American Medical Compliance

MARCH 18, 2024

Requirements Specific to Missouri By August 28, 2021, any hospital licensed under the Missouri chapter, excluding any department of mental health-operated psychiatric hospital, must implement a workplace violence prevention plan to protect healthcare employees and other hospital personnel from aggressive and violent behavior.

Psychiatric 90

Psychiatric Operations Hospitals Wellness 90

PulmCCM

NOVEMBER 6, 2023

Intuitively, plasma seemed even less likely to help the very sickest of the sick— those mechanically ventilated with ARDS from Covid-19, whose mortality rate was well over 50% at many centers. patients infected with the Wuhan/Delta variants in 2020-2021). Only it turns out, it did help. Or could, anyway.

Blood Transfusions 98

Blood Transfusions Operations Infectious Diseases Resuscitation 98

Don't Forget the Bubbles

JUNE 30, 2023

You will be running the show today, and you want to use your preparation time well. In 2021, Evans and colleagues (1) compared adolescent mortality rates in adult, children’s and mixed major trauma centres across the UK. These procedures require an experienced operator. These procedures require an experienced operator.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

Total Medical ComplianceHIPAA

JANUARY 12, 2023

The NPRM was published in 2021 for public comments. Many comments to the NPRM noted that this would be an operational and compliance risk issue for providers. TMC clients have access to ready to use forms, as well as expert support, white-glove service, and first-class training!

Operations 104

Operations Best Practices Documentation/Coding Administration 104

American Medical Compliance

OCTOBER 3, 2024

According to NSC Injury Facts, workplace injuries cost businesses $167 billion in 2021. As dental professionals, it’s crucial to understand and adhere to OSHA dental compliance standards to ensure the well-being of both staff and patients. This includes dentistry.

PPE 93

PPE Hazardous Materials Documentation/Coding Operations 93

EMDocs

FEBRUARY 7, 2024

3 Increasing Strikes and Unions Labor actions in healthcare can disrupt normal hospital operations, potentially impacting costs and threatening patient quality of care. there were 31 recorded healthcare strikes in 2021, 39 recorded healthcare strikes in 2022, and 37 healthcare strikes in 2023 as of November 3rd. Frequency : In the U.S.,

Hospitals 77

Hospitals Research Patient Safety Wellness 77

Taming the SRU

MAY 13, 2024

The patient is a well-appearing male who is awake, alert, and oriented. There is also a well-appearing, healed surgical scar. There is also a well-appearing, healed surgical scar. The skin is warm and well perfused with brisk capillary refill. 2021; 9:e04871. Respiratory and cardiovascular exams are normal.

Ultrasounds 96

Ultrasounds Emergency Department Wellness Operations 96

RebelEM

AUGUST 22, 2024

1,2 Intra-arterial (IA) tPA has also shown benefit but is less well studied. Moreover, there are multiple operational and patient-specific barriers rendering timely thrombolytic administration difficult. Patients whose last known well (LKW) time was within 24 hours of presentation. Published 2021 Feb 16. Clin Ophthalmol.

Stroke 85

Stroke Administration Outcomes Documentation/Coding 85

Don't Forget the Bubbles

JANUARY 17, 2024

2021 A plain abdominal X-ray shows multiple dilated loops of bo wel. Point-of-care ultrasound may show well-demarcated, round, and hypoechoic material in the stomach and first part of the duodenum, though it can underestimate the number of beads present. 2021 These beads, once hydrated inside the body, reached considerable sizes.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Don't Forget the Bubbles

MAY 24, 2023

Crouzon syndrome, Pierre-Robin sequence, Down syndrome, Beckwith-Wiedemann syndrome) I njuries to the face, mandible, pharynx, or neck S leeping issues such as snoring due to adenotonsillar hypertrophy It’s essential to have a well-planned approach to managing the difficult airway. difficult intubations in neonates and infants. Simul Healthc.

Airway Management 98

Airway Management Teamwork Pediatrics Emergency Department 98

RebelEM

JANUARY 25, 2024

What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021. Point-of-care ultrasound (PoCUS) is inherently operator-dependent, which may have led to inconsistencies in the quality and findings of the ultrasound exams across different operators.

Ultrasounds 126

Ultrasounds Outcomes COPD Hospitals 126

EMDocs

AUGUST 12, 2023

He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger. Management consists of intravenous antibiotics , and hand surgery should be consulted to consider operative debridement.

EMS 70

EMS Fractures Operations Ultrasounds 70

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

EMDocs

JANUARY 11, 2025

Well keep it short, while you keep that EM brain sharp. Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days. Cureus 15(5): e39179.

EMS 72

EMS Sepsis Shock Fluid Resuscitation 72

Taming the SRU

MAY 22, 2023

Use your exam to guide your initial management as well as your imaging decisions and differential diagnosis. weight-bearing status, operative vs. non-operative) If necessary/helpful to ensure adequate follow-up At time of discharge: Counsel on expected course of injury, supportive care (e.g., 12): e0244291. 9(1):31-36.

Fractures 76

Fractures Dislocations Operations Radiology 76

Dr. No

DECEMBER 1, 2021

A week ago , the familiar high profile double humped weekly deaths chart got disappeared, perhaps because the 2021 line was misbehaving. The way to get round this slippery data problem, as regular readers of this blog will know only too well, is to look at all cause mortality. Go figure, as they say.

Forensics 52

Forensics Wellness Operations 52

RebelEM

APRIL 29, 2024

CVC vs PIV The critically ill patient is often associated with pathology that makes IV access difficult such as shock state, hypovolemia, obesity, IV drug abuse, end-stage renal disease, cardiac arrest, as well as other conditions. 2021 PMID: 34273470 12 Petitpas F et al. Resusc Plus. 2023 PMID: 37502742 11 Schwalbach KT et al.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Don't Forget the Bubbles

MAY 10, 2023

A study in Denmark in 2021 explored barriers to effective resuscitation in over 900 in-hospital resuscitations across six hospitals in Denmark. Then the patient is rapidly moved to the operating theatre. 2021; 164: 70-78. StatPearls Publishing, Treasure Island (FL) ; 2021. But crowd control can still be an issue.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

Downeast Emergency Medicine

DECEMBER 17, 2021

Since its early days of small and scattered residency programs, EM has burgeoned to nearly 3,000 residency positions according to the 2021 Report on Residents published by the Association of American Medical Colleges (AAMC). Retrieved October 30, 2021, from [link]. Association of American Medical Schools 2021 Report on Residents.

EMS 52

EMS Academics Operations Emergency Department 52

EMDocs

MAY 25, 2024

McGraw Hill; 2021. Am Fam Physician. 2014;89(11):882-888. Jauch EC, Hall G, Knoop KJ. Sialadenitis. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. Accessed June 22, 2023. link] Haidar H, Menon A, Al Duhirat E. Diseases of the salivary glands. In: Textbook of Clinical Otolaryngology.

EMS 80

EMS Dehydration Operations Hospitals 80

RebelEM

NOVEMBER 25, 2024

1 Conversely, the 2021 BOUGIE trial—a larger, multicenter randomized clinical trial conducted by the same investigators—found no significant difference in first-attempt intubation success between the bougie and an endotracheal tube with stylet among critically ill adults. to 2.39) might outweigh the benefits.

Outcomes 76

Outcomes Emergency Department Operations Hospitals 76

Don't Forget the Bubbles

JANUARY 1, 2024

However, children who had an operation experienced improvements in behaviour, symptoms, and quality of life and had lower blood pressure. 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.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

33 Charts

SEPTEMBER 21, 2021

And uncertainty is the new core operating condition for healthcare leaders. As doctors and healthcare leaders we have traditionally operated in a field of relative certainty. Here we could refer to technology itself as well as the information it generates. Uncertainty Complexity breeds uncertainty. This is new territory for us.

Leadership 58

Leadership Operations Hospitals Wellness 58

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. Conclusion/Recommendation ED crowding is a national patient safety issue driven by hospitals routinely operating over capacity. Published online 2021:26. ED crowding impairs this mission.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

EMDocs

DECEMBER 11, 2023

In addition to a posterior ECG, the ACC’s new recommendations emphasize consideration of an emergent TTE, though lack clarity in defining who should be the operator, stating “a clinician qualified in echocardiography” is necessary, without providing specific definitions. 2021 Mar;60(3):273-284. J Emerg Med.

EKG/ECG 110

EKG/ECG Emergency Department Academics Operations 110

EMDocs

SEPTEMBER 25, 2023

They increase the risks of hypoxia and acidosis during the apneic period as well as hypotension and hypoperfusion caused by the abrupt transition from negative-pressure to positive-pressure ventilation (10). ” The American Journal of Emergency Medicine 49 (2021): 48-51. 2021 Mar;60(3):265-272. J Emerg Med. 2020.10.042.

Emergency Department 66

Emergency Department Soft Tissue Injuries Airway Management Operations 66

Dr. Smith's ECG Blog

DECEMBER 19, 2023

Unfortunately, we do not have those images for review, but the operators described a ruptured LAD plaque and they stented this area, which ensures the stability of the plaque. The patient did well afterward without any recurrence of symptoms. Fortunately, that is exactly what happened. His echocardiogram showed normal wall motion.

EKG/ECG 115

EKG/ECG EMS Wellness Operations 115

Northwestern EM Blog

SEPTEMBER 12, 2022

This post will discuss a brief overview of hospital planning and operational setup with key elements of a disaster response from events that cause high numbers of blunt trauma, penetrating trauma, burns or crush injuries that may be seen following explosive events, mass shootings, or large scale motor vehicle collisions, to name a few.

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

See Costagliola et al — Ann Clin Transl Neurol 8(7): 1557-1568, 2021 — for more on the complex "Brain-Heart Interaction" in Epilepsy ). Regarding my Systematic assessment of ECG #1: There is significant baseline artifact , as well as baseline wander. mEq/L for K+ and 1.76 Nossen — results of genetic testing for LQTS are pending.

Seizures 104

Seizures EKG/ECG EMS Stroke 104

PulmCCM

APRIL 1, 2024

That could (and should) change if improved functional outcomes, persisting for months after hospital discharge, are ever confirmed in large, well-conducted trials. Authors also had no information on operators’ experience levels. In skilled hands using ultrasound, CVC complications are much lower than 3%.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

ALiEM

OCTOBER 30, 2023

The same goes for clinical operations and research – interesting, but there hasn’t been any “a ha” moment to illuminate her calling. Well, instead of passively waiting for Godot, you can seize the initiative and bend the arc of your career into alignment with your values, strengths, and passions, and, by extension, toward fulfillment.

Academics 64

Academics Leadership Wellness Research 64

Intensive Blog

AUGUST 17, 2023

Major bleeding (Arachchilage et al, 2021) 1. 2021 Apr;35(4):1192-1202. Approximately half of these cases meet the criteria for major bleeding as established by the International Society on Thrombosis and Haemostasis (Kalbhenn and Zieger, 2022). Fatal bleeding, and/or 2. Cannula site bleeding. J Cardiothorac Vasc Anesth. 2020.08.068.

Blood Transfusions 52

Blood Transfusions Operations Wellness 52

Don't Forget the Bubbles

JANUARY 31, 2024

This was compared to a mixed reference standard that included the results of ultrasound by radiologists, intra-operative findings, and clinical follow-up. Scand J Trauma Resusc Emerg Med 29, 170 (2021) What’s it about? The authors looked for common agents and their ability to reduce pain as well as any associated adverse events.

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. This finding was not significantly different among operators with different levels of experience, or between adults and children. 2021; 93: 4358–4369. 2021 Jan;25(1):466-479. Epub 2021 Oct 1. J Med Virol. doi: 10.1097/MD.0000000000023315.

Infectious Diseases 87

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 87

ACEP Now

SEPTEMBER 13, 2023

“We wanted to reach emergency physicians, nurses and others working in trauma as well as those at Health and Human Services and the Centers for Disease Control. as well as working closely on behalf of the association on projects with the White House and the Departments of Veterans Affairs, Defense, and Health and Human Services.

EMS 45

EMS Research Academics Military 45

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

EMDocs

SEPTEMBER 9, 2023

McGraw Hill; 2021. Results of primary extensor tendon repair in relation to the zone of injury and pre-operative outcome estimation. Rosh Review Website Link References Park CW, Juliano ML, Woodhall D. Tendon Lacerations. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. Accessed June 24, 2023.

EMS 78

EMS Fractures Soft Tissue Injuries Ultrasounds 78