ACEP Now

NOVEMBER 7, 2024

Conclusion Poorly healing wounds pose a significant burden on health care systems and personal well-being, and their presence as a harbinger of severe morbidity and mortality must be appreciated. Photographic documentation of the wound is helpful to enhance continuity of care. 2020;95(9):2021-2034. Mayo Clin Proc.

Burns 97

Burns Documentation/Coding Outcomes Emergency Department 97

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

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

Dr. Smith's ECG Blog

MAY 26, 2023

Thus, since high dose insulin's (HDI) primary beneficial effect on calcium channel overdose is to as a positive inotrope, it does not work well for dihydropyridine overdose. A NSWER : In Figure-3 — I have color-coded P waves in the long lead II rhythm strip of ECG #2. How Are the P Waves Color-Coded? Learning Points: 1.

Shock 98

Shock EKG/ECG Documentation/Coding Resuscitation 98

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. He is an EMS medical director with Lexington Fire/EMS as well as the AMR/NASCAR […] The post SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest? Reference: Shah and Mitra.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 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 Outcomes 52

Sensible Medicine

AUGUST 14, 2024

In popular (lay) understanding, SIDS represents a common danger that a well-cared for and apparently healthy baby will suddenly and terrifyingly be found dead in the morning. ” Indeed, cause of death is coded differently over time and across counties, states, and countries.

CDC 96

CDC Sepsis Research Pediatrics 96

RCEM Learning

JANUARY 23, 2024

The ELECT2 Trial as it was to be called, was to start on October 2021. But the principles and processes are very similar, considering the ethics approvals needed, the staff I needed to employ, the mountains of documents I needed to prepare, and the lack of sleep that is involved in those early months.

Research 72

Research Wellness Outcomes Documentation/Coding 72

Don't Forget the Bubbles

JANUARY 1, 2024

While adenotonsillectomy may not directly impact cognitive functions, it can benefit other aspects of health and well-being in children with mild sleep-disordered breathing. During the COVID-19 pandemic (2020-2021), the incidence of IPD reached its lowest level in 20 years. Pediatrics. Shikha A, et al. Eur J Pediatr. 2023 Dec 27.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

SheMD

OCTOBER 8, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. Actually, I wanted to ask what supports the program has in place for parents (male and female) as well as people increasing their families, be it biologically or through adoption?” Their well-being should be considered.

Leadership 105

Leadership Best Practices Academics Documentation/Coding 105

Dr. Smith's ECG Blog

JULY 7, 2024

But because Code STEMI was cancelled on arrival and the patient had delayed angiography, the discharge diagnosis was 'non-STEMI' despite having the exact same pathology. The patient also had a 100% proximal LAD occlusion, with a peak troponin of 100,000 ng/L.

EKG/ECG 69

EKG/ECG Documentation/Coding EMS Wellness 69

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

Dr. Smith's ECG Blog

JULY 21, 2024

In both tracings — an exceedingly fast PMVT is documented. In this study — Procainamide was superior to Amiodarone for terminating monomorphic VT, as well as having fewer adverse effects than Amiodarone ( Ortiz et al — Eur Heart J 1;38 (17): 1329-1335, 2017 ). The arrhythmia starts with a PVC having a short coupling interval.

EKG/ECG 134

EKG/ECG Shock Hospitals Sepsis 134

Sensible Medicine

MARCH 27, 2024

Peter Attia - From Surgeon to Longevity Guru I first encountered Peter Attia online while researching ketosis , the Atkins diet and low carb diets in 2012 and found his writing to be incredibly well-researched and helpful. The Notes section at the back of his book cites a 2021 paper first-authored by Libby. To support his Medicine 3.0

Research 107

Research Documentation/Coding Wellness 107

SheMD

JULY 27, 2023

Unequal distribution of domestic responsibility has been documented as a factor in the underrepresentation in female physicians in leadership roles in academic medicine as well as contributing to career satisfaction. Epub 2021 Feb 16. How does this apply to us? Understanding the Impact of COVID-19 on Physician Moms.

Academics 52

Academics Leadership Documentation/Coding Research 52

ACEP Now

MAY 6, 2023

The emergency physician’s documentation of these injuries may prove to be crucial in law enforcement’s reconstruction of the crash and may have significant implications for subsequent legal proceedings. Updated January 4, 2021. Discussion There were over 2.1 million ED visits for injuries from motor vehicle accidents (MVAs) in 2020.

Forensics 52

Forensics Documentation/Coding Fractures Head Injuries 52

Taming the SRU

NOVEMBER 14, 2023

B) on right: hand drawn images of layers of ear demonstrating auricular hematoma The epidemiology and incidence of ED presentation for auricular hematomas has not been well-studied because it is a relatively uncommon condition. Philadelphia PA: Elsevier/Saunders; 2021. Courtesy of wiki commons under CC Attribution 3.0 Seventh ed.

Emergency Department 93

Emergency Department Pediatrics Wellness Documentation/Coding 93

SheMD

OCTOBER 5, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. If staying in a hotel- don’t forget to use discount codes the residency program may offer. I have heard stories of interviewees being rude to the Residency Coordinator- this did NOT end well for the student.

Research 52

Research Leadership Documentation/Coding Academics 52

Northwestern EM Blog

SEPTEMBER 26, 2022

It is well-documented that ED physicians have historically high rates of burnout compared to other specialties as well as a high incidence of post-traumatic stress disorder (PTSD) compared to the general population. 2021, August 16). References 1. Get With The Guidelines - Resuscitation Clinical Tools. Www.Heart.Org.

Resuscitation 52

Resuscitation Emergency Department Academics Wellness 52

Don't Forget the Bubbles

MAY 6, 2024

This multicentre retrospective cohort study looked at 202 children in California aged 1- 24 months who presented acutely between 2010 and 2021. of patients with follow-up documentation, 70.8% (95% CI 62.9–77.9) Data collected were the worst values documented within the same calendar day as the blood cultures were obtained.

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

Northwestern EM Blog

SEPTEMBER 12, 2022

It is well known that most hospitals in large population centers already operate at or near full capacity [4]. Other things listed on tags can be a patient’s name, bar code, MRN or other tracking criteria. This makes it even more challenging when presented with an acute influx of patients in a short period of time. EPM , 5 Apr.

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

Don't Forget the Bubbles

OCTOBER 14, 2024

The government recognizes they cannot return to their country of origin owing to a well-founded fear of being persecuted for the reasons provided for in the United Nations Refugee Convention or European Convention on Human Rights (such as persecution due to race, sexuality, political opinions, or religion). Retrieved from [link] Al Jazeera.

Documentation/Coding 59

Documentation/Coding Hospitals Wellness Operations 59

Don't Forget the Bubbles

MARCH 19, 2024

The Ombudsman for Children’s Office suggested that in 2020, 18 children were admitted to paediatric hospitals in Ireland, and 10 children in 2021 for reasons beyond their medical needs. Just 20% of a person’s health and general well-being is related to access to care and the quality of services. What can clinicians do?

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Dr. Smith's ECG Blog

FEBRUARY 13, 2023

Thankfully this patient’s second ECG met STEMI criteria, so paramedics brought them as a code STEMI. Int J Cardiol Heart Vasc 2021 2. QUERY: Given the modest size of the QRS in lead aVL — Isn't the ST segment in lead aVL disproportionately elevated as well as abnormally shaped? ). Meyers et al. Aslanger et al.

EKG/ECG 52

EKG/ECG Documentation/Coding EMS Wellness 52

Don't Forget the Bubbles

FEBRUARY 26, 2024

Increasing PEEP is thought to cause bronchodilation by providing direct mechanical stimulus as well as secondary stimulation through pulmonary stretch receptors coupled with activation of the non-cholinergic parasympathetic pathway. uk/document-library/clinical-information/asthma/btssign-asthma-guideline-2019. 2018 Jun;54(6):633-7.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

ACEP Now

MARCH 13, 2024

Consequences of this are well documented and include delayed treatment, exposure to error, increased length of stay, and increased mortality. Published online 2021:26. Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

ACEP Now

JULY 6, 2023

5 Patients with acute ischemic strokes, STEMIs, and trauma, as well as many other diagnoses, have their workup largely completed, and even sometimes definitive therapy executed, before they leave the emergency department, rather than requiring inpatient units. “A CDC website : Sexually Transmitted Disease Guidelines 2021.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

ACEP Now

DECEMBER 10, 2023

Corneal injury and defects have been documented from direct contact of milkweed sap to the eye and any exposure should be immediately treated with copious water irrigation. He was observed for several hours and eventually discharged with minimal intervention. It is unknown if digoxin specific antibody antidotal therapy would have any effect.

Poisoning 52

Poisoning Seizures Documentation/Coding Emergency Department 52

Pediatric Education

NOVEMBER 19, 2023

They felt he was breastfeeding well and had only mild jaundice. His examination was normal and the diagnosis of a well newborn infant was made. mg/dL which was well below treatment threshold. Some infants may need car seat tolerance screening as well. 2021-055554 Shaw MA, Liu A. BMC Pediatr. 2021;21(Suppl 1):350.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

PulmCCM

OCTOBER 30, 2023

The Society for Critical Care Medicine and Chest together opposed IDSA’s 2021 appeal of SEP-1, and generally support the Surviving Sepsis Campaign framework that SEP-1 grew from. And maybe, noticing all the fuss, some clinicians might have started coding for VAP slightly less often in equivocal cases.

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

Dr. Smith's ECG Blog

MAY 8, 2023

Code STEMI was activated by the ED physician based on the diagnostic ECG for LAD OMI in ventricular paced rhythm. There is concordant ST elevation in I, aVL with reciprocal concordant STD in inferior leads, as well as excessively discordant TE in V2-V4. Annals of Emergency Medicine 2021. This is a huge anterolateral OMI.

EKG/ECG 52

EKG/ECG Documentation/Coding Outcomes Shock 52

RebelEM

DECEMBER 28, 2022

However, the optimal treatment duration for UTI in men is not well studied, and current practice guidelines are based on historical dogma. Patients were enrolled after the initiation of treatment through a search for diagnosis codes and antibiotic prescriptions. Article: Drekonja DM et al.

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

Downeast Emergency Medicine

APRIL 26, 2021

2021 Jan 1;32(1):37-43. Trauma patients between the ages of 18-90 years had to have either had one documented episode of hypotension (defined as a systolic BP <90 mmHg) or tachycardia (>100 beats/minute) to be included in the study. Rivas L, Estroff J, Sparks A, et al. Blood Coagul Fibrinolysis.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Taming the SRU

FEBRUARY 22, 2023

STEP-UP Self Physical and Psycological IM-SAFE Illness Medications Stress Alcohol Fatigue Eating Psychological Cognitive Threat/Challenge appraisal: PERCEIVED demands vs. resources Threat appraisal - stress levels excessive, performance impaired – vapor lock (autonomic arousal, tunnel vision, auditory exclusion, loss of time awareness, impaired memory (..)

Hospice 40

Hospice EKG/ECG Resuscitation Wellness 40

Pediatric EM Morsels

OCTOBER 6, 2023

The most common countries of acquisition were Bangladesh, India, Nepal, and Pakistan (Forster 2021) For travelers, the peak incidence occurs at age 10 and those who are visiting to their country of birth. Rauniyar 2021) Up to 10% of patients may present with constipation as opposed to diarrhea. Shah 2021).

Pediatrics 161

Pediatrics CDC Seizures Documentation/Coding 161

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

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