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A First Look at Emergency Department Data for 2022

ACEP Now

ED leaders worked to develop new physician documentation and coding guidelines that needed to be implemented at the beginning of 2023. Software attacks crippled operations in large hospital chains, and physical assaults on ED staff continued unabated. percent in 2019. Patient volume losses in 2020 reversed in 2021.

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SGEM#256: Doctor Doctor Give Me the News, I Gotta Bad Case of RLQ Pain – Should I have an Appendectomy?

The Skeptics' Guide to EM

Date: May 6th, 2019 Reference: Sceats et al. Date: May 6th, 2019 Reference: Sceats et al. Background: The first documented appendectomy was done by Claudius Amyand in 1735. Exclusion: Patients with co-occurring diagnosis or procedure codes consistent with complicated appendicitis and patients lacking appendectomy codes.

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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

RebelEM

Epub 2019 Jul 3. Am J Emerg Med. 2022 2022 Sep 5. PMID: 36108346 Cole JB, et al. Human Errors and Adverse Hemodynamic Events Related to “Push Dose Pressors” in the Emergency Department. J Med Toxicol. PMID: 31270748 Maheshwari K, et al. Intensive Care Med. 2018;44(6):857–67. Am J Emerg Med.

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Re-Engineering Flow in an Academic Emergency Department

ACEP Now

In 1901, UVA opened its first hospital with 25 beds and three operating rooms. The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. They also developed standard work documents for each role. In addition, daily variation increased.

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The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection

RebelEM

What They Did: Double-blind, randomized, placebo controlled trial that ran from October 2019 through January 2024 Multinational study conducted at 22 centers in three European countries 3512 patients were enrolled and before surgery eligible patients were randomly assigned to one of the following two groups Amino Acid Group: 10% Isopuramin at a dose (..)

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Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

The Fontan circulation was an operation initially developed around 50 years ago to treat tricuspid atresia. There are different potential surgical techniques that can be employed in a staged Fontan operation and the various suture lines involved can interfere with electrical conduction pathways.

EKG/ECG 98
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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

2019 Aug; PMID: 30954692 Clinical Question: What is the impact of system factors in the implementation of standard-of-care LPV in critically ill ED patients admitted to the ICU? There may have very well been a policy where only RTs can make changes to a ventilator after an order was placed to ensure accurate documentation. J Crit Care.