Taming the SRU

AUGUST 30, 2023

A larger 2022 meta-analysis in the journal of Clinical Microbiology and Infection examined different test modalities for diagnosing pneumonia in the setting of clinical suspicion for acute community-acquired lower RTI in outpatient clinics, LTACs, and the emergency department. 2022 Jul 11;11(14):2163. days (secondary endpoint) [51].

Infectious Diseases 87

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

PulmCCM

MARCH 11, 2024

Societies push back on CMS’s cuts to critical care billing In 2022, the U.S. Read their letter to CMS here , asking that critical care billing return to pre-2022 historical norms. In 2022, CMS also officially permitted concurrent or additive critical care time billing by multiple clinicians on the same patient throughout the day.

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

Taming the SRU

JUNE 11, 2023

Utilized in the pre-hospital setting, ICU and the Operating Room, it is a non-invasive measurement that reflects a patient’s current state of metabolism, circulation and ventilation. Comparing quick sequential organ failure assessment scores to end-tidal carbon dioxide as mor- tality predictors in prehospital patients with suspected sepsis.

Hospitals 86

Hospitals Emergency Department EMS Outcomes 86

RebelEM

MARCH 27, 2023

4 Using factors such as shock, pneumonia, and sepsis this score allows an accurate prediction of developing ARDS. More pertinent and relevant takeaway messages have to do with staffing and operations. 2022 Feb 8; PMID: 35156050 Higgins TL et al. 2022 Feb 24;7(1):29603. N Engl J Med. Crit Care Explor. Crit Care Med.

Emergency Department 52

Emergency Department Operations Documentation/Coding Academics 52

Northwestern EM Blog

MAY 16, 2022

Follow up CT should depend on the patient and ultrasound operator. Lastly the POCUS operators were ED physicians with training “recommended by ACEP.” 2022, May 16). were hospitalizations during f/u period; 26.4% vs. In this study, 40.7% of those in the POCUS group and 27% in the formal ultrasound group underwent subsequent CT.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

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. 2022 Jul;46(7):1306-1312. Epub 2022 Jun 9, PMID: 35581530 Prerost FJ, Sefcik D, Smith B. Alcohol Clin Exp Res.

Psychiatric 52

Psychiatric Emergency Department Documentation/Coding Fractures 52

RebelEM

NOVEMBER 3, 2022

Matchett 2022). Indian J Crit Care Med 2022. The environment, operator-related factors, and equipment are different in a pre-hospital vs. ED setting. The groups were unbalanced, with more patients with sepsis and more patients with difficult airway characteristics in the ketamine group. in the etomidate cohort.

Outcomes 52

Outcomes Emergency Department Sepsis Operations 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. Definitive treatment is joint wash out in the Operating Room. 2022, Apr 25). The knee joint is the most common joint to be affected, followed by the ankle. Herndon, A. Traumatic Arthrotomy.

Soft Tissue Injuries 52

Soft Tissue Injuries Fractures Sepsis Documentation/Coding 52

EMDocs

DECEMBER 18, 2023

Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician. vs. 0.91), positive predictive value (0.27

Sepsis 65

Sepsis Fluid Resuscitation Resuscitation Shock 65

Don't Forget the Bubbles

MARCH 4, 2024

Reviewed by: John Coveney Article 2: How do we define sepsis in children? International Consensus Criteria for Pediatric Sepsis and Septic Shock. The aim of this paper was to update and evaluate the criteria for sepsis and septic shock in children. It doesn’t help to diagnose or exclude sepsis. doi:10.1001/jama.2024.0179

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

EMDocs

OCTOBER 17, 2023

CT is the most useful examination for patients with suspected complications of colonic diverticulitis because of its reproducibility, superior diagnostic accuracy (98%)m accuracy for alternative diagnoses with a similar presentation, risk-stratification of patients for operative versus nonoperative treatment, and inpatient versus outpatient triage.

Radiology 68

Radiology Radiology Operations Best Practices 68

Don't Forget the Bubbles

SEPTEMBER 23, 2024

suprapubic catheters, gastrostomy tubes, haemodialysis or peritoneal dialysis lines – may have been left in situ in the initial post-operative period), and central vascular catheters. Look for scars indicating previous central lines, peritoneal dialysis catheters or operations. Consider sepsis and treat it accordingly.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Pediatric Education

SEPTEMBER 1, 2024

Complications include death, scarring, skin superinfection, sepsis, encephalitis, meningitis, febrile seizures, and premature birth. Learning Point MPox, previously known as Monkey Pox until 2022 , is caused by the monkey pox virus which is a poxvirus. J Spec Oper Med. Patients are not contagious after the crusts fall off.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Sepsis 40

EMDocs

JANUARY 16, 2025

Today we cover the Phoenix Sepsis Criteria. years Best performing criteria identified by AUPRC and AUROC 4-organ-system model translated into the Phoenix Sepsis Score had best mortality prediction characteristics AUPRC of 0.23-0.38 Well provide summaries of the evidence to support your decisions at the bedside. but PPV ranges from 25.1-39.5%

Sepsis 69

Sepsis Pediatrics Shock Hospitals 69

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 Hospitals Sepsis Administration 59