Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

EMDocs

JUNE 8, 2023

and 9 hours after onset of symptoms, with non-infarcted brain tissue, does the administration of alteplase improve functional outcome at 90 days? Subsequently reduced enrollment to 310 patients because no patients had been lost to follow-up or had insufficient data documented. Intervention: Alteplase 0.9 in alteplase group versus 0.9%

Stroke 96

Stroke Administration Documentation/Coding Outcomes 96

RebelEM

JULY 3, 2023

What They Did: Researchers conducted a multicenter, retrospective cohort study in three community hospitals and two freestanding emergency departments. The study was dependent on EMR documentation which is prone to error. Critical information such as HR, SBP, drug administration times were occasionally missing. received CaCl 89.3%

Administration 91

Administration Outcomes Documentation/Coding Emergency Department 91

ACEP Now

DECEMBER 11, 2023

A recent article documents 56 additional U.S. Dr. Severance is a clinically practicing physician, an educator, and researcher. The wave of increasing hospital closures and service line cutbacks continues to sweep the U.S. hospitals that are closing clinical departments or ending or reducing services. physicians quit in 2021 alone.

Hospitals 98

Hospitals Administration Documentation/Coding Research 98

PulmCCM

APRIL 29, 2024

ICUs, and a popular research focus for academics, generating a steady stream of papers. Hospital administrators put VAP on the kill list. And maybe, noticing all the fuss, some clinicians might have started coding for VAP slightly less often in equivocal cases. It used to be highly prevalent in U.S. Just kidding!

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

RebelEM

OCTOBER 5, 2023

Strengths: The investigators framed a research question centered on patient outcomes, ensuring the study’s relevance and practicality. The researchers employed a double-blind, placebo-controlled, randomized controlled trial design to minimize potential biases, enhancing the reliability of the results. In the placebo group, 20.5

Research 94

Research Outcomes Administration Shock 94

Advanced Medical Reviews

FEBRUARY 13, 2019

It is intended to streamline workflow, reduce administrative burden and improve patient care, but when poorly designed, technology may increase stress for physicians. Research Behind Physician Burnout. Physicians who reported marginal time for documentation were 2.8 What are the primary reasons for this physician burnout?

Documentation/Coding 64

Documentation/Coding Administration Operations Research 64

Mind The Bleep

OCTOBER 22, 2024

Behind the scenes, this entry is assigned a clinical code (such as a SNOMED CT code) so it can be recognised as a blood pressure value by any health record software worldwide if the record should ever be exported there. Some clinicians might have an interest in coding and software development (also known as clinicians who code ).

Documentation/Coding 59

Documentation/Coding Telemedicine Urgent Care Operations 59

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Ziqitza HealthCare Ltd

JUNE 18, 2023

Streamlining Administrative Tasks: Improving Efficiency and Reducing Costs AI can automate administrative tasks, such as appointment scheduling, billing, and medical coding, freeing up healthcare professionals’ time and reducing administrative burdens.

Documentation/Coding 52

Documentation/Coding Administration Ambulance Services Outcomes 52

ACEP Now

JUNE 1, 2023

Advances in artificial intelligence (AI) and the development of LLMs, could assist emergency physicians in their daily practice and research endeavors. However, the implementation of these models also comes with potential risks and downsides. They can help draft research papers or grant proposals.

Best Practices 52

Best Practices Research Documentation/Coding Administration 52

American Medical Compliance

JUNE 5, 2024

The DEA Information for Dental Healthcare Practitioners Training educates dental healthcare practitioners (DHCP) on the Drug Enforcement Administration (DEA) policies for controlled substances. Conversely, the DEA updates the schedules annually and publishes them in Title 21 of the Code of Federal Regulations, Sections 1308.11

Administration 52

Administration Documentation/Coding Research 52

ACEP Now

JUNE 7, 2023

In the New England Journal of Medicine, members of the team from Microsoft Research and OpenAI give a high-level overview of performance on question banks, but also explore additional avenues for LLM applications. Another proposed application for LLMs involves transcription and summarization services to reduce administrative overhead.

Documentation/Coding 78

Documentation/Coding Wellness Administration Research 78

Don't Forget the Bubbles

DECEMBER 16, 2024

Research indicates that vaccine-induced antibodies persist for 412 years, while immunity from natural infection lasts between 4 and 20 years. Depending on the individuals circumstances, this may involve either the administration of the MMR vaccine within 72 hours of exposure or intravenous immunoglobulin within six days.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

ACEP Now

JANUARY 11, 2024

A recent article documents 56 additional U.S. Dr. Severance is a clinically practicing physician, an educator, and researcher. The wave of increasing hospital closures and service line cutbacks continues to sweep the United States. hospitals that are closing clinical departments or ending or reducing services. workplace professions.

Hospitals 52

Hospitals Administration Documentation/Coding Research 52

Greater Sydney Area HEMS

AUGUST 1, 2023

When I found it, I felt the documentation (if done at all) largely tended to be the bare minimum, and certainly not reflective of the beautiful learning conversations happening in the room. We knew this would involve improving C+C learning summary documentation standards, and effectively disseminating content across the organisation.

Documentation/Coding 52

Documentation/Coding Outcomes Hospitals Administration 52

ACEP Now

APRIL 2, 2024

4 The association between ackee ingestion and the illness was initially recognized in 1875 and officially documented in 1904. 5 Despite being endemic to Jamaica, cases of THS have been reported across the world, with the first case in the United States documented in 1993. Food and Drug Administration website. Clin Toxicol.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

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. If so, could this be done safely? These questions are asked in the first paper that we reviewed.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Dr. Smith's ECG Blog

AUGUST 9, 2024

He had no previously documented medical problems except polysubstance use. Although recognition of OMI was not affected by administration of morphine in this case, use caution with analgesia in ongoing ACS without a definitive plan for angiography. Circulation Research , 56 (2), 184–194. & Lukas, A. link] Fesmire, F.

EKG/ECG 107

EKG/ECG EMS Emergency Department Outcomes 107

PulmCCM

OCTOBER 30, 2023

If you thought administrators had a bee in their bonnet for SEP-1 before, just wait. ICUs, and a popular research focus for academics, generating a steady stream of papers. Hospital administrators put VAP on the kill list. The stakes are going up. That was the pregame. It used to be highly prevalent in U.S. Just kidding!

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

ACEP Now

JULY 6, 2023

Emergency physicians have become leaders in achieving cost efficiency in health care, predominantly through implementation of new processes and research findings, enabling us to achieve significant financial savings. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Advanced Emergency Nursing from AENJ

MAY 27, 2014

Davies reported in the British Medical Journal of " A simple portable apparatus for the therapeutic administration of carbon dioxide." This is a cased kit of a Sparklet Resuscitator (J size), with pressure chamber, regulator, tubing, reservoir bag, flow stopcock, and funnel mask, with associated documents. In 1927, H.W.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

The National Academy of Sciences – National Research Council (the Federal Government's official science and medicine advisor, in 1966 produced a landmark paper: "Accidental Death and Disability: The Neglected Disease of Modern Society." 1950s & 1960s Resuscitation Research. Increasing public usage of EDs for care.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

EM Updates

JUNE 15, 2021

Administrative logistics demanded that patients receiving ongoing care in the emergency department be formally admitted to the hospital; we were therefore enjoined to admit these patients to ourselves and therefore formed the Emergency Department Admitting Team. EDAT providers contended with myriad challenges.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52

PulmCCM

OCTOBER 16, 2023

Numerous specific recommendations are available here: search the document for “dressings” or “Catheter Site Dressing Regimens” Other Methods to Prevent CLABSI Catheters impregnated with antibiotics (minocycline–rifampin) or chlorhexidine reduce catheter colonization and CVC-related bloodstream infections.

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

Don't Forget the Bubbles

JUNE 10, 2024

The history of necrotising enterocolitis The earliest documented cases resembling Necrotising enterocolitis (NEC) date back to the late 19th and early 20th centuries. Pediatric Research, 63(2), 117-123. Careful Advancement of Enteral Feeding : Gradual introduction and advancement of enteral feeds can help minimise the risk of NEC.

Pediatrics 40

Pediatrics Sepsis Fluid Resuscitation Outcomes 40

EB Medicine

OCTOBER 1, 2018

Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Also, for research purposes we have to have a common definition, so Sepsis 3 came up with something called the SOFA score. Jeremy, can you give us a little historical context there? Nachi : What a struggle.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EB Medicine

MAY 3, 2019

And while safety planning typically is most effective when combined with other interventions, research suggests that it does enhance outpatient treatment engagement after an ED visit and in one study, reduce subsequent suicide attempts by 30% vs usual care. PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

EMDocs

NOVEMBER 16, 2024

Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 8 Perform and document distal neurovascular exam. 5 CT if concern for occult fracture. Hospitals, 2018.

EMS 96

EMS Dislocations Fractures Operations 96

Don't Forget the Bubbles

DECEMBER 2, 2024

This study relied on coding, and if the patient had not been coded as asthma, for example, and coded as pneumonia instead, these patients would not have been included in the study set. Further research is needed to improve the connection between the care process and optimal clinical outcomes. and 16.7% , respectively.

Documentation/Coding 98

Documentation/Coding Pediatrics Emergency Department Fractures 98

RebelEM

MAY 15, 2024

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. BMC Health Services Research. Cohort Study of the Impact of Time to Antibiotic Administration on Mortality in Patients with Febrile Neutropenia.

Infectious Diseases 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

Don't Forget the Bubbles

JULY 3, 2023

This study supports existing evidence that the use of intranasal fentanyl improves the time to administration of analgesia for those with SCD-VOE. This data relies heavily on the coding, which we know is not standardized across healthcare sites- and, therefore may not be truly reflective. Why does it matter? Why does it matter?

Emergency Department 105

Emergency Department Hospitals Domestic Violence Pediatrics 105

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. Jeff: This DEA designation limits the ability to do research and obtain federal funding for such research. Synthetics were initially developed in the 1980s largely for research purposes.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Sensible Medicine

JULY 24, 2023

Everyone gets excited when a top researcher was found to oversee a trainee who photoshopped a western blot. In fact, the majority of scientists conduct research that is false, not useful or not helpful. “Yes! we found an example of fraud” “OMG, the culture in his laboratory was so horrible.”

Research 98

Research Documentation/Coding Administration 98

PulmCCM

MARCH 11, 2024

About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills. This is not a hot research area.) Centers for Medicare and Medicaid Services (CMS) made a change in reimbursement policy that devalued critical care time. by some accounts (after HCA and the VA).

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

ACEP Now

DECEMBER 11, 2023

Food and Drug Administration regarding the efficacy of oral phenylephrine as a nasal decongestant, caused a ruckus. 1 This publication would not come as a surprise to those following the past 15 years of efforts by the research teams examining phenylephrine. Food and Drug Administration. References U.S.

Administration 64

Administration Outcomes Research Stroke 64

Don't Forget the Bubbles

JANUARY 1, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Point-of-care brain ultrasound and transcranial doppler or color-coded doppler in critically ill neonates and children. Vinci F, et al. Eur J Pediatr. 2023 Dec 19.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98