EMDocs

NOVEMBER 1, 2023

1 , 4 If presenting later in course or with an intra-abdominal perforation, patients are more likely to show signs of sepsis and hemodynamic instability. 1 , 4 If presenting later in course or with an intra-abdominal perforation, patients are more likely to show signs of sepsis and hemodynamic instability. Accessed September 30, 2023.

Operations 67

Operations Radiology Radiology Fluid Resuscitation 67

Taming the SRU

AUGUST 30, 2023

Specific Evidence: Septic arthritis: According to the European Journal of Bone and Joint Infection’s 2023 guidelines for septic arthritis of native joints (SANJO), no blood tests have adequate sensitivity or specificity to either diagnose or exclude SANJO. 2023 Feb 2;388(5):439-452. Updated 2023 Apr 24]. 2022 Jul 11;11(14):2163.

Infectious Diseases 87

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

ALiEM

SEPTEMBER 9, 2024

Patients are at high risk of bacterial spread to the abdomen or retrograde spread up the ventriculoperitoneal shunt leading to peritonitis, peritoneal abscess, ventriculitis, meningitis, or sepsis. General surgery and neurosurgery should be consulted emergently for further operative interventions. Surg Neurol Int.

Sepsis 60

Sepsis Academics Operations Wellness 60

Mind The Bleep

SEPTEMBER 14, 2024

Management Immediate management: Consider ABCDE approach and Sepsis 6 pathway including early empirical IV antibiotics. Operative management: Surgical washout of the flexor sheath within 24 hours of the decision to operate. StatPearls Publishing; 2023. Consider tetanus booster if applicable. Remove all rings!

Operations 52

Operations Sepsis Documentation/Coding 52

Taming the SRU

JUNE 11, 2023

Acad Emerg Med 2023; 10.1111/acem.14703 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. 2023;(December 2022):1-10. 6/11/2023 EtCO2 is a valuable tool in many medical specialties.

Hospitals 86

Hospitals Emergency Department EMS Outcomes 86

ACEP Now

MAY 9, 2024

A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their plastic surgeon. 1 The Rise of the Miami BBL An entire industry has emerged around gluteal AFTs in Miami.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

Dr. Smith's ECG Blog

JUNE 26, 2023

== MY Comment , by K EN G RAUER, MD ( 6/26 /2023 ): == The tracing in Figure-1 was sent to me — without the benefit of any history. Most occurrences are associated with events such as sepsis, shock, recent infarction, post-operative state, electrolyte disturbance — or "sick patient". How would YOU interpret this tracing?

EKG/ECG 75

EKG/ECG Seizures Sepsis Operations 75

PulmCCM

MARCH 11, 2024

trillion in 2023. Ascension is a $27 billion, 140-hospital conglomerate operating in 19 states—the third largest system in the U.S The other new signal is in corporate health care operations: One of the largest U.S. That’s a savings to CMS of $36 million per year–or ~0.0024% of total CMS outlays of $1.5

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

Mind The Bleep

SEPTEMBER 17, 2024

Always consider management as per ATLS protocol and SEPSIS 6 if relevant. Regular medications. Management The management is guided by the examination findings which are covered in the respective chapter, this section will delve into the importance of a number of those steps, as well as further long-term care. UK Health Security Agency.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 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

Don't Forget the Bubbles

NOVEMBER 1, 2023

Emergency Medicine Journal 2023; 40: 583-587. 2023 Oct 1;39(10):735-8. Pediatric Emergency Care 39(7):p 524-529, July 2023. Reviewed by: Leanne Lindenstruth, ENP Article 4: Can we treat appendicitis non-operatively? BMJ Paediatrics Open 2023; 7: e001855. doi: 10.1136/bmjpo-2023-001855 What’s it about?

Emergency Department 140

Emergency Department Hospitals Resuscitation Administration 140

EMDocs

OCTOBER 17, 2023

American College of Radiology ACR Appropriateness Criteria (2023) Left lower quadrant pain. These risk factors are immunosuppression, recent or current antibiotic use, signs of sepsis, symptoms > 5 days, unstable comorbidity, vomiting, CRP > 14 mg/dL or 140 mg/L, or if there are signs of perforation, bleeding, obstruction, or abscess.

Radiology 68

Radiology Radiology Operations Best Practices 68

EMDocs

OCTOBER 23, 2023

Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5). difficile infection, and post-operative hemorrhage. Abscess and Infected Hematoma : This condition is typically delayed, occurring most commonly 10-14 days post-operatively.

OB/GYN 67

OB/GYN Operations EMS Ultrasounds 67

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. J Spec Oper Med. 18 April 2023. Patients are not contagious after the crusts fall off. Smallpox as a Bioagent: A Refresher and Update for the SOF Provider. 2022;22(3):124-128. Mpox (monkey pox).

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

JANUARY 13, 2025

Often, these babies are managed as more common neonatal illnesses initially, such as persistent pulmonary hypertension of the newborn, sepsis, or respiratory distress syndrome. Neonates with significant obstructed TAPVD will require intubation, ventilation and inotropic support pre-operatively. An echo is generally diagnostic.

Operations 59

Operations Outcomes Pediatrics Research 59

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 ). BMC Psychiatry 23 , 925 (2023). Examples of these are linked below: European Society of Paediatric and Neonatal Intensive Care ( ESPNIC ). Jeffery, H.E.

Pediatrics 59

Pediatrics Hospitals Sepsis Administration 59