RebelEM

JUNE 8, 2023

Rezaie, MD (Twitter: @srrezaie ) The post The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults appeared first on REBEL EM - Emergency Medicine Blog. PMID: 36108346 Clinical Question: What is the efficacy and safety of peripherally administered push dose pressors for the treatment of acute hypotension? Am J Emerg Med.

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

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. Code of federal regulations eCFR website. substance use disorder” rather than “drug addict”).

Documentation/Coding 52

Documentation/Coding Ethical Issues Best Practices Academics 52

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

Read this post: Idiopathic Ventricular Tachycardias for the EM Physician 2. Definitive diagnosis that ECG #1 is in fact VT is more than academic. --Patient will need CABG Learning points: 1. Calcium channel blockers must be avoided in VT (unless it is fascicular VT, which has a different morphology.

EKG/ECG 140

EKG/ECG Shock Academics Documentation/Coding 140

Dr. Smith's ECG Blog

JULY 21, 2024

The patient in today’s case is a previously healthy 40-something male who contacted EMS due to acute onset crushing chest pain. In both tracings — an exceedingly fast PMVT is documented. Distinction of PMVT vs VFib is an academic one in this case ). Written By Magnus Nossen — with edits by Ken Grauer and Smith.

EKG/ECG 132

EKG/ECG Shock Hospitals Sepsis 132

SheMD

OCTOBER 8, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. As I transitioned from medical student to resident to faculty member and first started interviewing applicants for our EM residency program, I was so nervous about questions I COULD NOT ask. This post contains affiliate links.

Leadership 105

Leadership Best Practices Academics Documentation/Coding 105

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. PTSD is 2 times more prevalent in physicians (14.8%), with EM resident physicians falling in the range from 11.9%-21.5%.

Resuscitation 52

Resuscitation Emergency Department Academics Wellness 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

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

When Pendell and I are coding ECGs for the Queen's training, this is one category: "Definite ischemia, difficult to differentiate between posterior OMI and subendocardial ischemia." Academic Emergency Medicine 27(S1): S220; May 2020.

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EKG/ECG Shock Documentation/Coding Academics 84

Dr. Smith's ECG Blog

NOVEMBER 11, 2022

Written by Pendell Meyers Family of an elderly woman with many comorbidities called EMS when she suddenly experienced shortness of breath, nausea, vomiting, and near syncope. A 12 lead ECG was obtained by EMS and is shown below: What do you think? Code STEMI was activated. Eur Heart J. 2012;33(1):86–95.

EKG/ECG 52

EKG/ECG Shock EMS Documentation/Coding 52

ACEP Now

JULY 6, 2023

Emergency medicine (EM) has evolved over time and has long passed a crossroads where previously unachievable capabilities should be celebrated and shared. 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.

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

EM Updates

JUNE 15, 2021

Maimonides Medical Center (MMC) is Brooklyn’s largest hospital, an academic quaternary care center with, in normal times, 711 total beds, 66 intensive care beds, and an Emergency Department that treats approximately 120,000 patients per year. On March 9, the first patient with a novel coronavirus infection was admitted to MMC.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52

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. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

ACEP Now

AUGUST 1, 2023

Factoring such, an order to transfer the patient immediately by ground or air EMS is the only actual support per se these non-physicians receive. Quillen College of Medicine (2003) Response The workforce study shook the foundation of emergency medicine (EM).

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

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. Pape LA, Awais M, Woznicki EM, et al.

Ultrasounds 52

Ultrasounds Outcomes Academics Documentation/Coding 52

Dr. Smith's ECG Blog

APRIL 8, 2015

Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful. Academic Emergency Medicine., Syncope and cause of death were identified by codes from the International Classification of Disease, Ninth Revision. Thiruganasambandamoorthy, V., Sivilotti, M.,

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

ALiEM

JANUARY 10, 2025

Other documented pharmacological causes of anisocoria include nebulized ipratropium bromide and scopolamine (14-19). EM Clinicians should consider exposure-related anisocoria in the differential diagnosis of infant patients with acutely asymmetric pupils. Oral Surg Oral Med Oral Pathol. 1990;70(5):569-570. An approach to anisocoria.

Pediatrics 64

Pediatrics Academics Documentation/Coding Emergency Department 64