AED Leader

NOVEMBER 25, 2024

Effective January 1, 2017, the state’s Health and Safety Code 19300 mandates that certain high-occupancy buildings must install Automated External Defibrillators (AEDs). California is leading the way in public safety with a new law that could save countless lives during cardiac emergencies.

CPR 52

CPR Documentation/Coding Shock Hospitals 52

Dr. Smith's ECG Blog

OCTOBER 12, 2024

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. Preliminary findings documented in the cath lab were “Anterior STEMI and no significant coronary artery disease.” (!!!) 2017 Sep-Oct;50(5):561-569.

EKG/ECG 116

EKG/ECG Documentation/Coding Emergency Department COPD 116

The Trauma Pro

MAY 10, 2024

This fills in the code on the second tab which will be added to TraumaBase. J Trauma Nursing 24(3):150-157, 2017. If you use a different registry, contact your vendor for assistance. The spreadsheets consist of three tabs/pages. On the first, enter the specific field names from your TraumaBase implementation. J Trauma Acute Care Surg.

Blood Transfusions 113

Blood Transfusions Radiology Radiology Documentation/Coding 113

EMDocs

JANUARY 25, 2024

The patient’s last INR should be documented, and one obtained if not recent. For patients on warfarin, documenting a reason for not checking an INR is a worthwhile practice. Hughes S, Medscape eMedicine, October 06, 2017. Drug-drug and drug-food interactions should be considered. This is a classic case of “anchoring bias” (i.e.,

Poisoning 100

Poisoning Documentation/Coding Patient Safety Hospitals 100

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Macroscopic T-Wave Alternans: A Red Flag for Code Blue. 2017 Oct 1;177(10):1520-1522. J Am Coll Cardiol. 2006 Jan 17;47(2):269-81. doi: 10.1016/j.jacc.2005.08.066. 2005.08.066. Epub 2006 Jan 4. PMID: 16412847. Moore PK, Raffel KE, Whitman IR. JAMA Intern Med. doi: 10.1001/jamainternmed.2017.3191. 2017.3191.

EKG/ECG 131

EKG/ECG Documentation/Coding Psychiatric EMS 131

Advanced Medical Reviews

FEBRUARY 13, 2019

A recent study of 4,197 practicing physicians in Rhode Island in 2017 published by the Journal of the American Medical Informatics Association (JAMIA) reported the following results: Approximately 70 percent of respondents reported HIT-related stress, especially primary care physicians.

Documentation/Coding 64

Documentation/Coding Administration Operations Research 64

Don't Forget the Bubbles

MAY 10, 2023

Then you hear the words coming out of the speaker, “ Paediatric code black. Paediatric code black ”. You’ve heard the phrase code black before – it’s a traumatic cardiac arrest. You know a paediatric code black means paediatric traumatic cardiac arrest. 2017; 55(5); 449-453. You actually run down the corridor.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

The Skeptics' Guide to EM

OCTOBER 28, 2017

[display_podcast] Date: October 24th, 2017 Reference: Harrison et al. Pediatrics 2017 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. Anthony is also the creator of SketchyEBM.

Pediatrics 52

Pediatrics Documentation/Coding Emergency Department Hospitals 52

Total Medical ComplianceHIPAA

NOVEMBER 7, 2022

In its 2016-2017 HIPAA Audits Industry Report, the Office for Civil Rights (OCR) provided a few examples of what a prominent location on a website might be: Through a drop-down menu on the home page. The OCR’s report made it clear that the NPP and general privacy documents should not be combined.

Documentation/Coding 72

Documentation/Coding Wellness 72

SheMD

MAY 11, 2023

Transcripts were coded to sort data into “leadership occurrences” or “unrelated to leadership” as well as critical treatment decisions. CPR-related performance items were coded by the second as present or absent. 2017; 177(2): 206- 213. How they measured things: Data was studied through video recordings collected for analysis.

Leadership 52

Leadership Documentation/Coding CPR Teamwork 52

Medical Law

FEBRUARY 4, 2021

Vehicle Code Section 312.5(1)-(3)). As of 2017, all E-bikes in California are required to have a label that describes its type, top assisted speed, and motor wattage. Vehicle Code Section 312.5(c)). Vehicle Code Sections 21200 et seq ). Vehicle Code Section 21212). Vehicle Code Section 21213).

Documentation/Coding 52

Documentation/Coding Legal Issues Operations 52

RCEM Learning

MAY 20, 2022

Author: Rick Body / Editor: Govind Oliver / Code: / Published: 06/02/2020 In 2017 the National Institute for Health Research (NIHR) published its Training Review.

Academics 52

Academics Documentation/Coding Research Hospitals 52

PulmCCM

JANUARY 16, 2024

Back in 2017, the American Thoracic Society, the European Society of Intensive Care Medicine, and the Society of Critical Care Medicine together issued a clinical practice guideline for the management of acute respiratory distress syndrome (ARDS). You can read the document for all the caveats. This is new.

Research 87

Research Documentation/Coding Outcomes Fractures 87

Sensible Medicine

AUGUST 7, 2024

In the resulting document , the working group changed the ages at which children can be expected to reach developmental milestones. A 2017 paper found that 49.6% Rather than investigate the potential health implications of delayed milestones, medical authorities seem to have pushed back expectations of those skills.

CDC 113

CDC Documentation/Coding Research Pediatrics 113

Taming the SRU

JULY 25, 2024

Indication - skeletally mature patients with a radiographically documented femur fracture (hip to knee) Contraindications: Patient refusal Allergy to local anesthetic Infection over site of planned injection Obtunded/uncooperative patient Crush injury No available provider or space Medication: 0.5%

Stroke 98

Stroke Fractures Operations Outcomes 98

The Skeptics' Guide to EM

DECEMBER 2, 2017

[display_podcast] Date: November 24th, 2017 Reference: Andersen et al. JAMA 2017 Guest Skeptic: Dr. Bob Edmonds is an Emergency Physician in the US Air Force. display_podcast] Date: November 24th, 2017 Reference: Andersen et al. JAMA 2017 Guest Skeptic: Dr. Bob Edmonds is an Emergency Physician in the US Air Force.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

Don't Forget the Bubbles

DECEMBER 16, 2024

Manual for the laboratory diagnosis of measles and rubella infection Geneva: WHO Documents Production Services, 2007 Available from: [link] [Accessed 4 Oct 2024] Government of the United Kingdom. JOINT committee on vaccination and immunisation code of practice June. European Centre for Disease Prevention and Control. Epidemiol Infect.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

PEMBlog

MAY 11, 2023

These were used by two independent reviewers to determine Neonatal Facial Coding System with pain scores. Acad Emerg Med, 2017 This was a single-center (one academic Pediatric Emergency Department) randomized double-blind trial of J-Tip versus EMLA – topical anesthetic (TA) cream for pain relief in 66 infant LPs. Acad Emerg Med.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 52

PulmCCM

SEPTEMBER 28, 2024

Mmmm… Nectar-Thickened Data Makhnevich et al performed a retrospective matched cohort study of 8,916 patients with Alzheimer-type dementia admitted at 11 hospitals in New York (2017-2022) who had documented clinical suspicion of dysphagia.

Outcomes 52

Outcomes Documentation/Coding Hospitals 52

Advanced Emergency Nursing from AENJ

MAY 2, 2017

As with a well-run ‘mega-code’, these are rehearsals for future events that may present suddenly. Detailed slides (grr) should be relegated to references and additional matter. Whenever possible, the sessions should coincide with activities that reflect actual activities in real-time.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Emergency Nursing Documentation/Coding Pediatrics 40

ACEP Now

NOVEMBER 13, 2023

5 Hospitals commonly activate a “code” in response to agitated patients, alerting security personnel to the location of that patient. From the law enforcement perspective, hospital policies regarding behavioral codes were “vague” and the same patients are often seen multiple times with similar behavioral crises, he noted in an interview.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

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. For now, the 2017 AHA/ACC/HRS guidelines for asymptomatic patients that have inducible types of Brugada syndrome recommend observation without any specific therapies or interventions [8].

EKG/ECG 92

EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Wellness 92

Advanced Emergency Nursing from AENJ

NOVEMBER 27, 2017

On November 6 th , 2017, it was announced in the journal Circulation of the American Heart Association , that ILCOR is converting to an annual cycle to minimize delay in effectuating change in recommendations and practices. The following quotes from the ILCOR and AHA documents, under fair-use doctrine, will help summarize for you the changes.

CPR 40

CPR Basic Life Support Resuscitation Pediatrics 40

The Skeptics' Guide to EM

MARCH 4, 2018

JAMA May 2017. JAMA May 2017. JAMA May 2017. Exclusions: There were 26 exclusions in their supplemental documentation. [display_podcast] Date: February 27th, 2018 Reference: Moran et al. Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals.

Infectious Diseases 40

Infectious Diseases Documentation/Coding Ultrasounds Outcomes 40

Don't Forget the Bubbles

JULY 26, 2023

Upside-down position for the out of hospital management of children with SVT, Bronzetti et al, International Journal of Cardiology 2017 this showed that a modified position (upside down) improved cardioversion rates from 33% to 67%. The presence of these pathways is documented inutero and they usually regress by around 20 weeks gestation.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

The Injectable Orange

JUNE 20, 2017

This is met with resistance, “we’re too busy theirs not enough staff or time”, “the staff have done mock codes before, they really disrupt things and they hated them”. Hicks (2017). Simulcast Journal Club Podcast March 2017 [link] Breakout Group 3 – Debriefing. Stimulus by Prof. link] Petrosoniak, A., Auerbach, A. Wong and C.

Head Injuries 52

Head Injuries Documentation/Coding Wellness Resuscitation 52

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

mEq/L for Mg++ ) — given that ECF levels of these cations comprise only ~1-2% of total body stores ( Jahnen-Dechent and Ketteler — Clin Kidney J 5(Suppl 1):i3-i14, 2012 — and — Udensi and Tchounwou — Int J Clin Exp Physiol 4(3): 111-122, 2017 ). mEq/L for K+ and 1.76

Seizures 113

Seizures EKG/ECG EMS Stroke 113

Northwestern EM Blog

MARCH 1, 2025

Document thorough skin assessment every nursing shift, and inspect weight-bearing ventral surfaces. 2017 Jan;151(1):215-224. Reattach EKG leads to back. Tilt patient into reverse Trendelenburg. Slight, intermittent lateral repositioning (20-30 degrees) should also be used, changing sides at least every 2 hours. Intensive Care Med.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

EMDocs

JUNE 2, 2023

Document what you gave and why, as well as the impact. 2017 Sep;40(3):397-410. Let’s look at management based on etiology: As always follow local procedures and recommendations. More importantly, try non-pharmacologic means first – I cannot stress that enough. Summary All right, so that’s it for this episode. doi: 10.1016/j.psc.2017.05.002.

Psychiatric 94

Psychiatric Pediatrics Emergency Department Administration 94

RebelEM

MARCH 9, 2023

Osna 2017) Alcohol can contribute to pancreatitis, CKD, epilepsy, and countless other conditions. Sanvisens 2017) Consideration of WE when conducting a physical exam can be lifesaving. Document at each reassessment and always have a low threshold to add on a CTH or labs if the patient is not progressing appropriately.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

Dr. Smith's ECG Blog

JULY 21, 2024

In both tracings — an exceedingly fast PMVT is documented. In this study — Procainamide was superior to Amiodarone for terminating monomorphic VT, as well as having fewer adverse effects than Amiodarone ( Ortiz et al — Eur Heart J 1;38 (17): 1329-1335, 2017 ). The arrhythmia starts with a PVC having a short coupling interval.

EKG/ECG 131

EKG/ECG Shock Hospitals Sepsis 131

Don't Forget the Bubbles

MARCH 19, 2024

Despite being deemed medically fit for discharge in August 2017, Jack lived in limbo between two hospitals for two and a half years due to delays in disability services and social services arranging a specialist placement for him. Key messages Consider social determinants of health and document these in a child’s clinical notes.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

ACEP Now

MAY 5, 2023

retinal scan, fingerprints) Any unique identifying number or code There are important exceptions to confidentiality, to protect the patient and/or the public. Dallas, Texas: ACEP, 2017. 6 All states have mandatory reporting laws that establish a duty to report certain types of abuse or mistreatment to state and local authorities.

Emergency Department 52

Emergency Department Documentation/Coding 52

PHEM Cast

APRIL 21, 2021

Guidance documents College of Paramedics Statement on Intubation, available here. AAGBI Safer Prehospital Anaesthesia 2017, available here. Crit Care 21, 31 (2017). Positioning From: [link] Recommended Rich Levitan resources Podcast 70 – Airway Management with Rich Levitan Airway axes From: McGuire B, Hodge K. Lockey, D.J.,

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Don't Forget the Bubbles

JANUARY 22, 2024

A QIP performed in a paediatric intensive care unit aimed to reduce unnecessary LFT requests by implementing a blood test request form and a table of common investigations to facilitate and document discussion between the nursing and medical teams. BMJ OpenQuality 2017; 6: u214071.w5561. BMJ Open Qual. 2018 Oct 15;7(4):e000372.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

PulmCCM

FEBRUARY 8, 2024

Back in 2017, the American Thoracic Society, the European Society of Intensive Care Medicine, and the Society of Critical Care Medicine together issued a clinical practice guideline for the management of acute respiratory distress syndrome (ARDS). You can read the document for all the caveats. This is new.

Research 52

Research Documentation/Coding Fractures Outcomes 52

Emergency Medicine Ireland

JULY 3, 2023

This segues relatively nicely into a section of the document on palliative care. Eur Heart J 38, 1872–1882 (2017). Either because it simply doesn’t work or possibly because those sick enough to qualify for an ultrafiltration trial have already found themselves in a category of patients likely to do poorly no matter what.

Sepsis 96

Sepsis Shock Wellness Documentation/Coding 96