Mount Sinai EM
AUGUST 7, 2024
The ideal view depends on the patient’s comorbid conditions such as COPD, obesity, cachexia, etc. Evidence of right heart strain is important but the evidence of fibrinolysis during arrest is mixed with many studies showing no 30-day mortality benefit to lysing during a code. survival to hospital discharge rate.
Ken Grauer, MD
FEBRUARY 28, 2023
Figure-2: I've color-coded P waves from Figure-1 according to P wave morphology ( See text ). NOTE: For clarity — I've color-coded P waves in the long lead II rhythm strip according to morphology. Applying the Above to Today's Case: In addition to being Covid-positive — the patient in today's case had longstanding COPD.
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EMDocs
APRIL 2, 2024
Check the pulse RSI= Resuscitation Sequence Intubation Hypoxia, Hypotension, and Acidosis are the reason patients code during/post intubation These patients are super high risk for all 4 Optimize first pass success – Induction agent + paralytic Unconscious patients will still have muscle tone Induction Ketamine or Etomidate at half doses (i.e.,
Dr. Smith's ECG Blog
OCTOBER 12, 2024
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. ng/mL and 0.10
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. Centers for Medicare and Medicaid Services (CMS) made a change in reimbursement policy that devalued critical care time. How your employer considers the billed-but-unpaid 99292s in your RVUs is a separate question.)
Sensible Medicine
AUGUST 21, 2023
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.
Mind The Bleep
NOVEMBER 21, 2023
Unless you’re documenting something hilarious, please keep it brief and to the point. History of Presenting Complaint In this section use SOCRATES to document the pain. Drugs/Allergies When documenting drugs – try to get the dose and frequency (this can be found on Summary Care Records from the GP if you have access).
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