Academics Documentation/Coding Shock 
Sensible Medicine
FEBRUARY 16, 2024
Bill had coded and died overnight. A nurse had a needlestick during the code. I was, to put it mildly, not shocked. ” David Rind is an academic primary care physician at Beth Israel Deaconess Medical Center and Chief Medical Officer of the Institute for Clinical and Economic Review.
Dr. Smith's ECG Blog
SEPTEMBER 19, 2023
Shocked x 2 without effect. Warning: if this is VT, a calcium channel blocker can result in shock and death. Today's case is insightful in many ways — especially since despite prompt electrical cardioversion, we are told that this patient "was shocked X 2 without effect". However, this is not SVT. What to do now? K returned 3.6
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RebelEM
JUNE 8, 2023
Nontraumatic hypotension and shock in the emergency department and the prehospital setting, prevalence, etiology, and mortality: a systematic review. PMID: 36108346 Clinical Question: What is the efficacy and safety of peripherally administered push dose pressors for the treatment of acute hypotension? 2006;130(4):941–6. 2015;10(3):e0119331.
Dr. Smith's ECG Blog
JULY 21, 2024
The patient in today’s case presented in cardiogenic shock from proximal LAD occlusion, in conjunction with a subtotally stenosed LMCA. In both tracings — an exceedingly fast PMVT is documented. Distinction of PMVT vs VFib is an academic one in this case ). LAD — 100% proximal occlusion; with 70-89% mid-vessel narrowing.
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%
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." The notes now refer to the patient being in cardiogenic shock, on pressors. Academic Emergency Medicine 27(S1): S220; May 2020.
PulmCCM
OCTOBER 30, 2023
Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).
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