Pediatric EM Morsels

FEBRUARY 2, 2024

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk.

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

PulmCCM

JUNE 5, 2023

Corticosteroids for community-acquired pneumonia have been studied with inconclusive results, and expert guidelines currently advise against their use except in patients with refractory septic shock. Patients with septic shock or influenza were excluded. standards of care. Patients with secondary pneumothoraces (e.g.,

Advances Cardiac Life Support (ACLS) 96

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 96

Sensible Medicine

AUGUST 14, 2024

In his work, Dr. Goldwater describes a kind of toxic-shock (cytokine) reaction in the body that results from the combination of a cold virus plus being infected with a common bacterium—each pathogen relatively harmless on its own but deadly together. million babies born in 2020, and the CDC reports there were about 1,389 SIDS deaths.

CDC 68

CDC Sepsis Research Pediatrics 68

PulmCCM

MARCH 4, 2024

About half of participants had had documented prior Covid infection. They kept a “septic shock” category for those requiring vasopressors or with lactate >5 mmol/L. standard deviation). The term “severe sepsis” was advised to be eliminated as a redundancy, since all sepsis is severe and life-threatening.

Sepsis 52

Sepsis CDC Pediatrics Documentation/Coding 52

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).

Sepsis 52

Sepsis Shock Hospitals Outcomes 52

PulmCCM

OCTOBER 16, 2023

There’s no randomized trial data to support this practice, and the Healthcare Infection Control Practices Advisory Committee (HICPAC, whose recommendations CDC generally adopts) has advised against routine replacement of central lines as an infection prevention strategy. At some centers, central lines are regularly replaced (e.g.,

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

EB Medicine

MAY 3, 2019

Jeff: If those figures seem a bit high, another CDC study found that in a general population survey of a quarter million people between 2006-2008, 9% met the criteria for major depression. Jeff: And while it seems crass to even mention the financial impact, the number is shocking - suicide has an estimated economic burden of $5.4

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40