Dr. Smith's ECG Blog

OCTOBER 12, 2024

A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. The providers documented concern for ST elevation in the precordial and lateral leads as well as a concern for hyperkalemic T waves in the setting of succinylcholine administration. Epub 2016 Aug 27.

EKG/ECG 116

EKG/ECG Documentation/Coding Emergency Department COPD 116

Dr. Smith's ECG Blog

FEBRUARY 28, 2020

This clinical information followed: "The patient had a COPD exacerbation with a prehospital SpO2 of 60%. Many patients with acute COPD exacerbations present with a similar heart rate. Finally — Note that the S1Q3T3 pattern is missing in ECG #2 , despite documentation of a massive PE. This is NOT Wellens. Is the patient hypoxic?

EKG/ECG 52

EKG/ECG COPD Documentation/Coding Shock 52

EB Medicine

OCTOBER 1, 2018

In 2014, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine started a task force, and by 2016, updated definitions were out again! Sepsis is coming in at a higher readmission rate and cost per admission than acute MI, CHF, COPD, and PNA. 1991 marked the first standardized definition. Sepsis-3!!

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EMDocs

FEBRUARY 12, 2024

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min).

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

RebelEM

MAY 15, 2024

Epub 2016 Dec 29. Coding for Mucositis. Default to using whichever score your oncologist is more comfortable with. Application of the MASCC and CISNE Risk-Stratification Scores to Identify Low-Risk Febrile Neutropenic Patients in the Emergency Department. Ann Emerg Med. 2017 Jun;69(6):755-764. doi: 10.1016/j.annemergmed.2016.11.007.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

PulmCCM

MARCH 11, 2024

About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills. Each hospital’s Medical Executive Committee approved the protocol, and data was collected 2016-2018. How your employer considers the billed-but-unpaid 99292s in your RVUs is a separate question.)

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52