RebelEM

JUNE 8, 2023

Assessed clinical practice, outcome, length of stay, safety, and efficacy of both phenylephrine and epinephrine peripherally administered through a push dose. 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

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

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. If you have a difficult outcome, it is helpful to know what risk management support you have at your hospital. Each has its own challenges and lessons.

Resuscitation 98

Resuscitation Risk Management Hospitals Critical Access 98

Don't Forget the Bubbles

MAY 6, 2024

Outcomes included clinical status when urine culture was available, subsequent antibiotic treatment within seven days and subsequent UTI within 30 days. of patients with follow-up documentation, 70.8% (95% CI 62.9–77.9) The primary outcome was the successful intubation on the second attempt. Of the 74.9% Why does it matter?

Sepsis 75

Sepsis Pediatrics Outcomes Documentation/Coding 75

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

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. Pro-tip on organising and capturing your CPD activities: keep a portfolio. Fowler, S. A., & Lo, A.

Emergency Department 52

Emergency Department Evidence-Based Practice Academics Documentation/Coding 52

SheMD

JULY 27, 2023

What were their outcomes: Physician mothers report having more domestic responsibilities than their partners. 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.

Academics 52

Academics Leadership Documentation/Coding Research 52

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. Comparison: None * Outcome: A “Readiscore” fatigue score was measured before and during clinical shifts.

Academics 52

Academics Documentation/Coding Emergency Department Outcomes 52

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Triage documented a complaint of left shoulder pain. We have shown that morphine is associated with worse outcomes (see learning points below) and have published many blog posts about it , such as this one: Another myocardial wall is sacrificed at the altar of the STEMI/NonSTEMI mass delusion (and Opiate pain relief). Milasinovic, D.,

EKG/ECG 123

EKG/ECG Outcomes Academics Documentation/Coding 123

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." Long term outcome unknown but obviously bleak. Association of intravenous morphine use and outcomes in acute coronary syndromes: Results from the CRUSADE Quality Improvement Initiative. Repeat trop 150 ng/L.

EKG/ECG 78

EKG/ECG Outcomes Academics Documentation/Coding 78

ACEP Now

MAY 10, 2024

Primary Outcome: Diagnostic accuracy of identifying Stanford type A and Stanford type B AoDs Secondary Outcomes: Test characteristics of each of the three individual sonographic findings for diagnosing Stanford type A and Stanford type B AoDs. Prevalence: The prevalence of 3.5 percent was high compared to previously published data.

Ultrasounds 52

Ultrasounds Outcomes Academics Documentation/Coding 52

PEMBlog

MAY 11, 2023

These were used by two independent reviewers to determine Neonatal Facial Coding System with pain scores. Acad Emerg Med, 2017 This was a single-center (one academic Pediatric Emergency Department) randomized double-blind trial of J-Tip versus EMLA – topical anesthetic (TA) cream for pain relief in 66 infant LPs.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 52

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. The hot debrief allowed for concrete actions to be taken about these issues and for a dedicated plan of action for correction.

Resuscitation 52

Resuscitation Emergency Department Academics Wellness 52

RebelEM

MARCH 27, 2023

Ventilator-associated lung injury and inflammation can occur even during short-term mismanagement can worsen patient outcomes. Consecutive enrollment avoided sampling bias Limitations: Retrospective observational study at a single academic center limits external validity (ie. J Crit Care.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

PulmCCM

OCTOBER 30, 2023

IDSA cites multiple large observational studies showing no improvement in sepsis outcomes at many centers after SEP-1 implementation. ICUs, and a popular research focus for academics, generating a steady stream of papers. It used to be highly prevalent in U.S. Then, in 2009, the condition disappeared completely. Just kidding!

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 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." Yet this is rarely followed, and patient outcomes like this are the result once in a while. Academic Emergency Medicine 27(S1): S220; May 2020.

EKG/ECG 83

EKG/ECG Shock Documentation/Coding Academics 83

ACEP Now

AUGUST 1, 2023

emergency department deserves access to an emergency physician no matter their zip code. As your council officer, I commit to ensuring your voice contributes to the best outcome for our College, our members, EM residents, and our patients. There is no substitution for the physician led team. Every patient in a U.S.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

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. 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

APRIL 8, 2015

Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. 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. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Sensible Medicine

JANUARY 27, 2025

Doctors seek therapies that reduce the chance of bad outcomes. When treating patients with suspected coronary disease, typical bad outcomes to prevent are myocardial infarction (MI) and death due to heart disease. The third problem with SCOT-HEART was that it was open-label and MI events were tallied using coding data.

Outcomes 121

Outcomes EKG/ECG Documentation/Coding Academics 121

Pediatric Education

JANUARY 12, 2025

Cognitive and emotional regulation has been disrupted by the CS, and therefore it can take a long time for the brain to resolve it (cerebral atrophy has been documented in pediatric patients). It is not uncommon for at least 1 year of continued academic and other problems before there may be some resolution. Rev Endocr Metab Disord.

Pediatrics 40

Pediatrics Academics Fractures Wellness 40

Taming the SRU

FEBRUARY 3, 2025

original document created by author of post. Academic Press; 2014:39-64. InHospital Outcomes of Tumor Lysis Syndrome: A PopulationBased Study Using the National Inpatient Sample. Pictured below is an algorithm created for simpler visualization of diagnosis and treatment of TLS in the emergency department. Tumor Lysis Syndrome.

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56

ACEP Now

MARCH 10, 2025

He noted that such delays may also affect health outcomes, especially with time-sensitive medical problems, making medical conditions more difficult and expensive to treat. He noted Chapter 170A of the Texas Health & Safety Code, passed in 2022, which prohibits abortions in nearly all circumstances. This is not unusual for Texas.

Hospitals 52

Hospitals Operations Administration Documentation/Coding 52