The Skeptics' Guide to EM

JULY 30, 2022

CT is generally the first choice of imaging, the “abdominal series” of plain X-rays have been demonstrated to have poor predictive value, but a 2018 meta-analysis found 92.4% AEM July 2022 * Population: Patients with ICD-10 coding “intestinal obstruction” from 2018 National Hospital Ambulatory Medical Care Survey.

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 52

Don't Forget the Bubbles

JULY 26, 2023

Paediatric survivors of out-of hospital VF: etiologies and outcomes, Silka et al, Heart Rhythm 2018 : Survival rates for paediatric out of hospital arrest are 12-29%, however, in cases where there was a sustained return of circulation, more than 80% had an underlying cardiac aetiology identified.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Don't Forget the Bubbles

FEBRUARY 26, 2024

About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care. We are the trainee arm of the Paediatric Critical Care Society – Study Group (PCCS-SG) and work with them on research, audit and service evaluation. 2018 Jun;54(6):633-7.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

Don't Forget the Bubbles

MARCH 19, 2024

Paediatric social admissions, unlike social determinants of health (SDOH) and adverse childhood experiences (ACEs) is under-researched. Acknowledging the challenges associated with paediatric social admissions begins with documenting social issues and assessing their social history with the same level of detail as their medical history.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

RebelEM

DECEMBER 28, 2022

The investigators in this trial attempt to address the lengthy duration of antibiotics recommended and routinely prescribed among stable males with UTIs (Kang, 2018). Strengths Randomized, double-blinded, placebo-controlled, dual-site trial Investigators asked a patient-focused research question. Article: Drekonja DM et al.

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

Dr. Smith's ECG Blog

DECEMBER 27, 2018

This ECG comes from Pierre Taboulet ( [link] /)( [link] ) an ECG whiz who codes a lot of ECGs for Cardiologs' Artificial Intelligence Deep Neural Network algorithm ( [link] ). I do research on Cardiologs' algorithm: Smith SW et al.

EKG/ECG 40

EKG/ECG Documentation/Coding Emergency Department Wellness 40

Dr. Smith's ECG Blog

JANUARY 30, 2019

I remember Allie well from her days in the Research volunteer program at Hennepin. Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon. This was submitted by Alexandra Schick. Dr. Schick is a PGY3 at the Brown Emergency Medicine Residency in Rhode Island.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 52

EB Medicine

OCTOBER 1, 2018

Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Also, for research purposes we have to have a common definition, so Sepsis 3 came up with something called the SOFA score. Jeremy, can you give us a little historical context there? Nachi : What a struggle.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EMDocs

NOVEMBER 16, 2024

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. Hospitals, 2018. 2018 Fall;18(3):242-252.

EMS 94

EMS Dislocations Fractures Operations 94

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). 2018 Mar;33(3):176-181. PMID: 17652681; PMCID: PMC2660085. (7) J Intensive Care Med. doi: 10.1177/0885066616652597.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

Don't Forget the Bubbles

DECEMBER 2, 2024

The interventions were based on GINA guidelines 2018 and performed over a 5-month period. This study relied on coding, and if the patient had not been coded as asthma, for example, and coded as pneumonia instead, these patients would not have been included in the study set. During the preintervention period , 52.2%

Documentation/Coding 98

Documentation/Coding Pediatrics Emergency Department Fractures 98

RebelEM

MAY 15, 2024

2018 May;26(5):1465-1470. BMC Health Services Research. Coding for Mucositis. Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. Support Care Cancer. doi: 10.1007/s00520-017-3985-0. Clarke, R.

Infectious Diseases 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

EB Medicine

AUGUST 1, 2018

I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the August 2018 issue of Emergency Medicine Practice. In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. We’re reviewing Cannabinoids -- and emerging evidence in their use and abuse.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Dr. Smith's ECG Blog

MAY 23, 2022

Code STEMI was called." This repeat ECG is not available in the chart, but sounds similar to the presenting ECG, and it was excellent care that the code "STEMI" was activated despite no evidence of STEMI criteria. The pain resolved again before cath, which found a 80% RCA occlusion.

EKG/ECG 52

EKG/ECG Documentation/Coding Hyperthermia / Hypothermia Research 52

Sensible Medicine

SEPTEMBER 26, 2023

Early in the psychology replication crisis, one of the most scrutinized articles was by Cornell researcher Daryl Bem , who claimed that he had proven that humans had precognition. A few researchers (Florence LeCraw, Danial Montanera, and Thomas Mroz) found no fewer than three major errors in the 2018 article.

Research 131

Research Hospitals Documentation/Coding Outcomes 131

RCEM Learning

JANUARY 23, 2024

But I wanted to continue with my research work, improving the care of patients with blunt chest trauma. I had completed the ELECT feasibility study successfully in 2018, with a Pathway to Portfolio grant (only available in Wales). That is when you know the Research Departments at sites are finally happy with everything.

Research 72

Research Wellness Documentation/Coding Outcomes 72

Sensible Medicine

SEPTEMBER 26, 2023

Early in the psychology replication crisis, one of the most scrutinized articles was by Cornell researcher Daryl Bem , who claimed that he had proven that humans had precognition. A few researchers (Florence LeCraw, Danial Montanera, and Thomas Mroz) found no fewer than three major errors in the 2018 article.

Research 52

Research Hospitals Documentation/Coding Outcomes 52

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. This is not a hot research area.) At about $100 per , they would be worth ~$54 million in total.

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

Sensible Medicine

AUGUST 14, 2024

The death has an “unknown cause” rather than SIDS if the investigation or autopsy is missing, or an alternative diagnosis cannot be ruled out (see Duncan and Byard, 2018 , p. Researchers comb through the victims’ genomes for mutations in cardiorespiratory function and autonomic arousal systems. Dr. Paul N.

CDC 93

CDC Sepsis Research Pediatrics 93

RebelEM

DECEMBER 23, 2024

There has been ongoing study about the clinical significance of these effects, as well as whether and for whom LR might provide meaningfully better clinical outcomes ( Myburgh 2013 , Self 2018 , Semler 2018 , Self 2020 ). Future research should address these gaps.

Fluid Resuscitation 124

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 124

Sensible Medicine

JANUARY 27, 2025

The Edinburgh-based team presented their 5-year results in 2018, and their 10-year results last week. 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.

Outcomes 121

Outcomes EKG/ECG Documentation/Coding Academics 121

EMDocs

DECEMBER 5, 2023

4,5 A majority of voters support the President’s latest actions on AI, with 69% of voters across the political spectrum indicating their approval of the document. Medicare and Budget Sequestration, Congressional Research Service. The Executive Order also aligns the U.S with other Western powers that have outpaced the U.S

Administration 84

Administration Best Practices Research Documentation/Coding 84

PEMBlog

DECEMBER 4, 2024

Pediatr Rev May 2018; 39 (5): 247–257. Um, with the first documented epidemic occurring in Paris in 1578. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: [link] Pediatrics in Review Heather L. Daniels, Camille Sabella; Bordetella pertussis (Pertussis). link] UpToDate Yeh S et al.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

Dr. Smith's ECG Blog

MARCH 8, 2025

Circulation Research , 114 (12), 18521866. International expert consensus document on takotsubo syndrome (part I): Clinical characteristics, diagnostic criteria, and pathophysiology. Virmani, R., & & Falk, E. Mechanisms of plaque formation and rupture. link] Chatzidou, S., Kontogiannis, C., Tsilimigras, D. Georgiopoulos, G.,

EKG/ECG 77

EKG/ECG CPR Resuscitation Wellness 77

Sensible Medicine

NOVEMBER 21, 2024

I learned of Mr. Ryan during the monkeypox outbreak, our empirical research found that he was the single most accurate source of information on Twitter/X… Read more a month ago · 267 likes · 62 comments · Benjamin Ryan This is a controversial topic, and it is not usually well covered in medical journals or the lay media.

Pediatrics 127

Pediatrics Domestic Violence Research Psychiatric 127

Sensible Medicine

MARCH 11, 2025

However, researchers have widely criticized this paper for its methodological flaws and newer data has superseded Wax’s conclusions. Similarly, a 2018 meta-analysis by Scarf et al. Finally, a smaller 2018 meta-analysis by Rossi et al. Critically, studies need to distinguish planned home births from unplanned ones.

Outcomes 88

Outcomes Hospitals Wellness Documentation/Coding 88

Don't Forget the Bubbles

NOVEMBER 5, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Parental physical disease severity and severe documented physical child abuse: a prospective cohort study. What are some of this months highlights? Persaud N, et al.

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105

Sensible Medicine

DECEMBER 5, 2024

” Like many anti-vaccine advocates, he has a well documented history of promulgating false information that effectively preyed on the vulnerability that all parents (to varying degrees) have about the effects of substances injected or ingested by their children. He asks a question and claims to be open to the research.

CDC 114

CDC Research Documentation/Coding Hospitals 114