2019, Documentation/Coding and Sepsis

Congestive Heart Failure and Sepsis: A Closer Look at Fluid Management

RebelEM

NOVEMBER 30, 2023

For those with sepsis, the administration of intravenous fluids (IVF) at the volumes recommended in the Surviving Sepsis Campaign (SSC) requires careful consideration of an individual’s chronic medical conditions and subsequent sensitivity to IVF. Article: Vaeli Zadeh A, Wong A, Crawford AC, Collado E, Larned JM. Am J Emerg Med.

Sepsis

Sepsis Fluid Resuscitation Resuscitation Administration

ECG Blog #366 — Diltiazem didn't work.

Ken Grauer, MD

FEBRUARY 28, 2023

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

EKG/ECG Documentation/Coding Sepsis COPD

Sepsis alerts work! Just not in the patients who fire the alerts

PulmCCM

JANUARY 6, 2025

In the past decade, so-called “sepsis alerts” came out of nowhere to become a ubiquitous and resource-intensive component of inpatient medical care. “Sepsis alerts” are automated notifications that flag patients who meet certain criteria compatible with severe infection discernible from the electronic medical record.

Sepsis

Sepsis Documentation/Coding Hospitals Outcomes

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

Dr. Smith's ECG Blog

JANUARY 2, 2025

She was managed for sepsis with antibiotics including azithromycin, had hypotension with arterial and central lines placed and pressors. I do not see OMI here and all trops were only minimally elevated, consistent with either chronic injury from cardiomyopathy or with acute injury from sepsis. She was intubated. J Am Coll Cardiol.

EKG/ECG

EKG/ECG Sepsis Wellness Documentation/Coding

SGEM#246: I Start the Line – But Will It Make a Difference?

The Skeptics' Guide to EM

FEBRUARY 23, 2019

Date: February 22nd, 2019 Reference: Lane et al. Association Between Early Intravenous Fluids Provided by Paramedics and Subsequent In-Hospital Mortality Among Patients With Sepsis. Date: February 22nd, 2019 Reference: Lane et al. Background: Sepsis is a serious condition with high morbidity and mortality.

Sepsis

Sepsis Administration Documentation/Coding Hospitals

The DIMPLES study

Don't Forget the Bubbles

MAY 31, 2023

We have a ringside view in the Children’s Emergency Department – the unique opportunity to see different types of acute presentations, whether DKA, sepsis or asthma, amongst a host of febrile children.

Emergency Department

Emergency Department Research Documentation/Coding Outcomes

What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

JULY 21, 2024

The stay in the cardiac intensive care unit (CICU) was further complicated by sepsis, delirium, GI bleeding, and anuric renal failure with need for renal replacement therapy. In both tracings — an exceedingly fast PMVT is documented. That said — there is no evidence on ECG of re-occlusion of the infarct artery.

EKG/ECG

EKG/ECG Shock Hospitals Sepsis

Tasty Morsels of Critical Care 072 | Cardiorenal syndrome

Emergency Medicine Ireland

JULY 3, 2023

Type 5 is the big bucket where they put all the left over disease that cause both kidney and heart failure eg things like amyloid, or sepsis or cirrhosis. This segues relatively nicely into a section of the document on palliative care. Circulation 139, e840–e878 (2019). With me so far? – Mullens, W., Verbrugge, F.

Sepsis

Sepsis Shock Wellness Documentation/Coding

Sickle Cell Disease Module

Don't Forget the Bubbles

JULY 5, 2023

Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. Sickle cell patients also qualify to receive the annual influenza vaccine, since influenza virus infection predisposes to bacterial pneumonia and sepsis caused by S. Pneumococcal sepsis B.

Blood Transfusions

Blood Transfusions Stroke Dehydration Sepsis

Post #3 Back-to-Sleep series

Sensible Medicine

AUGUST 14, 2024

This sort of sepsis would produce many of the common autopsy findings. ” Indeed, cause of death is coded differently over time and across counties, states, and countries. Most SIDS babies have congested lungs, and 75% have a history of a recent cold, or an existing cold.

CDC

CDC Sepsis Research Pediatrics

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

RebelEM

AUGUST 12, 2024

PMID: 36038001 Clinical Question: In patients undergoing cardiac surgery with cardiopulmonary bypass, does the administration of intravenous amino acid therapy lead to lower occurrence of postoperative AKI when compared to placebo?

Outcomes

Outcomes Hospitals Operations Shock

Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

MARCH 27, 2023

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? 4 Using factors such as shock, pneumonia, and sepsis this score allows an accurate prediction of developing ARDS. Paper: Owyang CG, et al. J Crit Care.

Emergency Department

Emergency Department Operations Documentation/Coding Academics

Tachycardia, fever to 105, and ischemic ST Elevation -- a Bridge too Far

Dr. Smith's ECG Blog

APRIL 15, 2019

A previous ECG from 4 years prior was normal: This looks like an anterior STEMI, but it is complicated by tachycardia (which can greatly elevate ST segments) and by the presentation which is of fever and sepsis. Although the quality is suboptimal, it appears to me to show a hyperdynamic heart and possibly and apical wall motion abnormality.

EKG/ECG

EKG/ECG Sepsis Documentation/Coding Shock

Nephrolithiasis: Ultrasonography versus Computed Tomography

Northwestern EM Blog

MAY 16, 2022

Please ensure that you document and discuss with the patient accordingly. J Urol 2019. were hospitalizations during f/u period; 26.4% Finally, a burden on us as EM clinicians is training in and awareness of clinical practice guidelines and recommendations from specialties outside of EM. Thanks again toDr.’s s Ughreja and Akhetuamhen.

Ultrasounds

Ultrasounds Radiology Radiology Outcomes

The Emergency Department Admitting Team: A Crisis Response to an Unprecedented Surge of Critically Ill Patients During COVID-19

EM Updates

JUNE 15, 2021

After admission to the EDAT, documentation was performed on the inpatient electronic health record (EHR), which at MMC is a different platform than the ED EHR. Providers carried out their tasks using foreign ordering and documentation pathways within an EHR that had to be learned immediately and without training. N Engl J Med.

Emergency Department

Emergency Department Hospitals Outcomes Wellness

Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

JULY 8, 2019

I’m Jeff Nusbaum and I’m back with Nachi Gupta for the 30 th episode of EMplify and the first Post-Ponte Vedra Episode of 2019. Leakage from the staple line typically presents within the first week, but can present up to 35 days, usually with fevers, tachycardia, abdominal pain, nausea, vomiting sepsis, or peritonitis.

Emergency Department

Emergency Department Sepsis Operations Dehydration

Atrial fibrillation? Multifocal Atrial Tachycardia? Don't look at computer read until AFTER you interpret!

Dr. Smith's ECG Blog

JANUARY 5, 2020

See below how this has been documented. IJC Heart and Vasculature 25(2019). It may lead to false negative or false positive diagnoses, and withholding of necessary anticoagulation, or administering or inappropriate anticoagulation.

EKG/ECG

EKG/ECG COPD Wellness Sepsis

Is Pip-Tazo Harming Sepsis Patients?

RebelEM

NOVEMBER 11, 2024

Background: Patients with sepsis are routinely treated with empiric broad-spectrum antibiotics while awaiting source identification, as recommended by the surviving sepsis campaign.2 Mortality of Patients With Sepsis Administered Piperacillin-Tazobactam vs Cefepime. address in the article discussed below. JAMA Intern Med.

Sepsis

Sepsis Outcomes Administration Shock

Weaning Sedation in Paediatric Intensive Care

Don't Forget the Bubbles

DECEMBER 9, 2024

Clinical recommendations for pain, sedation, withdrawal, and delirium assessment in critically ill infants and children Pediatric Acute Lung Injury and Sepsis Investigators ( PALISI ). Published 2019 Nov 10. doi:10.1136/bmjopen-2019-031630 Blackwood B, Morris KP, Jordan J, et al. Am J Respir Crit Care Med. 2023;207(1):17-28.

Pediatrics

Pediatrics Hospitals Sepsis Administration

Emergency Care Today

Congestive Heart Failure and Sepsis: A Closer Look at Fluid Management

ECG Blog #366 — Diltiazem didn't work.

Trending Sources

Sepsis alerts work! Just not in the patients who fire the alerts

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

SGEM#246: I Start the Line – But Will It Make a Difference?

The DIMPLES study

What are treatment options for this rhythm, when all else fails?

Tasty Morsels of Critical Care 072 | Cardiorenal syndrome

Sickle Cell Disease Module

Post #3 Back-to-Sleep series

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

Impact of Emergency Department Crowding on Lung Protective Ventilation

Tachycardia, fever to 105, and ischemic ST Elevation -- a Bridge too Far

Nephrolithiasis: Ultrasonography versus Computed Tomography

The Emergency Department Admitting Team: A Crisis Response to an Unprecedented Surge of Critically Ill Patients During COVID-19

Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

Atrial fibrillation? Multifocal Atrial Tachycardia? Don't look at computer read until AFTER you interpret!

Is Pip-Tazo Harming Sepsis Patients?

Weaning Sedation in Paediatric Intensive Care

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