Don't Forget the Bubbles

MARCH 11, 2024

Craniosynostosis needs urgent referral and is usually corrected operatively before a child’s first birthday. Recommendations for sudden infant death syndrome prevention: a discussion document. Craniosynostosis can lead to raised intracranial pressure and failure to thrive. and can worsen and become harder to correct over time.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

RebelEM

MARCH 9, 2023

Barr 2016 , Trevejo-Nunez 2015) Patients are at high risk of bleeding from the GI tract due to clotting factor impairment or devastating hemorrhage from esophageal varices in the setting of portal hypertension. As always, document clinical sobriety before discharge. Epub 2015 Sep 14. Osteopathic Family Physician. 2014 Mar;6(2).

Psychiatric 52

Psychiatric Emergency Department Documentation/Coding Fractures 52

PulmCCM

JANUARY 6, 2025

Their spread has coincided with the Centers for Medicare and Medicaid’s “sepsis bundle quality measure” (SEP-1) going live in 2015. This was despite a higher intensity of care in the visible-alert patients, who had more rapid responses, ICU transfers, code blues, intubations, and initiation of dialysis.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

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. Fontan Operation and the Single Ventricle. 2015; 19(2):e107-e109. 2015; AID 953826. 2015; AID 905097. References Congenital AboulHosn JA et al. Congenit Heart Dis. 2007; 2:2-11.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Don't Forget the Bubbles

JULY 5, 2023

Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. However, there are documented adverse events such as haemorrhagic cerebrovascular accidents or recurrence of VOC after drug withdrawal, which represent a drawback in its regular use. Anemia ; 2015.DOI:10.1155/2015/791498.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Taming the SRU

JULY 25, 2024

Femoral nerve block case review - morbidity & mortality - community practice - r2 Clinical pathologic case - visual diagnosis - when time matters - operational aspects of stroke care Femoral nerve Block Case Review WITH dr. stolz Why do we care about regional anesthesia, specifically femoral nerve blocks?

Stroke 97

Stroke Fractures Operations Outcomes 97

Mind The Bleep

SEPTEMBER 14, 2024

Operative management: Surgical washout of the flexor sheath within 24 hours of the decision to operate. Non-operative management: An experienced hand surgeon should make the decision for non-operative management. Non-operative management: An experienced hand surgeon should make the decision for non-operative management.

Operations 52

Operations Sepsis Documentation/Coding 52

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. Feel for any swelling/collection/abscess. Move: Assess the range of motion of the surrounding joints to help determine the involvement of adjacent structures. Assess active and passive movement of the joint.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

" [Coroners Society] King Richard I (the Lionheart) needed vast sums of money for the Third Crusade, operation of the kingdom, and for his ransom fro m Duke Leopold of Austria. All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

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. For starters, several states have launched and currently operate the 181 and 112 emergency helpline numbers to provide relief to women in distress, whether it is in a public place, at home or even at their workplace.

Domestic Violence 52

Domestic Violence Documentation/Coding Operations Ambulance Services 52

EB Medicine

MARCH 1, 2019

Post opiate hypotension in prehospital trauma patients is a rare but documented complication. In one RCT, the FAST exam reduced the time from arrival in the ED to operative care by 64% in the setting of trauma. Jeff: Operative management, specifically ED thoracotomy is a heavily debated topic, and it’s next on our list to discuss.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. EMS in America: The Foundation Documents. We applied to "The Golden Hour" the attitudes and abilities that led to a man on the moon.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Advanced Emergency Nursing from AENJ

JULY 9, 2015

Pull out the manikins (or use a volunteer; BVM only) and run some awkward codes! They may be entrapped; have limited access; may be midway in an operating position that can’t be changed; may need to be sitting due to pulmonary edema, morbid obesity, aspiration prevention or for awake intubation. Laryngospasm-the best treatment.

Airway Management 40

Airway Management Pediatrics Resuscitation Documentation/Coding 40

EB Medicine

JULY 8, 2019

Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EB Medicine

JUNE 6, 2019

In 2015, the american college of radiology noted in their manual on contrast media that the concern for the development of contrast induced nephropathy is not an absolute contraindication for using IV contrast. Nachi: Few things are more important prior to discharge of an abdominal pain patient than documenting repeat exams and a PO trial.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EMDocs

NOVEMBER 16, 2024

4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 6 Hip flexion or adduction in the early post-operative period can cause atraumatic dislocations (typically avoided for 6 weeks post-op).

EMS 88

EMS Dislocations Fractures Operations 88

EB Medicine

JANUARY 2, 2019

Jeff: Perhaps most importantly, no history or physical alone can rule in or out an ectopic pregnancy, for that you’ll need testing and imaging or operative findings. For a completed abortion, you would expect a closed OS with no IUP on ultrasound with a previously documented IUP. Jeff: Up first is the urine pregnancy test.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 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. Make sure that the patient knows not to operate vehicles or heavy machinery under the influence of drugs. Acute effects of synthetic cannabinoids: update 2015. Counsel them on drug abuse also. 2015;313(24):2456-2473.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Sensible Medicine

JANUARY 27, 2025

In the first publication from SCOT-HEART (2015), researchers reported that CTA clarified the diagnosis of coronary artery disease and led to changes in subsequent therapy—more preventive therapy and more coronary angiography. The third problem with SCOT-HEART was that it was open-label and MI events were tallied using coding data.

Outcomes 114

Outcomes EKG/ECG Documentation/Coding Academics 114

Dr. Smith's ECG Blog

APRIL 8, 2015

Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful. Syncope and cause of death were identified by codes from the International Classification of Disease, Ninth Revision. Annals of Emergency Medicine March 2015 ; Volume 65, Issue 3, Pages 268–276.e6

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

They also proved that only expired air resuscitation guaranteed sufficient inflation volumes; that exhaled air was a suitable resuscitating gas; and that the operator would have continuous feedback from each breath. Some have succeeded with slow full rotation (360°). Always be gentle!

Resuscitation 40

Resuscitation Airway Management EMS CPR 40