PulmCCM

JANUARY 6, 2025

A 2021 analysis of Epic’s sepsis model revealed atrocious false positive and negative rates. The SCREEN Trial SCREEN was a stepped-wedge cluster randomized trial of an EMR alert for organ failure, conducted at 45 wards of 5 hospitals in Saudi Arabia from 2019 to 2021. 2021 Aug 1;181(8):1065-1070. 2021 Aug 1;181(8):1144.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

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. Symptoms of radiation-induced skin injury began on the eighth day after initiating radiotherapy, and by January 18, 2021, the lesion had progressed to Grade IV radiation dermatitis.

Best Practices 57

Best Practices Documentation/Coding Radiology Radiology 57

Dr. Smith's ECG Blog

OCTOBER 18, 2023

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] 2021 ; 46 : 23 - 26 4. have published a number of warnings about the previous reassuring studies.[4,5] Am J Emerg Med. J Electrocardiol.

EKG/ECG 119

EKG/ECG Documentation/Coding Emergency Department Outcomes 119

Emergency Medicine Journal

AUGUST 23, 2023

Method Semistructured telephone interviews were conducted with ED/UCC practitioners across England between October 2020 and July 2021 as part of a larger multimethod study examining the impact of NHS 111 online. Interviews were transcribed verbatim and coded inductively by the primary researcher.

Emergency Department 75

Emergency Department Urgent Care Documentation/Coding Patient Safety 75

EMDocs

OCTOBER 11, 2023

.” The tech cleans the wound and documents it as 2cm long and “ dirty.” The ED physician documents suturing a 3 cm laceration in a single layer, omitting any reference to any wound exploration, cleansing or debridement. I thought they were incidental “ bone islands” so I didn ’ t document them. Danks RR, Jun 22, 2021.

Documentation/Coding 95

Documentation/Coding Radiology Radiology Patient Safety 95

Dr. Smith's ECG Blog

MAY 27, 2024

Since the ECG now meets STEMI criteria, a code STEMI was activated. Curr Cardiol Red 2021 3. J Am Heart Assoc 2021 6. IJC Heart and Vasc 2021 8. There was a 99% mid RCA occlusion, and peak troponin was greater than 25,000ng/L (upper limit of assay). Int J Cardiol 2024 2. Nikus et al. Kontos et al. Phibbs and Nelson.

EKG/ECG 123

EKG/ECG Documentation/Coding Emergency Department 123

Don't Forget the Bubbles

MAY 31, 2023

The NPDA audit suggests that 2021-2022 was another high incidence year, higher even than the first COVID pandemic year. Crit Care 25, 399 (2021). Identified cases were then screened further by looking at the medical notes to confirm whether the presentation was eligible for inclusion. link] Kanthimathinathan, H.K., Buckley, H.,

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

Sensible Medicine

JANUARY 26, 2024

As I wrote in 2021 for a similar trial, “The control arm of abiraterone or enzalutamide… is suboptimal since there is substantial cross-resistance between these agents, leading to poor response rates and short PFS [3], [4], [5].” This trial failed to do that. The control arm is known to be deficient.

Documentation/Coding 130

Documentation/Coding 130

American Medical Compliance

OCTOBER 3, 2024

According to NSC Injury Facts, workplace injuries cost businesses $167 billion in 2021. This can be achieved by maintaining a centralized document repository. Have a digital document management system or a physical binder in a prominent area of the dental office. This includes dentistry.

PPE 105

PPE Hazardous Materials Documentation/Coding Operations 105

Don't Forget the Bubbles

MAY 10, 2023

Then you hear the words coming out of the speaker, “ Paediatric code black. Paediatric code black ”. You’ve heard the phrase code black before – it’s a traumatic cardiac arrest. You know a paediatric code black means paediatric traumatic cardiac arrest. 2021; 164: 70-78. You actually run down the corridor.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

Sensible Medicine

SEPTEMBER 19, 2024

In addition, a 2021 Mayo Clinic study found that antibiotics given to a young child (known to alter the formation of the microbiome), was associated with higher rates of obesity, learning disabilities, attention deficit disorder, and celiac disease later in childhood. Health care needs new leaders.

Research 145

Research Military Poisoning Burns 145

EMDocs

APRIL 18, 2024

The admitting nurse documents an “OTJ injury” with a chief complaint of “My boss made me come.” Updat-ed Jun 23 2021. The employee is surprised when his boss tells him “Get to the E.R! Right now!” He arrives in the ED of his small community hospital about 30 minutes later. As so often happens, listening to our nurses saves our butt.

Patient Safety 105

Patient Safety Hospitals Documentation/Coding EMS 105

Don't Forget the Bubbles

NOVEMBER 20, 2023

Document the size, consistency and location in the notes to compare if they represent. April 2021 Russell F, Lowe D. They may grow again with subsequent upper respiratory tract infections. This waxing and waning course is normal, and families should be reassured and given red flag features that necessitate further assessment.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

ACEP Now

DECEMBER 11, 2023

A recent article documents 56 additional U.S. physicians quit in 2021 alone. Published November 16, 2021. The wave of increasing hospital closures and service line cutbacks continues to sweep the U.S. hospitals that are closing clinical departments or ending or reducing services. industries, and the most dangerous of all U.S.

Hospitals 98

Hospitals Administration Documentation/Coding Research 98

EB Medicine

OCTOBER 3, 2021

EMplify - October 2021 Announcements: The EB Medicine app is live and available for free in the Apple Store. Also, this month use code SB25 and get a $25 Starbucks gift card when you subscribe at ebmedicine.net Emergency Dept. Coming to Google Play soon. It is in Beta and your feedback is welcome. Coming to Google Play soon.

Documentation/Coding 52

Documentation/Coding Pediatrics 52

EB Medicine

NOVEMBER 1, 2021

EMplify – November 2021 Announcements: The EB Medicine app is live and available for free in the Apple Store. Also, this month use code ACEP21! It is in Beta and your feedback is welcome. ,* Also, this month use code ACEP21! Coming to Google Play soon. It is in Beta and your feedback is welcome. Coming to Google Play soon.

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

PulmCCM

JUNE 12, 2023

But the most recent TTM2 trial (NEJM 2021, n=1850) , which was included in the analysis, by itself cast significant doubt on any benefit of temperature management below normothermia. Use code PULMCCM15 and get 15% off when you register online.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

Dr. Smith's ECG Blog

MAY 26, 2023

Details of management extend beyond the scope of this ECG Blog — with reviews by Atemnkeng at al ( J Med Cases 12[9]:373-376, 2021 ) and Chakraborty & Hamilton ( StatPearls, 2023 ) available for interested readers. A NSWER : In Figure-3 — I have color-coded P waves in the long lead II rhythm strip of ECG #2.

Shock 98

Shock EKG/ECG Documentation/Coding Resuscitation 98

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. 2021 ; 46 : 23 - 26.

EKG/ECG 89

EKG/ECG Outcomes Documentation/Coding Emergency Department 89

Downeast Emergency Medicine

DECEMBER 1, 2021

Background Recent data from the National Center for Health Statistics reveal that in the 12-month period ending in April 2021, more than 100,000 Americans died of an overdose, a staggering increase of nearly 30% the prior year. 2021; 4(7): e2117128.[ 2021; 78(3): 434-442.[ The Journal of Rural Health. Pubmed ] 3. Herring, et al.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Administration 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

EB Medicine

SEPTEMBER 7, 2021

EMplify - September 2021 Announcements: Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this month !! Also, this month use code SB25 and get a $25 Starbucks gift card when you subscribe at ebmedicine.net !

Documentation/Coding 52

Documentation/Coding Emergency Department 52

Pediatric EM Morsels

AUGUST 18, 2023

None of the patients were documented to have joint disease at follow up. Ross 2021) Predisposing risk factors including older age , trauma to tendons or joints , and a family history of MAEs. There were 2523 children included. 451 pediatric patients were included. There was an increased risk of tendon rupture (1.9 Binz 2015).

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

RebelEM

AUGUST 22, 2024

What They Did: Retrospective review of consecutive RAO cases managed as part of a remote ophthalmology consult protocol activated on May 1, 2021, at three stroke centers across a health system. Documented at the following time points: Before treatment. Published 2021 Feb 16. Within 24 hours after treatment. Clin Ophthalmol.

Stroke 85

Stroke Administration Outcomes Documentation/Coding 85

The Skeptics' Guide to EM

JUNE 2, 2021

Date: May 28th, 2021 Guest Skeptics: Heather Logan is the executive Strategy lead for the Canadian Agency for Drug and Technologies in Health (CADTH). Date: May 28th, 2021 Guest Skeptics: Heather Logan is the executive Strategy lead for the Canadian Agency for Drug and Technologies in Health ( CADTH ).

Documentation/Coding 52

Documentation/Coding Hospitals Wellness 52

EMDocs

JULY 9, 2024

Insurance companies paying more attention to addressing social needs Medicaid: 1115 Demonstration Waivers, CalAIM in California ICD-10 code modifiers to acknowledge – and compensate—for the added complexity of social needs Additional resources/further reading: Liberman DB, Pham PK, Semple-Hess JE. Epub 2021 Sep 24. Acad Pediatr.

Pediatrics 75

Pediatrics Emergency Department Research Burns 75

ALiEM

JANUARY 26, 2024

Ciprofloxacin has been documented as a cause of IgA vasculitis. 2021 Jan;34(1):e14591. 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. Ann Pharmacother. 1995 Jan;29(1):84.

Academics 73

Academics Documentation/Coding EMS Hospitals 73

Total Medical ComplianceHIPAA

JANUARY 12, 2023

During those two years, the OCR oversees all compliance activities and requires that all HIPAA related documentation and issues be submitted and approved or reported to them according to strict guidelines. The NPRM was published in 2021 for public comments.

Operations 104

Operations Best Practices Documentation/Coding Administration 104

EMDocs

AUGUST 8, 2023

Document consideration of torsion in males with abdominal pain. 2021 Nov;23(6):740-743. Epub 2021 Aug 18. Medicolegal considerations: 3rd most common cause of malpractice suits in males 12-17 years old & average settlement of $60,000. References: Rosenberg H, Long B, Keays M. doi: 10.1007/s43678-021-00189-6. PMID: 34406643.

Ultrasounds 95

Ultrasounds Documentation/Coding Outcomes Emergency Department 95

The Skeptics' Guide to EM

MAY 8, 2021

Date: May 7th, 2021 Guest Skeptic: Dr. Ryan Stanton is a community emergency physician with Central Emergency Physicians in Lexington, KY. Date: May 7th, 2021 Guest Skeptic: Dr. Ryan Stanton is a community emergency physician with Central Emergency Physicians in Lexington, KY. first appeared on The Skeptics Guide to Emergency Medicine.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

Sensible Medicine

AUGUST 28, 2024

in 2021, a relative increase of 105%—in part due to lack of sleep, because babies are constantly semi-aroused? Are parents more sleep-deprived as a result of Safe to Sleep, and what are the health consequence to children of that, for example car accidents? in 2010 to 19.3%

Research 99

Research CDC Documentation/Coding 99

Northwestern EM Blog

MARCH 1, 2025

Document thorough skin assessment every nursing shift, and inspect weight-bearing ventral surfaces. 2020) demonstrated that in a single-institution study with 50 patients, in addition to supplemental oxygen, proning was a valuable tool in improving oxygenation, increasing the mean SpO2 from 84% pre-proning to 94% five minutes after proning.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

The Skeptics' Guide to EM

JANUARY 23, 2021

Date: January 20th, 2021 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. AEM January 2021 Case: A 50-year-old male presents to the Emergency Department (ED) with left lower quadrant abdominal pain. Reference: Pines et al.

Poisoning 52

Poisoning Research Documentation/Coding Operations 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Method and Design We conducted an observational retrospective cohort study on patients who visited ED in 2021. Abstract 2086 Table 1 Presentations Total first presentation over 2021 Total deaths (within 30 days ) Admission Admission (%) Percentage of deaths [CI ] INJURY OF SHOULDER/ARM/ELBOW/WRIST/HAND 8416 4 424 5 0.05[0.018

Documentation/Coding 40

Documentation/Coding Sexual Assault Hyperthermia / Hypothermia Head Injuries 40

ACEP Now

NOVEMBER 13, 2023

5 Hospitals commonly activate a “code” in response to agitated patients, alerting security personnel to the location of that patient. From the law enforcement perspective, hospital policies regarding behavioral codes were “vague” and the same patients are often seen multiple times with similar behavioral crises, he noted in an interview.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

Medical Law

JUNE 20, 2023

California Vehicle Code 21212 provides that all riders and passengers under the age of 18 are legally required to wear a helmet when using a bicycle, a non-motorized scooter, in-line roller skates, or a skateboard to travel along streets or bikeways, or on any other public bicycle path or trail.

Documentation/Coding 52

Documentation/Coding CDC Research Wellness 52

Don't Forget the Bubbles

DECEMBER 16, 2024

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. JOINT committee on vaccination and immunisation code of practice June. 2021 Wendelboe, A.M. Measles facts [Internet]. 2024 Oct 15.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59