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).

Documentation/Coding 52

Documentation/Coding COPD EKG/ECG Wellness 52

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. CTA head and neck were obtained and showed no evidence of intracranial hemorrhage, large vessel occlusion stroke (what a helpful and apt name for an acute arterial occlusion paradigm, by the way.),

EKG/ECG 94

EKG/ECG Documentation/Coding Emergency Department COPD 94

Sensible Medicine

JUNE 30, 2023

There was fatigue, weight loss, nausea, declining kidney function, and a few strokes. He had COPD and depended on home oxygen. ” I documented those words in my progress note that day. SV was a patient who kept me up at night for the better part of 18 months. She was in her late 70’s and she was dying.

Hospitals 82

Hospitals Hospice Resuscitation COPD 82

Dr. Smith's ECG Blog

JANUARY 5, 2020

This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. See below how this has been documented. Here is the ECG: What do you think? Computer interpretation is below. Poon et al. sensitivity and 98.9% Many arrhythmias will prove uninterpretable — IF only 1 or a few leads are used. GET a 12-lead!

EKG/ECG 52

EKG/ECG COPD Wellness Sepsis 52