PulmCCM

FEBRUARY 8, 2024

ATS and ESICM each separately issued its own updated ARDS guideline in 2023, and SCCM did not lend its name to either. You can read the document for all the caveats. Neither document commented on treating ARDS patients with statins, which seemed very likely to have benefited some patients with hyperinflammatory ARDS in past trials.

Research 52

Research Documentation/Coding Fractures Outcomes 52

EMDocs

MAY 4, 2024

. #1: Emergent Cath Lab Activations with “Normal” Computer ECG Interpretations Spoon Feed A significant minority of code STEMI patients have an initial normal computer ECG interpretation. Epub 2023 Sep 17. Acad Emerg Med. 2024 Mar;31(3):296-300. doi: 10.1111/acem.14795. PMID: 37620163. #2:

Documentation/Coding 78

Documentation/Coding Stroke Emergency Department Pediatrics 78

Dr. Smith's ECG Blog

NOVEMBER 27, 2023

link] == MY Comment , by K EN G RAUER, MD ( 11/26 /2023 ): == Superb commentary by Dr. McLaren — that addresses a number of truly challenging aspects regarding ECG assessment of patients who present with new chest pain. It is not yet available, but this is your way to get on the list. I'd add the following to Dr.

EKG/ECG 88

EKG/ECG Documentation/Coding Wellness 88

RebelEM

JUNE 29, 2023

Back on June 1 st , 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC? REBEL EM Blog, June 1, 2023. Resus 2023. Back on June 1st, 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC? Available at: HERE Branch KHR et al.

CPR 145

CPR EMS Documentation/Coding Outcomes 145

Pediatric EM Morsels

OCTOBER 27, 2023

He, along with Dr. Bob Luten, a PEM physician in Jacksonville, FL , designed the Broselow-Luten color-coded length-based system to help estimate a child’s weight, and thereby offload the cognitive burden of medication dosing and choice of equipment sizes in pediatric resuscitations. .” Available at: [link] (Accessed: 26 October 2023).

Pediatrics 269

Pediatrics Resuscitation Documentation/Coding Wellness 269

PulmCCM

NOVEMBER 4, 2024

“I can’t prove it was the reason, but we kept everyone’s K over 4 and Mag over 2 and we didn’t have a single code this month.” mEq per liter or ≥3.6

Documentation/Coding 92

Documentation/Coding Hospitals 92

Dr. Smith's ECG Blog

MARCH 4, 2024

link] Or use the QR code: 10 Cases: Case 1 Do you want to be interrupted to view what the computer calls normal or nonspecific ECGs? Smith, Meyers and Herman ( in the December 5, 2023 post of Dr. Smith's ECG Blog ) — many of which are summarized in Figure-1 — and, all of which are routinely discussed in cases presented on this ECG Blog.

EKG/ECG 109

EKG/ECG Documentation/Coding Wellness Resuscitation 109

EMDocs

AUGUST 22, 2024

13 Interventions may include: Ascertaining a patient’s preferred language early in the clinical encounter (during registration, for instance), and clearly documenting this preference in a place that is visible to all providers. Utilizing certified interpreters and documenting their use. Educating patients on their rights.

Documentation/Coding 81

Documentation/Coding Emergency Department Best Practices Federal Emergency Management Agency 81

Board Bombs

MARCH 5, 2023

Let’s quickly review what’s you need to know for the boards, but also emphasize what’s more important when running a code. March 5th, 2023. Let’s quickly review what’s you need to know for the boards, but also emphasize what’s more important when running a code. March 5th, 2023. Cite this podcast as: Briggs, Blake.

Documentation/Coding 52

Documentation/Coding 52

Dr. Smith's ECG Blog

OCTOBER 18, 2023

4,5] We have now formally studied this question: Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review.[6] have published a number of warnings about the previous reassuring studies.[4,5] Am J Emerg Med. 2022 ; 55 : 180 - 182 6.

EKG/ECG 117

EKG/ECG Documentation/Coding Emergency Department Outcomes 117

ACEP Now

DECEMBER 11, 2023

A recent article documents 56 additional U.S. Published September 15, 2023. Accessed December 8, 2023. Accessed December 8, 2023. Accessed December 8, 2023. Accessed December 8, 2023. Published July 21, 2023. Accessed December 8, 2023. Published April 19, 2023. Accessed December 8, 2023.

Hospitals 98

Hospitals Administration Documentation/Coding Research 98

EM Literature of Note

OCTOBER 9, 2024

Before even considering the results, there are multiple fundamental considerations taking this published exploration into the realm of curiosity rather than insightfulness: This communication was submitted in Oct 2023 – meaning the LLMs used, while modern at the time, are debatably becoming obsolete.

Radiology 84

Radiology Radiology Emergency Department Documentation/Coding 84

EB Medicine

JANUARY 3, 2023

2) 2023 E/M coding guidelines are in effect. 2) 2023 E/M coding guidelines are in effect. Announcements: 1) The interactive Clinical Pathways have launched and they are available for free!

Shock 52

Shock Pediatrics Airway Management Sepsis 52

ACEP Now

OCTOBER 26, 2023

One of the HCFA letters, written by then Medicaid Director Tim Westmoreland (the Westmoreland Letter) specifically cited that the CPT 9928X codes should be reimbursed under federal PLP unless the Medicaid plan believed there were program integrity issues with the claim. ACEP, state chapters, and EDPMA respond with litigation.

Documentation/Coding 124

Documentation/Coding Hospitals Administration Emergency Department 124

Mind The Bleep

DECEMBER 19, 2023

1) Ophthalmology is a competitive specialty, with 971 applications for 98 posts in 2023 (competition ratio 9.9). (2) 2) As of 2023, applications are made through the ‘Oriel’ recruitment system. points 2023 Max. cited 2023 Dec 4]. cited 2023 Nov 11]. 2023 Competition ratios | Health Education England.

Documentation/Coding 52

Documentation/Coding Research 52

Greater Sydney Area HEMS

AUGUST 1, 2023

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 registrars would later sign up for C+C as a non-clinical portfolio item when this was formally established in 02/2023.

Documentation/Coding 52

Documentation/Coding Outcomes Hospitals Administration 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 22. 2023 Dec 21. 2023 Dec 19. 2023 Dec 12 Pediatric Sepsis Diagnosis, Management, and Sub-phenotypes. Pediatrics.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

Pediatric EM Morsels

MAY 5, 2023

2023 Feb 12. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. J Am Diet Assoc 2001;101:661–9. doi:10.1016/S0002-8223(01)00167-5. Qudsiya Z, De Jesus O. Subacute Combined Degeneration of the Spinal Cord. In: StatPearls [Internet]. PMID: 32644742. Sanders TA. Growth and development of British vegan children. Am J Clin Nutr.

Pediatrics 130

Pediatrics Documentation/Coding EMS 130

ACEP Now

JUNE 7, 2023

The example provided illustrates both the potential and current limitations of the technology, presently requiring careful review to ensure spurious extrapolations have not been inserted into the medical documentation. Published March 20, 2023. Last revised April 12, 2023. Accessed May 15, 2023. Published March 29, 2023.

Documentation/Coding 78

Documentation/Coding Wellness Administration Research 78

EMDocs

SEPTEMBER 30, 2024

2023 May;64(5):555-563. Among patients with a primary provider documented in the chart, 30-day outpatient follow-up rate was 21.3% (n = 313). Guidelines – Global Initiative for Asthma (GINA) 2023 The 2019 Global Initiative for Asthma (GINA) guidelines recommend that all patients with asthma be prescribed ICS. J Emerg Med.

Outcomes 82

Outcomes Academics Documentation/Coding Administration 82

ACEP Now

NOVEMBER 7, 2023

3 These regulations have led to widespread practices of EHI, such as test results and clinical documentation, being shared with patients in real time. Training opportunities for documentation best practices should be employed. Accessed: October 11, 2023. Accessed October 11, 2023. Code of federal regulations eCFR website.

Documentation/Coding 52

Documentation/Coding Best Practices Ethical Issues Academics 52

RebelEM

NOVEMBER 6, 2024

2023 Aug 4. 2023 Nov 5. Multiple Concomitant Injuries in One Upper Extremity: A Case Report. Am J Case Rep. 2016 Jan 6;17:6-11. doi: 10.12659/ajcr.894984. PMID: 26732673 Akhondi H, Varacallo M. Anterior Interosseous Syndrome. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. J Am Acad Orthop Surg.

Dislocations 59

Dislocations Fractures Soft Tissue Injuries Outcomes 59

American Medical Compliance

FEBRUARY 2, 2024

These regulations went into effect on February 3, 2023. Use of the ATD Standard Cal/OSHA requires employers covered by the Aerosol Transmissible Disease (ATD) Standard (California Code of Regulations, Title 8, Section 5199) to protect employees from airborne infectious disease such as COVID-19 and pathogens transmitted by aerosols.

Infectious Diseases 52

Infectious Diseases Documentation/Coding PPE Wellness 52

Total Medical ComplianceHIPAA

OCTOBER 7, 2023

According to the HHS Office for Civil Rights data breach portal , healthcare data breaches impacted over 39 million people in the United States so far in 2023. Here are a few key concepts: Data Encryption: Converting your data into a code to prevent unauthorized access.

Documentation/Coding 99

Documentation/Coding 99

Dr. Smith's ECG Blog

MAY 26, 2023

Severely ill patients from any etiology can have very abnormal ECGs = My Comment by K EN G RAUER, MD ( 5/26 /2023 ): = There are more questions than answers in today's case. 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?

Shock 88

Shock EKG/ECG Documentation/Coding Resuscitation 88

ALiEM

JANUARY 26, 2024

Ciprofloxacin has been documented as a cause of IgA vasculitis. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Case Question: What are common triggers for this diagnosis?

Academics 73

Academics Documentation/Coding EMS Hospitals 73

ACEP Now

JUNE 14, 2024

Related to clinical policy development, the Board considered a referred 2023 Council amended resolution, regarding the creation of a clinical policy on emergency physicians’ role in the medication and procedural management of early pregnancy loss. The Public Health Committee will develop a Policy Statement on this topic.

Sexual Assault 52

Sexual Assault Seizures Documentation/Coding EMS 52

Dr. Smith's ECG Blog

APRIL 18, 2024

Emergent cath lab activation is also named after this test (code STEMI), so patients whose ECGs don’t meet STEMI criteria don’t get emergent angiograms, despite guidelines. And because there was no Code STEMI, the discharge diagnosis was “non-STEMI”, so this case will not be flagged as an opportunity for improvement. But only 6.4%

EKG/ECG 117

EKG/ECG Documentation/Coding Fractures Emergency Department 117

ACEP Now

JANUARY 11, 2024

A recent article documents 56 additional U.S. Published September 15, 2023. Accessed December 8, 2023. Accessed December 8, 2023. Accessed December 8, 2023. Accessed December 8, 2023. Published July 21, 2023. Accessed December 8, 2023. Published April 19, 2023. Accessed December 8, 2023.

Hospitals 52

Hospitals Administration Documentation/Coding Research 52

ACEP Now

JUNE 7, 2023

ED leaders worked to develop new physician documentation and coding guidelines that needed to be implemented at the beginning of 2023. Volumes collapsed in 2020, but in 2023 EDs are now nearly back to 2019 volumes. Executive Summary of ED Operations in 2022 Volume was up from 2021. percent.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

PulmCCM

JUNE 5, 2023

Read in AJRCCM In The News The Hospitalist and the Resuscitationist 2023 Conference will take place September 27-30 in Montreal. Check out the preliminary program , and use code PULMCCM15 to get 15% off the attendance fees. Patients with secondary pneumothoraces (e.g., iatrogenic or hospital-acquired) were excluded.

Advances Cardiac Life Support (ACLS) 87

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 87

Don't Forget the Bubbles

OCTOBER 14, 2024

Undocumented migrant: Someone who enters or stays in a country without the documents required under immigration regulations. Nearly 50,000 undocumented migrants and asylum seekers have arrived in Greece by land or sea since September 2023 , mainly across the Evros land border and the Greek islands.

Documentation/Coding 59

Documentation/Coding Hospitals Wellness Operations 59

SCGH ED

JULY 5, 2023

you can use InteleConnect and InteleViewer now, but the official transition will occur at SCGH on the 22nd of July 2023. Reminder from the EMIP Team: Links: Documents: The post Medical Imaging: How to access the new Enterprise Medical Imaging Platform (EMIP) – IntelePACS appeared first on Charlie's ED.

Documentation/Coding 40

Documentation/Coding 40

ACEP Now

NOVEMBER 13, 2023

5 Hospitals commonly activate a “code” in response to agitated patients, alerting security personnel to the location of that patient. From the law enforcement perspective, hospital policies regarding behavioral codes were “vague” and the same patients are often seen multiple times with similar behavioral crises, he noted in an interview.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

ALiEM

JANUARY 22, 2024

Fever was documented to be 102°F and was not associated with any chills or rigors. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Epub 2011 Sep 12. PMID: 21911554; PMCID: PMC3193135.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

Sensible Medicine

JULY 25, 2024

The take-home message is that wearing a surgical mask for 2 weeks during the winter season of 2023 reduced the spread of self-reported viral illness. The study does not find a benefit on documented covid-19 infections, though it lacked power for this. According to some, the study proves masks work.

Academics 145

Academics Documentation/Coding Research 145

RebelEM

AUGUST 22, 2024

Documented at the following time points: Before treatment. Time from Presentation to Treatment: The duration from when the patient arrived at the ED and the stroke code was called to the administration of tPA. Paper: Lema GMC, De Leacy R, Fara MG, et al. A Remote Consult Retinal Artery Occlusion Diagnostic Protocol. Ophthalmology.

Stroke 85

Stroke Administration Outcomes Documentation/Coding 85