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Death Verification

Mind The Bleep

Assessment A code of practice for confirmation of death exists, however, each hospital may have its own protocols which you must familiarise yourself with. If there are family are present, greet them and offer your condolences.

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ECG Blog #366 — Diltiazem didn't work.

Ken Grauer, MD

Figure-2: I've color-coded P waves from Figure-1 according to P wave morphology ( See text ). NOTE: For clarity — I've color-coded P waves in the long lead II rhythm strip according to morphology. The September 30, 2019 post in Dr. Smith’s ECG Blog — for an example of “MAT”, but without the tachycardia.

EKG/ECG 195
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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

13 Interventions may include: Ascertaining a patient’s preferred language early in the clinical encounter (during registration, for instance), and clearly documenting this preference in a place that is visible to all providers. Utilizing certified interpreters and documenting their use. Educating patients on their rights. 45:446-458.

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Medical Malpractice Insights: The challenge of suicide evaluation in the ED

EMDocs

The nurse completes the Columbia-Suicide Severity Rating Scale (C-SSRS) and documents that the patient’s recent thoughts of killing himself and his detailed plan makes him “High Risk” for suicide. There is no documented handoff to the on-coming emergency physician (EP) who assumes care. Medscape, January 08, 2019.

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Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?

Dr. Smith's ECG Blog

4,5] We have now formally studied this question: Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review.[6] 2019 ; 54 : 79 - 81. have published a number of warnings about the previous reassuring studies.[4,5] J Electrocardiol. Am J Emerg Med.

EKG/ECG 122
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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

In the middle of the night, a "code" was called, and multiple rhythms like this were recorded. Applying my method to the March 19, 2019 case that I show in Figure-1 the rhythm in this Figure-1 ECG is regular, with an R-R interval just under 4 large boxes. LBBB, ventricular pacing, etc.)." CASE CONTINUED She was admitted to the ICU.

EKG/ECG 119
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The Pause- a recognition of a life

Don't Forget the Bubbles

2016) “Implementation of a Post-Code Pause: Extending Post-Event Debriefing to Include Silence”. 2012) “Implementation of a Rapid Post-Code Debrief Quality Improvement Project in a Community Emergency Department Setting”. Please watch this video for a beautiful explanation from Jonathan Bartels of this initiative. & Liska, H.