RebelEM

MARCH 9, 2023

Keyes 2022) Auditory and Visual Hallucinations (AH/VH) : The differential diagnosis for hallucinations is broad and includes medical pathology, psychiatry pathology, and transient causes such as acute drug intoxication. As always, document clinical sobriety before discharge. 2022 Jul;46(7):1306-1312. Alcohol Clin Exp Res.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

Mind The Bleep

FEBRUARY 27, 2024

“PRagMatic Pediatric Trial of Balanced vs nOrmaL Saline FlUid in Sepsis: study protocol for the PRoMPT BOLUS randomized interventional trial”, Trials pp776, 2021 Written and edited by Dr Bex Evans, paediatric registrar

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

RebelEM

MARCH 27, 2023

4 Using factors such as shock, pneumonia, and sepsis this score allows an accurate prediction of developing ARDS. There may have very well been a policy where only RTs can make changes to a ventilator after an order was placed to ensure accurate documentation. 2022 Feb 8; PMID: 35156050 Higgins TL et al. 2022 Feb 24;7(1):29603.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

RebelEM

OCTOBER 5, 2023

Background: Community-acquired pneumonia (CAP) can lead to pulmonary and systemic inflammation, resulting in impaired gas exchange, sepsis, organ failure, and an increased risk of death. 2022) involving 586 ICU-admitted patients with severe community-acquired pneumonia (CAP), no benefit was observed from methylprednisolone administration.

Research 94

Research Outcomes Administration Shock 94

Northwestern EM Blog

MAY 16, 2022

Please ensure that you document and discuss with the patient accordingly. 2022, May 16). 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. Akhentuamhen, A.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

Northwestern EM Blog

APRIL 25, 2022

Violation of the joint capsule exposes the sterile intra-articular space to the environment which can result in a deep infection and sepsis. Ideally your exploration should be in a bloodless, painless field and documented as such. 2022, Apr 25). The knee joint is the most common joint to be affected, followed by the ankle.

Soft Tissue Injuries 52

Soft Tissue Injuries Fractures Sepsis Documentation/Coding 52

ACEP Now

JANUARY 5, 2025

On June 24, 2022, Roe v. 1,2 This article reviews key statutes in the states with the strongest prohibitions against abortion and offers documentation principles for treating patients with ectopic pregnancies, spontaneous miscarriages, and other pregnancy-related emergencies. Wade was overturned by the U.S. Indiana Statute: Ind.

Documentation/Coding 98

Documentation/Coding Sepsis Emergency Department 98

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 113

Sepsis Outcomes Administration Shock 113

Pediatric EM Morsels

FEBRUARY 2, 2024

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. Am J Emerg Med.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

PulmCCM

MARCH 11, 2024

Societies push back on CMS’s cuts to critical care billing In 2022, the U.S. About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills. Read their letter to CMS here , asking that critical care billing return to pre-2022 historical norms.

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

Don't Forget the Bubbles

JANUARY 1, 2024

Data from the Nurse-Family Partnership program involving 60,171 families were analysed across four cohorts, including pre-pandemic and three pandemic cohorts (from July 2022 to October 2023). 2023 Dec 12 Pediatric Sepsis Diagnosis, Management, and Sub-phenotypes. 2023 Nov 23:archdischild-2022-325119. Pawlowski TW, et al.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

Dr. Smith's ECG Blog

DECEMBER 27, 2024

Documentation lists a diagnosis of "sinus tachycardia." This demands an explanation -- sepsis, hemorrhage, withdrawal, etc. Serial troponin was undetectable. As an aside, sinus tachycardia at a rate of 140 in an elderly man is seriously concerning and demands an explanation.

EKG/ECG 121

EKG/ECG Hospitals Sepsis Documentation/Coding 121

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 ). Southampton (UK): NIHR Journals Library; 2022 Mar. See their website for more: [link] References Abu-Sultaneh S, Iyer NP, Fernndez A, et al.

Pediatrics 59

Pediatrics Sepsis Hospitals Administration 59

EMDocs

DECEMBER 9, 2024

In July 2022, mpox was declared a Public Health Emergency of International Concern (PHEIC) after a clade 2 strain began spreading rapidly across 110 countries. 2 Beginning in January 2023, the DRC documented a record number of annual suspected cases of clade 1 mpox, specifically classified as Clade 1b.

CDC 75

CDC Documentation/Coding Infectious Diseases Dehydration 75