Sensible Medicine

AUGUST 7, 2024

There is evidence that, for children and adults, elevated cortisol levels and chronic stress can lead to behavioral, mental-health, and mood issues, as well as changes in inflammation and immunity. In 2022 the CDC paid the AAP to form an expert working group to revise its developmental surveillance checklists.

CDC 106

CDC Documentation/Coding Research Pediatrics 106

Sensible Medicine

JUNE 11, 2024

In November 2022, OpenAI launched ChatGPT-3.5. This interface shortens the time required for human-to-computer interaction by transforming an input given through natural language into almost any form, from text to images to computer code. Healthcare workers and patients must champion a human-centered approach to AI innovation.

Documentation/Coding 89

Documentation/Coding Wellness Outcomes Research 89

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

We documented that the majority of stenotic lesions had compensatory enlargement and thus exhibited remodeling. Strictly speaking — this case does not at this time qualify as MINOCA — because the negative cath and 2 normal hs-troponins done 6 hours apart failed to document infarction. (

EKG/ECG 125

EKG/ECG Ultrasounds Documentation/Coding Wellness 125

Total Medical ComplianceHIPAA

JANUARY 12, 2023

Department of Health and Human Services (HHS) Office for Civil Rights (OCR) had its busiest year with the announcement of its 22 nd enforcement settlement on December 15, 2022. TMC clients have access to ready to use forms, as well as expert support, white-glove service, and first-class training! Last year, the U.S.

Operations 104

Operations Best Practices Documentation/Coding Administration 104

Dr. Smith's ECG Blog

OCTOBER 8, 2024

She was worked as a full code, and ROSC was achieved. For more on Precordial Swirl — See the October 15, 2022 post in Dr. Smith's ECG Blog ). Repeat ECG did not demonstrate ST elevations in the anterior leads." OMI was Missed again!! About 45 minutes after the second EKG, the patient was found in cardiac arrest.

EKG/ECG 126

EKG/ECG Documentation/Coding Resuscitation Shock 126

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. Accessed 2022, [link].

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

RebelEM

JUNE 8, 2023

2022 Sep 5. 2022 2022 Sep 5. Prior literature primarily focused on safety and medication errors, and while this study did the same, they also assessed variables associated with PDP response. Paper: Singer S, et al. The safety and efficacy of push dose vasopressors in critically ill adults. Am J Emerg Med. Am J Emerg Med.

Administration 97

Administration Emergency Department Outcomes Documentation/Coding 97

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. 2022 — and — Kontos et al; 2022 ACC Expert Consensus — JACC 80(20):1925-1960, 2022 ).

EKG/ECG 69

EKG/ECG Documentation/Coding EMS Wellness 69

Mind The Bleep

JANUARY 28, 2025

First Aid Measures : Document if any initial care has been done, such as cleaning or dressing the wound. Documentation Clearly record findings, including measurements and descriptions of the wound, and consider photographic documentation if appropriate. Bleeding : Assess the extent of bleeding at the time of injury.

Documentation/Coding 52

Documentation/Coding Head Injuries Fractures Emergency Department 52

Sensible Medicine

SEPTEMBER 26, 2023

According to a 2022 Pew surve y, “Trust in scientists and medical scientists, once seemingly buoyed by their central role in addressing the coronavirus outbreak, is now below pre-pandemic levels. ” As well, such a rule “would also increase accountability for journals. Overall, 29% of U.S.

Research 120

Research Hospitals Documentation/Coding Outcomes 120

Dr. Smith's ECG Blog

JUNE 27, 2024

With ongoing transcutaneous pacing, Cardiology emergently took the patient to the cath lab for temporary pacing wire placement via right IJ which she tolerated well. To EMPHASIZE: What follows are advanced concepts that extend well beyond what is needed for appropriate emergency management of today's patient.

EKG/ECG 123

EKG/ECG Documentation/Coding Emergency Department Wellness 123

Dr. Smith's ECG Blog

JUNE 15, 2023

I sent this ECG to the Queen of Hearts (PMcardio OMI), and here is the verdict: You can subscribe for news and early access (via participating in our studies) to the Queen of Hearts here: [link] queen-form Then I learned that a Code STEMI was activated for concern of anterior "STEMI" in V1-V2. High sensitivity troponin I was 23 ng/L.

EKG/ECG 98

EKG/ECG Documentation/Coding Outcomes Hospitals 98

American Medical Compliance

FEBRUARY 2, 2024

COVID-19 Prevention Requirements The Occupational Safety and Health Standards Board decided to approve COVID-19 preventative standards that are not emergency measures on December 15, 2022. Click the button below to learn more about these practices, as well as other COVID-19 associated practices necessary in your dental facility.

Infectious Diseases 52

Infectious Diseases Documentation/Coding PPE Wellness 52

The Skeptics' Guide to EM

OCTOBER 1, 2022

Date: September 28th, 2022 Reference: Hartford et al. AEM September 2022. Date: September 28th, 2022 Reference: Hartford et al. AEM September 2022. It is not well documented, whether gaps in pain assessment and treatment exist in conditions in which opioids are not indicated, such as migraine headaches.

Pediatrics 52

Pediatrics Emergency Department Documentation/Coding Research 52

ACEP Now

OCTOBER 30, 2023

This makes documentation and communication of the utmost importance for these patients for their health and safety. If they are part of the Deaf community, ensure that they have an American Sign Language interpreter present, as well as an in-person interpreter to best communicate the emotion behind their speech. 2022; 14: 441–456.

Sexual Assault 98

Sexual Assault Teamwork Outcomes Dehydration 98

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 Nov 23:archdischild-2022-325119. Pediatr Infect Dis J. 2023 Dec 1. Selzer A, et al. Arch Dis Child. Metz TD, et al. Pediatrics. 2023 Dec 27.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

EMDocs

JUNE 6, 2023

Literature suggests we should avoid evaluating ocular pressure, though there are no case reports or peer reviewed data documenting extrusion of ocular contents from ocular pressure evaluation in the ED setting. Epub 2022 Dec 5. No need for Seidel test if there’s obvious globe rupture. References: Pelletier J, Koyfman A, Long B.

Fractures 87

Fractures Documentation/Coding Ultrasounds Wellness 87

Total Medical ComplianceHIPAA

OCTOBER 15, 2022

If a patient emails a request for their records, it is considered sufficient documentation for the practice to provide those records once the practice confirms the email address belongs to the patient. For example, if the patient’s email is not on file, call to confirm the request and email address and document the call in the patient’s file.

Documentation/Coding 52

Documentation/Coding Administration Wellness 52

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. 2022 Apr 20;17(4):e0267288. 2022 Oct;16(5):2049-2055. How does this apply to us? doi: 10.1017/dmp.2021.49.

Academics 52

Academics Leadership Documentation/Coding Research 52

RCEM Learning

JANUARY 23, 2024

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. According to our timelines submitted to the funders, recruitment was due to start in January 2022.

Research 72

Research Wellness Outcomes Documentation/Coding 72

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

RebelEM

AUGUST 12, 2024

Epub 2022 Aug 28. Thus further adding to the well known safety of amino acid infusions The lack of a diversified patient population in combination with having used only one type of amino acid formulary greatly limits this study’s generalizability. Epub 2022 Aug 28. The PROTECTION trial. Contemp Clin Trials. The PROTECTION trial.

Outcomes 81

Outcomes Hospitals Operations Shock 81

Greater Sydney Area HEMS

AUGUST 1, 2023

Why does it work so well? When I found it, I felt the documentation (if done at all) largely tended to be the bare minimum, and certainly not reflective of the beautiful learning conversations happening in the room. – The re-design of C+C documentation process was launched. It also dovetails with our governance process.

Documentation/Coding 52

Documentation/Coding Outcomes Hospitals Administration 52

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

JANUARY 13, 2025

This criterion is perplexing and not well explained. Unexplained cardiac arrest or documented VF/polymorphic VT: +3 3. ST is followed by a symmetrically negative T-wave 7. The duration of QRS is longer than in RBBB," and "there is a mismatch between V1 and V6." The downsloping should be such that the Corrado index is greater than 1.0

Hyperthermia / Hypothermia 74

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 74

Cook County EM Blog

MAY 15, 2023

His EKG suggested a posterior MI as well as other signs of ischemia. A code STEMI was activated, and the patient was given sublingual nitroglycerin and morphine for his pain. Repeat EKGs continued to show ST depression in V2, as well as a new q wave in lead II, and deeper, wider q waves in lead III and aVF. Alsagaff, M.Y.,

EKG/ECG 52

EKG/ECG Documentation/Coding Wellness 52

Medical Law

JULY 19, 2024

However, the influx of cyclists also highlights the pressing need for well-maintained infrastructure to ensure safety. Successfully navigating these legal hurdles often requires an attorney who is well-versed in government liability cases. Our firm received an AV Preeminent Rating from Martindale-Hubbell, and we have a perfect 10.0

Documentation/Coding 52

Documentation/Coding Shock Wellness 52

Mind The Bleep

OCTOBER 29, 2024

Alkali burns result in liquefaction necrosis, allowing for deeper tissue injury as well as vascular injury that can lead to both local and systemic toxicity [1]. These systemic effects can include central nervous system (agitation, seizures , and coma), as well as cardiac ( hypotension and dysrhythmias) [10, 11]. 2022 Mar 2;83(3):1-12.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 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. 2022, Sept 12). Wleklinski, N. Debriefing in the ED. Expert Commentary by Bailitz, J].

Resuscitation 52

Resuscitation Emergency Department Academics Wellness 52

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. To support his Medicine 3.0 2 Apparently, in Attia's practice, "this is my starting point with any patient.

Research 107

Research Documentation/Coding Wellness 107

Medical Law

JUNE 20, 2024

Gathering evidence and documentation is a critical step in proving Loss of Consortium in wrongful death cases. Chronic stress and anxiety may develop, impacting their overall mental health and well-being. Call (805) 962-2022 to schedule a FREE consultation with one of our Santa Barbara wrongful death lawyers today.

Documentation/Coding 52

Documentation/Coding Wellness 52

Mind The Bleep

JUNE 18, 2023

ICD-10 codes: F00-03 are the ICD codes for dementia and its subtypes F02. In a general hospital there are the dementia and delirium team, as well as Liaison Psychiatry who you can refer to. This article outlines the main factors related to the presentation, aetiology, and treatment of BPSD.

Psychiatric 52

Psychiatric Documentation/Coding Stroke Fractures 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] The BMJ.

Documentation/Coding 59

Documentation/Coding Hospitals Wellness Operations 59

PEMBlog

DECEMBER 4, 2024

Updated 2022 Oct 7]. Um, with the first documented epidemic occurring in Paris in 1578. If you’re unvaccinated and not up to date, well then what are you doing in healthcare? I’ve had patients say, well, I don’t want tetanus. Well, tough Schenectes. In: StatPearls [Internet].

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

Don't Forget the Bubbles

MARCH 19, 2024

Just 20% of a person’s health and general well-being is related to access to care and the quality of services. Acknowledging the challenges associated with paediatric social admissions begins with documenting social issues and assessing their social history with the same level of detail as their medical history. Dublin: Author.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

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. The benefits include getting a true feel for living in the city- but this can be a little riskier in cities you don’t know very well.

Research 52

Research Leadership Documentation/Coding Academics 52

RebelEM

MARCH 27, 2023

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. Unfortunately, its not clear whether the documentation came from RTs or ED providers. 2022 Feb 8; PMID: 35156050 Higgins TL et al. 2022 Feb 24;7(1):29603. N Engl J Med.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52