Remove COPD Remove Documentation/Coding Remove Outcomes
article thumbnail

Ultrasound in Cardiac Arrest

Mount Sinai EM

Initially, data suggested that the use of ultrasound during arrest increased pauses between compressions which worsens outcomes. The ideal view depends on the patient’s comorbid conditions such as COPD, obesity, cachexia, etc. Ultrasound during cardiac arrest has quickly become standard. survival to hospital discharge rate.

article thumbnail

ECG Blog #366 — Diltiazem didn't work.

Ken Grauer, MD

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.

EKG/ECG 195
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

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.

article thumbnail

A Comprehensive Guide to Surgical Clerking

Mind The Bleep

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).

article thumbnail

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. Cardiac arrest secondary to myocardial ischemia from coronary vasospasm is well documented.

article thumbnail

Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine

1] Would the outcomes be different? He had COPD and depended on home oxygen. ” I documented those words in my progress note that day. From a professional standpoint, there is no question that my answer to the final question would be, “the past.” Would some of the people still be here? Then, everything changed.

article thumbnail

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. Nachi : I’m sure there are many trials to come in the future documenting their safety profile, but moving on to the next pressor to discuss. Jeff : And don’t forget importantly the 30-day hospital readmission rate. vasopressin.

Sepsis 40