Taming the SRU

JUNE 3, 2024

Susan Wilcox Increasing regionalization due to: Growth of specialty centers Increasing development of healthcare systems Hub-and-spoke models Development of ECMO, trauma, transplant, and stroke centers The higher the acuity of the centers, the higher the acuity of the patient that needs to get there.

Shock 91

Shock Seizures Airway Management Stroke 91

Downeast Emergency Medicine

APRIL 26, 2021

2][3] If earlier treatment with TXA is better, would there be benefit in its administration in the prehospital setting? Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury. MI or stroke). If so, could this be done safely? JAMA Neurol. 2021;78(3):338–345.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

She stabilized after electrolyte administration with no further episodes of TdP. I therefore feel it relevant to document ( in your dictation/on the medical chart ) when significant artifact potentially impairs the accuracy of your interpretation. Potassium chloride drip was also started. Potassium on admission was 3.5mmol/L (Ref 3.6-4.6)

Seizures 113

Seizures EKG/ECG EMS Stroke 113

Dr. Smith's ECG Blog

JULY 3, 2018

No data exists to suggest or refute that opioid administration leads to longer time to cath in patients with ongoing ACS; however, it makes logical sense that it would, since one of the qualifying factors for emergent cardiac cath is ongoing chest pain. It is unclear what, if any impact opioid administration had on the outcome of this case.

EKG/ECG 52

EKG/ECG Documentation/Coding Administration Outcomes 52

ACEP Now

JULY 6, 2023

Now, many PID patients are treated and released after ED administration of appropriate antibiotics to eradicate possible infection by Neisseria gonorrhea and Chlamydia trachomatis , often with added treatment for anaerobic microbes. Acute pyelonephritis has become a disease for which outpatient management is often feasible and appropriate.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

EB Medicine

AUGUST 6, 2019

Nachi: Specifically, we’ll be focusing on the use of DOACs for the indications of stroke prevention in atrial fibrillation and the treatment and prevention of recurrent venous thromboembolisms. Jeff: Rivaroxaban, trade name Xarelto, the second FDA approved DOAC, is used for stroke prevention in those with nonvalvular afib and VTE treatment.

Emergency Department 40

Emergency Department Stroke Wellness Outcomes 40

Northwestern EM Blog

MAY 16, 2022

Please ensure that you document and discuss with the patient accordingly. He endorses nausea without vomiting and denies fever. Finally, a burden on us as EM clinicians is training in and awareness of clinical practice guidelines and recommendations from specialties outside of EM. J Urol 2019. 202(3):475-483.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

EB Medicine

AUGUST 1, 2018

In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. Also, be aware that there are various formulations of cannabis that allow for different routes of administration. Basically, any way you can imagine, it seems like a route of administration has been explored.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EB Medicine

MAY 3, 2019

Next, schedule a follow up appointment, ideally within a week of discharge, and lastly, document the patient’s preferred follow up resources and steps taken to get them there. After that, ask the patient to identify the most viable resources and address any barriers the patient may have in getting there. More on that in a few minutes though.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

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. Administrative data from an integrated health system of 11 Southern California EDs were used to identify cardiac outcomes after ED presentation for syncope from January 1, 2002, to December 31, 2005.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Taming the SRU

SEPTEMBER 1, 2023

for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

ACEP Now

DECEMBER 11, 2023

Food and Drug Administration regarding the efficacy of oral phenylephrine as a nasal decongestant, caused a ruckus. The GRASE Pathway Phenylephrine has been available for oral administration within the FDA scope of non-prescription drugs under the designation Generally Recognized as Safe and Effective (GRASE). References U.S.

Administration 64

Administration Outcomes Research Stroke 64

Don't Forget the Bubbles

JULY 5, 2023

The Kilifi algorithm includes five clinical situations that are common sickle cell presentations – clinical jaundice, severe anaemia, bone and joint infections, and stroke. What is the role of transcranial dopplers in primary prevention of strokes? What strategies are useful for secondary stroke prevention?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

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

Sensible Medicine

MARCH 5, 2025

Yet, Henry Marsh minces no words when describing workplace politics, the electronic health record, useless training sessions, and administrative initiatives. The result was a devastating stroke that left the man comatose. Most of us could go further to identify, document, and testify to the mistakes we make.

Operations 79

Operations Stroke Documentation/Coding Administration 79