thing standing between these patients and overwhelming sepsis. Improving the immediate management of neutropenic sepsis in the UK: Lessons from a national audit. 2014 Aug 21;124(8):1251-8; quiz 1378. doi: 10.1182/blood-2014-02-482612. Epub 2014 May 28. 2014, November 10).

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

RebelEM

NOVEMBER 11, 2024

Background: Patients with sepsis are routinely treated with empiric broad-spectrum antibiotics while awaiting source identification, as recommended by the surviving sepsis campaign.2 Mortality of Patients With Sepsis Administered Piperacillin-Tazobactam vs Cefepime. address in the article discussed below. JAMA Intern Med.

Sepsis 113

Sepsis Outcomes Administration Shock 113

Pediatric EM Morsels

FEBRUARY 2, 2024

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. 2014 Dec;31(6):678-87.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

Don't Forget the Bubbles

JULY 5, 2023

Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. Sickle cell patients also qualify to receive the annual influenza vaccine, since influenza virus infection predisposes to bacterial pneumonia and sepsis caused by S. Pneumococcal sepsis B.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Mind The Bleep

JANUARY 24, 2025

Blood cultures in cases of suspected sepsis. Documentation and Communication Maintain meticulous records of assessments, interventions, and outcomes. C-reactive protein (CRP) and Erythrocyte sedimentation rate (ESR) to assess inflammation. Serum albumin and prealbumin levels to evaluate nutritional status. Clinical guideline CG179.

Sepsis 52

Sepsis Documentation/Coding Outcomes Ultrasounds 52

Taming the SRU

FEBRUARY 3, 2025

original document created by author of post. Academic Press; 2014:39-64. paclitaxel, doxorubicin, cisplatin) high-risk monoclonal antibody treatments (i.e. Pictured below is an algorithm created for simpler visualization of diagnosis and treatment of TLS in the emergency department. References 1. Howard SC, Pui CH, Ribeiro RC.

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56

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 management as per ATLS protocol and SEPSIS 6 if relevant. Always consider an ATLS approach to the assessment. Feel for any swelling/collection/abscess. Lewis, K., & Pay, J.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52