Remove 2017 Remove Documentation/Coding Remove Infectious Diseases
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Medical Malpractice Insights: Brain Abscess

EMDocs

Exam documents that he is alert and oriented but “tired appearing” and “not appearing post-ictal.” Defense : The EP did address the seizure when he documented “not post-ictal.” There is no negligence, as the documentation supports reasonable judgment. The triage nurse records the event as a “seizure” lasting 7 minutes.

Seizures 105
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The resurgence of vaccine preventable infections: Measles and Pertussis

Don't Forget the Bubbles

Whooping Cough: A Cyclical but Preventable Disease Whooping cough, caused by the bacterium Bordetella pertussis , is another infectious disease experiencing a resurgence despite the availability of vaccines. European Centre for Disease Prevention and Control. Measles facts [Internet]. cited 2024 Oct 24] WHO. Pediatrics.

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SGEM#209: Cephalexin – You Are My Only One for Uncomplicated Cellulitis

The Skeptics' Guide to EM

JAMA May 2017. JAMA May 2017. Currently, the Infectious Diseases Society of America ( IDSA ) guidelines for patients with cellulitis without systemic signs of infection, penetrating trauma, injection drug use, or other evidence of MRSA recommend only prescribing antibiotics against streptococci (1). JAMA May 2017.

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Choosing wisely – less can be more

Don't Forget the Bubbles

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.

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The Latest in Critical Care, 10/30/23 (Issue #18)

PulmCCM

Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).

Sepsis 52
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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 8 Perform and document distal neurovascular exam. 2017 May 26;114(20):347-353. Epub 2021 Jun 12.

EMS 98
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. Epub 2017 Nov 22.