Pediatric EM Morsels

OCTOBER 27, 2023

Taking care of a critically ill child can be nerve-racking to say the least, and downright petrifying for those who don’t do it frequently, even if they are well-trained and brilliant clinicians. Good correlation to bed scale weight in trauma patients (Pearson coefficient 0.86), but there was some error in the highest weight category.

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

EMDocs

AUGUST 22, 2024

This is commonly seen with Deaf patients who communicate using American Sign Language and require an ASL interpreter. Well-meaning providers who are not highly fluent may contribute to miscommunication and diagnostic errors. Certified interpreter use can improve communication and patient outcomes. August 2016. 45:446-458.

Documentation/Coding 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

Taming the SRU

FEBRUARY 24, 2024

Early recognition and prompt treatment is key. non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.

Leadership 94

Leadership EMS Pediatrics Stroke 94

EMDocs

OCTOBER 30, 2023

Some institutions developed a tier-based system for outpatient imaging as well which was updated in real-time. 6,9 Patient Safety Considerations Few studies have evaluated the impact of the contrast shortage on patient care or patient-centered outcomes due to deferment of imaging or changing protocols leading to delayed or missed diagnosis.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

EMDocs

SEPTEMBER 25, 2023

They increase the risks of hypoxia and acidosis during the apneic period as well as hypotension and hypoperfusion caused by the abrupt transition from negative-pressure to positive-pressure ventilation (10). Case Resolution: The patient was placed on NIPPV. .” 2016 Sep;117 Suppl 1:i9-i13. 2021): e12373. Kelly FE, Cook TM.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

Taming the SRU

MAY 5, 2023

Respiratory failure and more severe acute kidney injury were demonstrated to be more common in patients who received higher volumes of intravenous fluid (Andrews, Muchemwa et al. 2016, Andrews, Semler et al. There were similar baseline characteristics and the groups were well-matched. Perner (2016). Bundgaard, S.

Sepsis 52

Sepsis Shock Administration Resuscitation 52

EB Medicine

JULY 8, 2019

Another study found a 1-year post Roux-en-y ED visit rate of 31% and yet another found that 25% of these patients will require admission within 2 years of surgery. Jeff: Well that’s kind worrisome. While it was < 15% in 1990, by 2016 it reached 40%. That’s almost half of the population. million adults!! First up, the kids.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40