Sensible Medicine

MARCH 14, 2025

The only problem was that the patient population would change over the course of the study – the unscreened population was studied mostly in 2019 and early 2020 while the screened population was mostly late 2020 early 2021. Secondary outcomes included code activation, pressor therapy, initiation of HD, MDROs, and C.

Sepsis 73

Sepsis Wellness Documentation/Coding Fluid Resuscitation 73

EMDocs

FEBRUARY 12, 2025

She had previously undergone carbon ion radiotherapy, receiving a cumulative dose of 75 GyE in 20 fractions over two courses from December 2020 to January 2021. IntechOpen; 2020. Radiat Res 1 September 2020; 194 (3): 310313. J Appl Clin Med Phys. 2022;23(3):e13526. In: Radiation Therapy. doi:10.5772/intechopen.73853.

Best Practices 54

Best Practices Documentation/Coding Radiology Radiology 54

PEMBlog

JUNE 14, 2023

Pediatrics October 2020; 146 (4): e20201174. 2020-1174 AAP-AACAP-CHA Declaration of a National Emergency in Child and Adolescent Mental Health Jennifer A. Boarding of Mentally Ill Patients in Emergency Departments: American Psychiatric Association Resource Document. 2020-030692 Lo CB, Bridge JA, Shi J, Ludwig L, Stanley RM.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

EMDocs

AUGUST 22, 2024

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.

Documentation/Coding 100

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 100

Don't Forget the Bubbles

MAY 31, 2023

Mintegi, S., & Country Leads (2020). Identified cases were then screened further by looking at the medical notes to confirm whether the presentation was eligible for inclusion. Bressan, S., Buonsenso, D., Farrugia, R., Oostenbrink, R., Titomanlio, L., Nijman, R. Maconochie, I., Da Dalt, L., Annals of emergency medicine, 76(6), 788–800.

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

ACEP Now

NOVEMBER 7, 2024

A 2020 study in the journal Pediatrics found that close to three in every five patients who sought mental health treatment at EDs were boarded. Boarding of mentally ill patients in emergency departments: American Psychiatric Association resource document. Reference Nordstrom K, Berlin JS, Nash SS, et al. West J Emerg Med. Pediatrics.

Psychiatric 59

Psychiatric Pediatrics Hospitals Emergency Department 59

Dr. Smith's ECG Blog

APRIL 18, 2024

Emergent cath lab activation is also named after this test (code STEMI), so patients whose ECGs don’t meet STEMI criteria don’t get emergent angiograms, despite guidelines. And because there was no Code STEMI, the discharge diagnosis was “non-STEMI”, so this case will not be flagged as an opportunity for improvement. But only 6.4%

EKG/ECG 122

EKG/ECG Documentation/Coding Fractures Emergency Department 122

Board Bombs

DECEMBER 21, 2020

ICD-10 code above. Let's tackle a difficult, common ED topic to finish off 2020. ICD-10 code above. Let's tackle a difficult, common ED topic to finish off 2020. Arrives with acute low back pain that is reproducible. So much high yield info, so take a listen and curl up next to the fireplace.

Documentation/Coding 52

Documentation/Coding 52

Board Bombs

DECEMBER 21, 2020

ICD-10 code above. Let's tackle a difficult, common ED topic to finish off 2020. ICD-10 code above. Let's tackle a difficult, common ED topic to finish off 2020. Arrives with acute low back pain that is reproducible. So much high yield info, so take a listen and curl up next to the fireplace.

Documentation/Coding 52

Documentation/Coding 52

EB Medicine

DECEMBER 8, 2020

Use code AMAZON20 Write us at emplify@ebmedicine.net. Don’t forget about the $50 Amazon card with any order over $300 through 12/31/20. Write us at emplify@ebmedicine.net (mailto:emplify@ebmedicine.net).Don’t Don’t forget about the $50 Amazon card with any order over $300 through 12/31/20.

Emergency Department 52

Emergency Department Documentation/Coding Hospitals 52

Dr. Smith's ECG Blog

MARCH 10, 2025

Weve also published the largest study on this question: Emergency Department Code STEMI patients with initial electrocardiogram labeled normal by computer interpretation: a 7-year retrospective review. This underestimates computer false normal ECGs because we only included code STEMIs, not Non-STEMIs with OMI.

EKG/ECG 89

EKG/ECG Outcomes Documentation/Coding Emergency Department 89

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Macroscopic T-Wave Alternans: A Red Flag for Code Blue. In practice — It appears that electrical alternans is most often seen in association with regular SVT rhythms ( See the example in My Comment at the bottom of the page, in the September 7, 2020 post in Dr. Smith's ECG Blog ). J Am Coll Cardiol. 2006 Jan 17;47(2):269-81.

EKG/ECG 132

EKG/ECG Documentation/Coding Psychiatric EMS 132

ACEP Now

DECEMBER 6, 2024

This case report documents the first known instance of using NTG during an emergency department resuscitation to treat a patient in cardiac arrest due to severe coronary artery vasospasm. Cardiac arrest secondary to myocardial ischemia from coronary vasospasm is well documented. N Engl J Med. 1992;326(22):1451-1455. Circulation.

Resuscitation 98

Resuscitation EKG/ECG Documentation/Coding COPD 98

PulmCCM

JUNE 12, 2023

In its 2020 updated guidelines , the American Heart Association recommended cooling to 32-36 °C after any cardiac arrest (shockable or non-shockable rhythms, in-hospital or out), but after TTM2, authors for the American College of Cardiology argued cooling patients below normothermia may no longer be necessary.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

RCEM Learning

MAY 20, 2022

Author: Govind Oliver / Code: / Published: 06/02/2020 In December 2019 the NIHR announced a themed call for applications in urgent and emergency care, injuries and accidents. The NIHR Academy fellowship scheme is included in this themed call.

Documentation/Coding 52

Documentation/Coding 52

ACEP Now

JUNE 7, 2023

The performance of EDs in 2020 and into 2021 changed abruptly, and that carried through into 2022. ED leaders worked to develop new physician documentation and coding guidelines that needed to be implemented at the beginning of 2023. Patient volume losses in 2020 reversed in 2021. percent.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

EMDocs

DECEMBER 4, 2023

Document a risk and benefit discussion with the patient regarding empiric anticoagulation, perhaps even including the HAS-BLED score in the documentation [10]. A study in 2020 led to 624 patients with delayed US strategy started on rivaroxaban had 0% major bleed rate and eventual diagnosis of 119 DVTs [11]. mg/kg for 24 hours.

Ultrasounds 90

Ultrasounds Documentation/Coding Wellness EMS 90

EMDocs

SEPTEMBER 30, 2024

Among patients with a primary provider documented in the chart, 30-day outpatient follow-up rate was 21.3% (n = 313). 2020 Feb;8(2):605-617.e6. For follow up, 13.98% of visits were followed by an outpatient visit within 30 days, and 3.77% of index visits were followed by an ED revisit within 30 days. J Allergy Clin Immunol Pract.

Outcomes 101

Outcomes Academics Documentation/Coding Emergency Department 101

Mind The Bleep

OCTOBER 29, 2024

Provide detailed documentation of the initial assessment, treatment provided, and the patient’s response to interventions. PMID: 31795625; PMCID: PMC6895471 Emergency Management of Severe Burns Course Manual, 18th Edition, January 2020, UK Version for The British Burn Association, Australia and New Zealand Burn Association Ltd 1996.

Burns 52

Burns Fluid Resuscitation PPE Hyperthermia / Hypothermia 52

ALiEM

JANUARY 26, 2024

Ciprofloxacin has been documented as a cause of IgA vasculitis. Epub 2020 Dec 3. Case Question: What are common triggers for this diagnosis? Common triggers include infection, drugs, and autoimmune. Case Discussion Take-Home Points Consider IgA vasculitis, even in an older patient. Dermatol Ther. 2021 Jan;34(1):e14591. PMID: 33244823.

Academics 73

Academics Documentation/Coding EMS Hospitals 73

Emergency Medicine Journal

MARCH 21, 2024

Methods This retrospective study included patients with code-red emergency medical communication centre (EMCC) stroke suspicion ambulance dispatch between August to December 2020. The study aim was to investigate the efficacy of the G-FAST criteria for LVO patient selection and direct transfer to a CSC.

Stroke 52

Stroke Documentation/Coding EMS Hospitals 52

RCEM Learning

MAY 20, 2022

Author: Rick Body / Editor: Govind Oliver / Code: / Published: 06/02/2020 In 2017 the National Institute for Health Research (NIHR) published its Training Review.

Academics 52

Academics Documentation/Coding Research Hospitals 52

ACEP Now

MARCH 9, 2025

A 2020 scoping review reported 38 interventions to improve patient care. This less-than-ideal situation, however, does not negate the cornerstone of ACEPs Code of Ethics to embrace patient welfare as [our] primary professional responsibility.

Emergency Department 83

Emergency Department Point-of-Care Testing Documentation/Coding Hospitals 83

Downeast Emergency Medicine

DECEMBER 1, 2021

ROSENBERG ET AL Northern New England and, in particular, Maine have been especially hard-hit by the opioid epidemic, with Maine experiencing its’ highest number of opioid deaths ever in 2020. All transcripts were then coded using a final code book and resultant codes were organized into themes and subthemes with supportive quotes.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Administration 52

The Skeptics' Guide to EM

NOVEMBER 21, 2020

Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. AEM November 2020. Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. AEM November 2020. AEM November 2020. Reference: Pines et al. Reference: Pines et al.

Emergency Department 52

Emergency Department Telemedicine Academics Outcomes 52

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

I therefore feel it relevant to document ( in your dictation/on the medical chart ) when significant artifact potentially impairs the accuracy of your interpretation. P.S.: For another clinical example of how EASY-it-is to overlook a long QTc if one is not systematic in approach — Please check out the May 3, 2020 post in Dr. Smith's ECG Blog.

Seizures 114

Seizures EKG/ECG EMS Stroke 114

The Skeptics' Guide to EM

MAY 2, 2020

Date: April 24th, 2020 Reference: Watanabe et al. Date: April 24th, 2020 Reference: Watanabe et al. The crew then asks if you want them to transport your father Code 3 with full lights and sirens. Is Use of Warning Lights and Sirens Associated With Increased Risk of Ambulance Crashes? Annals of Emergency Medicine.

Documentation/Coding 40

Documentation/Coding EMS EKG/ECG Outcomes 40

Dr. Smith's ECG Blog

JUNE 11, 2024

Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review. To add to this complexity ( as per My Comment in the August 22, 2020 post in Dr. Smith's ECG Blog ) — the ST-T wave appearance in repolarization variants may be dynamic !

EKG/ECG 114

EKG/ECG Documentation/Coding Emergency Department Wellness 114

Don't Forget the Bubbles

DECEMBER 16, 2024

Additionally, a systematic review in 2020 found a high prevalence of subclinical pertussis infections among household contacts of confirmed cases. Manual for the laboratory diagnosis of measles and rubella infection Geneva: WHO Documents Production Services, 2007 Available from: [link] [Accessed 4 Oct 2024] Government of the United Kingdom.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

ACEP Now

NOVEMBER 7, 2023

3 These regulations have led to widespread practices of EHI, such as test results and clinical documentation, being shared with patients in real time. Training opportunities for documentation best practices should be employed. Code of federal regulations eCFR website. Published May 1, 2020. Public law 114–255—Dec.

Documentation/Coding 52

Documentation/Coding Best Practices Ethical Issues Academics 52

Dr. Smith's ECG Blog

JULY 21, 2024

In both tracings — an exceedingly fast PMVT is documented. As I review in My Comment in the January 16, 2020 post of Dr. Smith's ECG Blog ( and have reproduced in Figure-2 below ) — the ECG of patients with acute LMCA occlusion may be varied. That said — there is no evidence on ECG of re-occlusion of the infarct artery.

EKG/ECG 132

EKG/ECG Shock Hospitals Sepsis 132

ACEP Now

NOVEMBER 6, 2024

emergency departments, according to research published in 2020 in Annals of Emergency Medicine. It was written like a diary, detailing what he did during a weekend shift: codes, traumas, you name it. Native American emergency physicians make up 0.1 percent of physicians in U.S. I thought, “That’s what I want to do.”

Military 98

Military Emergency Department Documentation/Coding Research 98

RebelEM

NOVEMBER 30, 2023

Published 2020 Aug 19. It is crucial for physicians to exercise clinical judgment and discretion when administering crystalloid fluids, avoiding indiscriminate fluid administration based on these nuanced considerations. Improvement in Mortality With Early Fluid Bolus in Sepsis Patients With a History of Congestive Heart Failure. Hamdon, M.

Sepsis 118

Sepsis Fluid Resuscitation Resuscitation Administration 118

Dr. Smith's ECG Blog

JULY 31, 2020

Meyers, Weingart and Smith published their OMI Manifesto — in which they extensively document the critically important concept that management of acute MI by separation into a “STEMI” vs “non-STEMI” classification is an irreversibly flawed approach. P.S.: Our September 3, 2020 post features Dr. Meyers' 17-minute summary of the OMI Manifesto.

EKG/ECG 52

EKG/ECG Documentation/Coding 52

The Skeptics' Guide to EM

OCTOBER 21, 2020

Date: October 21st, 2020 This is an SGEM Xtra episode. Date: October 21st, 2020 This is an SGEM Xtra episode. The rivalry between Newton and Hooke is well documented. I had the honour of presenting at the Department of Family Medicine’s Grand Rounds at the Schulich School of Medicine and Dentistry.

Documentation/Coding 52

Documentation/Coding Wellness 52

The Skeptics' Guide to EM

JANUARY 16, 2021

Annals of EM 2020 Guest Skeptic: Dr. Will Flanary is an ophthalmologist, writer, and comedian who moonlights in his free time as “Dr. Annals of EM 2020 Guest Skeptic: Dr. Will Flanary is an ophthalmologist, writer, and comedian who moonlights in his free time as “ Dr. Glaucomflecken ” on Twitter and TikTok.

EMS 52

EMS Documentation/Coding Emergency Department 52

EM Updates

JUNE 15, 2021

In the last week of March and first week of April 2020, hospitals across New York City were overwhelmed with critically ill COVID-19 patients, many of whom had unprecedented oxygen requirements. From April 6 to May 3, 2020, 90 patients were admitted to the EDAT. The study was approved by the MMC institutional review board.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52