Northwestern EM Blog

JUNE 16, 2024

For example, hypothyroidism, adrenal insufficiency, sepsis, neuromuscular disease, malnutrition, thiamine deficiency, hypoglycemia can all lead to hypothermia [11-13]. Operational definition of normal sinus heart rate. 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Infectious Diseases Stroke Poisoning 52

RebelEM

MARCH 9, 2023

Klein 2018) Despite the high risk of pathology and decompensation, many patients with presumed alcohol intoxication can be evaluated and discharged without any labs or imaging. Pain / Additional Complaints : Alcohol can weaken the immune system with only moderate use, predisposing individuals to pneumonia, soft tissue infections, and sepsis.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

EB Medicine

JUNE 6, 2019

However, it can also be due to hypoxia, sepsis, anemia, PE, or metabolic acidosis, so consider all of those also in your differential. was sensitive for 28-day mortality in sepsis. Jeff: Speaking of HR, tachycardia can be a response to pain, anxiety, fever, blood loss, or sepsis. In one study, a SI > 0.7

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

Don't Forget the Bubbles

NOVEMBER 1, 2023

This retrospective study, conducted between 2016 and 2018, looked at paediatric patients aged between 2 and 17 years presenting with severe exacerbation of asthma to a single tertiary paediatric Emergency Department in Memphis, Tennessee. Reviewed by: Leanne Lindenstruth, ENP Article 4: Can we treat appendicitis non-operatively?

Emergency Department 140

Emergency Department Hospitals Resuscitation Administration 140

EMDocs

OCTOBER 17, 2023

A 2018 risk score incorporates the presence of abdominal guarding, WBC, and CRP. Those with abdominal guarding, WBC over 20,000, and CRP over 25 mg/dL demonstrated a risk of complicated diverticulitis of over 85% (Bolkenstein 2018). Limitations: operator dependent, may be inconclusive, is not reliable for diagnosing complications.

Radiology 87

Radiology Radiology Operations Best Practices 87

RCEM Learning

NOVEMBER 28, 2022

Only 50% were positioned correctly according to a survey done in 2018 7. Operative management is required with either External Fixation or Open Reduction with Internal Fixation (ORIF). Learning bite All unstable pelvic fractures require operative management. When to put the pelvic binder on? Image via NG39 Fig.

Fractures 40

Fractures Blood Transfusions Sepsis Operations 40

PulmCCM

MARCH 11, 2024

Ascension is a $27 billion, 140-hospital conglomerate operating in 19 states—the third largest system in the U.S Each hospital’s Medical Executive Committee approved the protocol, and data was collected 2016-2018. The other new signal is in corporate health care operations: One of the largest U.S.

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

Don't Forget the Bubbles

JULY 5, 2023

Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. Pneumococcal sepsis B. Pneumococcal sepsis.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Don't Forget the Bubbles

JANUARY 13, 2025

Often, these babies are managed as more common neonatal illnesses initially, such as persistent pulmonary hypertension of the newborn, sepsis, or respiratory distress syndrome. Neonates with significant obstructed TAPVD will require intubation, ventilation and inotropic support pre-operatively. An echo is generally diagnostic.

Operations 59

Operations Outcomes Pediatrics EKG/ECG 59

Mind The Bleep

SEPTEMBER 17, 2024

Always consider management as per ATLS protocol and SEPSIS 6 if relevant. English hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases. Regular medications. Ensure the wound has been adequately washed out. The management of animal bites in the United Kingdom.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52