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? Dermatol Ther.

Academics 73

Academics Documentation/Coding EMS Hospitals 73

RCEM Learning

MAY 20, 2022

In that document, the NIHR proposed that, to build research capacity in key areas, it would develop a small number of networking structures, to be called “NIHR Incubators” The Incubators would support capacity building and multidisciplinary career development in priority areas with a low critical mass of clinical academics.

Academics 52

Academics Documentation/Coding Research Hospitals 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. Eschar: a clue to scrub typhus. 2011 Oct 18;183(15):E1152.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

The Injectable Orange

APRIL 4, 2017

Quite simply, document your intended personal learning objective; identify a high quality resource that addresses this (article, workshop, conference); document a reflection on your achieved personal learning outcome. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine , 21 (10), 1069–1082.

Emergency Department 52

Emergency Department Evidence-Based Practice Academics Documentation/Coding 52

ACEP Now

JULY 7, 2024

My current practice is a hybrid of academic and community sites, and I have worked in myriad community hospitals from busy ones to single coverage critical access hospitals. Sometimes there is a risk management staff member on call to support you in navigating challenging outcomes, including your immediate documentation.

Resuscitation 98

Resuscitation Risk Management Critical Access Hospitals 98

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. How does this apply to us?

Academics 52

Academics Leadership Documentation/Coding Research 52

The Skeptics' Guide to EM

NOVEMBER 21, 2020

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. The American College of Emergency Physicians ( ACEP ) has a number of documents discussing APPs in the ED. Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Emergency Department 52

Emergency Department Telemedicine Academics Outcomes 52

RebelEM

JUNE 8, 2023

PMID: 36108346 Clinical Question: What is the efficacy and safety of peripherally administered push dose pressors for the treatment of acute hypotension?

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

The Skeptics' Guide to EM

MARCH 31, 2023

You find her at the desk, asleep with her face on the keyboard, patient documentation half finished. AEM March 2023 * Population: A convenience sample of emergency physicians from a single academic emergency department. As she tries to wipe the drool out of the keyboard, you ask how she has been sleeping recently.

Academics 52

Academics Documentation/Coding Emergency Department Outcomes 52

PulmCCM

JANUARY 6, 2025

This led the authors to speculate that qSOFA parameters were being documented more diligently on the wards randomized to screening. For example: more (visible) alerts fired in the screening group, in total, than (invisible ones) in the no-screening group.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

ALiEM

MARCH 11, 2024

There is limited literature documenting eye involvement and pictographic examples of its presentation. 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. ” N Engl J Med. Epub 2022 Jul 21.

Academics 56

Academics Documentation/Coding Emergency Department Hospitals 56

Northwestern EM Blog

MARCH 1, 2025

Document thorough skin assessment every nursing shift, and inspect weight-bearing ventral surfaces. Academic Emergency Medicine. Reattach EKG leads to back. Tilt patient into reverse Trendelenburg. Slight, intermittent lateral repositioning (20-30 degrees) should also be used, changing sides at least every 2 hours. Strayer, R.J.,

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

Taming the SRU

AUGUST 4, 2024

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient.

Dislocations 86

Dislocations Emergency Department Documentation/Coding Burns 86

Don't Forget the Bubbles

MAY 6, 2024

of patients with follow-up documentation, 70.8% (95% CI 62.9–77.9) The study included academic NICUs, which may reduce the generalisability of the results. Data collected were the worst values documented within the same calendar day as the blood cultures were obtained. Of the 74.9%

Sepsis 75

Sepsis Pediatrics Outcomes Documentation/Coding 75

SheMD

OCTOBER 8, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. And if you worry about reporting a program because of retaliation, document all of it and submit after match or anonymously. Disclaimer: This post was written before the COVID-19 pandemic. This post contains affiliate links.

Leadership 105

Leadership Best Practices Academics Documentation/Coding 105

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. 2 Information blocking is any practice that is “likely to interfere with access, exchange, or use of [EHI].”

Documentation/Coding 52

Documentation/Coding Best Practices Ethical Issues Academics 52

RebelEM

MARCH 27, 2023

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. J Crit Care.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 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. Academic Emergency Medicine. Commercial payers aggressively abused the No Surprises Act as a method to delay, downcode, and deny payment for emergency services. Maame Y, et al. 2020;27:600–611.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

Dr. Smith's ECG Blog

SEPTEMBER 10, 2023

Ongoing pain noted throughout all documentation, but after nitro drip and prn morphine, "pain improved to 2/10." Academic Emergency Medicine 27(S1): S220; May 2020. Setting – large, academic, suburban ED. Repeat ECG: New developing Q waves in V2 and V3, further confirming evolving OMI. CT aorta negative for dissection.

EKG/ECG 77

EKG/ECG Outcomes Academics Documentation/Coding 77

Dr. Smith's ECG Blog

MARCH 31, 2023

I first became interested in computerized ECG interpretation in the beginning of my academic days in the early 1980s ( References to some of my work appear below — as I believe I may have been the first family physician to publish in this area ). RED arrows in leads V3,V4 highlight T- QRS-D in ECG #2. ( Louis, 1998, pp 374-379.

EKG/ECG 52

EKG/ECG Academics Wellness Documentation/Coding 52

ACEP Now

MARCH 13, 2024

Consequences of this are well documented and include delayed treatment, exposure to error, increased length of stay, and increased mortality. Academic Emergency Medicine 22.2 Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

ACEP Now

JULY 6, 2023

Brian Zink captured a wonderful initial vision statement for our specialty with the title of his book, “Anyone, Anything, Anytime,” which documented the history of our specialty. “A New Spin” is the personal perspective of the author and does not represent an official position of ACEP Now or ACEP. In 2023 we must move beyond that title.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

EMDocs

JUNE 16, 2023

It is also important to recognize that the majority of children seeking ED care are treated at community sites rather than urban, academic institutions. Boarding of Mentally Ill Patients in Emergency Departments: American Psychiatric Association Resource Document. Pediatrics March 2023; 151 (3): e2022057383. 10.1542/peds.2022-057383

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

Dr. Smith's ECG Blog

JUNE 23, 2023

The amiodarone was discontinued and the patient did well. == MY Comment , by K EN G RAUER, MD ( 6/23 /2023 ): == From an academic standpoint — I love WCT ( W ide- C omplex T achycardia ) rhythms. This likelihood of VT increases to at least 90% if the patient has documented underlying heart disease.

EKG/ECG 52

EKG/ECG Academics Documentation/Coding Wellness 52

Dr. Smith's ECG Blog

JANUARY 5, 2020

See below how this has been documented. M Y A NSWER: In my opinion — it is both academic and clinically unimportant ( as well as often impossible ) to attempt to distinguish between sinus rhythm with multiple different-looking PACs vs MAT. Q UESTION : Is there a d ifference between sinus rhythm with multiple PACs vs MAT?

EKG/ECG 52

EKG/ECG COPD Wellness Sepsis 52

PulmCCM

JANUARY 15, 2025

That task—requiring simultaneous measurements of oxygen saturation from pulse oximetry and arterial blood gases in hundreds or thousands of patients—will likely fall to academic clinicians, who were the first to identify and report the potential scale of the problem. Draft Guidance Document Wong et al. January 2025.

Academics 81

Academics Documentation/Coding Administration Research 81

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Dr. Smith's ECG Blog

JUNE 13, 2024

Her first set of vitals were documented: BP 116/57 Pulse 94bpm Respiratory rate 24/min O2 sat 90% on room air Temp 97F She had been cleaning a Jeep in the sun, and was sunburned. The physician documented “normal sinus rhythm”. The physician documented that she was “improved” and the patient was discharged.

EKG/ECG 91

EKG/ECG Documentation/Coding EMS Burns 91

Sensible Medicine

JULY 24, 2023

But there had been two placebo-controlled drug trials that documented a 45-55 second increase in exercise time. In one of the most candid and entertaining pieces of academic writing that I have read, two ORBITA authors swatted these concerns away—often with good doses of British ridicule. This, too, was brilliant thinking.

Academics 98

Academics Documentation/Coding Ultrasounds Wellness 98

ACEP Now

APRIL 9, 2025

Dr. Seng has been a practicing Emergency Medicine physician for 12 years and works at several community and academic departments across Central California. References S. Food and Drug Administration. Droperidol prescribing information. Available at:[[link] Accessed April 8, 20251. van Zwieten K, Mullins ME, Jang T.

Emergency Department 52

Emergency Department Administration EKG/ECG Resuscitation 52

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

Definitive diagnosis that ECG #1 is in fact VT is more than academic. As I discussed and documented in Lesson 1 of My Comment at the bottom of the page in the April 2, 2022 post of Dr. Smith's ECG Blog — certain patients may remain in sustained VT not only for hours — but even for days!

EKG/ECG 138

EKG/ECG Shock Academics Documentation/Coding 138

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Triage documented a complaint of left shoulder pain. Academic Emergency Medicine 27(S1): S220; May 2020. The neighbor recorded a systolic blood pressure again above 200 mm Hg and advised her to come to the ED to address her symptoms. The patient presented to triage at around 10 PM. The patient said, "I just don't feel good."

EKG/ECG 122

EKG/ECG Outcomes Academics Documentation/Coding 122

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. STOP5: a hot debrief model for resuscitation cases in the emergency department.

Resuscitation 52

Resuscitation Emergency Department Academics Wellness 52

The Skeptics' Guide to EM

MAY 11, 2019

His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation.

Documentation/Coding 40

Documentation/Coding Operations Academics Ultrasounds 40

Dr. Smith's ECG Blog

JULY 21, 2024

In both tracings — an exceedingly fast PMVT is documented. Distinction of PMVT vs VFib is an academic one in this case ). That said — there is no evidence on ECG of re-occlusion of the infarct artery. The arrhythmia starts with a PVC having a short coupling interval. Both PMVT and VFib occurred multiple times.

EKG/ECG 130

EKG/ECG Shock Hospitals Sepsis 130

The Skeptics' Guide to EM

JANUARY 28, 2023

Academic Emergency Medicine published a special contribution in December 2022 exploring the implications of this for providers of emergency healthcare. You said something specifically about documentation as well? * I interpreted that to mean, at times, men should talk less and listen more. This is one of those times.

Academics 52

Academics Research Documentation/Coding Wellness 52

ACEP Now

MAY 10, 2024

This may impact the external validity of the results to attending physicians in a non-academic, community, or rural settings. 2014 ESC guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. Prevalence: The prevalence of 3.5

Ultrasounds 52

Ultrasounds Outcomes Academics Documentation/Coding 52