Remove Administration Remove COPD Remove Documentation/Coding
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Case Report: Coronary Vasospasm-Induced Cardiac Arrest

ACEP Now

A 45-year-old male with a history of chronic obstructive pulmonary disease (COPD), asthma, amphetamine and tetrahydrocannabinol (THC) use, and coronary vasospasm presented to triage with chest pain. Repeat ECG following return of spontaneous circulation after administration of intravenous nitroglycerin. Click to enlarge.)

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A Brilliant Comment Makes the Study of the Week

Sensible Medicine

Administrative data sets are often collected for the purpose of billing, or costing, or administrative organization, and thus are extremely vulnerable to up coding or intentional or accidental omissions. This is a common probably insurmountable problem with morbidities, such as hypertension, diabetes , COPD , etc.

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An elderly male with acute altered mental status and huge ST Elevation

Dr. Smith's ECG Blog

A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. The providers documented concern for ST elevation in the precordial and lateral leads as well as a concern for hyperkalemic T waves in the setting of succinylcholine administration.

EKG/ECG 117
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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

Sepsis is coming in at a higher readmission rate and cost per admission than acute MI, CHF, COPD, and PNA. In one study, every hour of delayed abx administration was associated with an 8% increase in mortality. Not only is it lethal, it is also very costly -- 17 billion dollars per year in the US alone! vasopressin.

Sepsis 40
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Early administration of antibiotics is the only factor known to reduce this mortality. Early administration of antibiotics is the only factor known to reduce this mortality. Cohort Study of the Impact of Time to Antibiotic Administration on Mortality in Patients with Febrile Neutropenia. Coding for Mucositis.

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The Latest in Critical Care, 3/11/24 (Issue #33)

PulmCCM

About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills. The order to consult another physician has already been authorized by administrators, generated and “signed” by the algorithm, requiring action and an explanation to cancel it.)

Hospice 52