Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED? ETT onto a fiberoptic scope. ETT onto a fiberoptic scope.

CPR 90

CPR Burns Airway Management Wellness 90

Emergency Medicine Journal

MAY 23, 2023

Background Whether and how bystander cardiopulmonary resuscitation (CPR) modifies the cardiac rhythm after out-of-hospital cardiac arrest (OHCA) over time remains unclear. The first documented cardiac rhythm was compared between patients who received bystander CPR and those who did not, using a 1:2 propensity score-matched analysis.

Resuscitation 40

Resuscitation CPR Hospitals Documentation/Coding 40

ACEP Now

DECEMBER 6, 2024

After resuming CPR and administering an additional 400 mcg IV NTG, the patient achieved return of spontaneous circulation with sinus tachycardia. This case report documents the first known instance of using NTG during an emergency department resuscitation to treat a patient in cardiac arrest due to severe coronary artery vasospasm.

Resuscitation 98

Resuscitation EKG/ECG Documentation/Coding COPD 98

The Skeptics' Guide to EM

FEBRUARY 3, 2023

Temperature Control After In-Hospital Cardiac Arrest: A Randomized Clinical Trial. September 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: You are working an overnight shift at a small rural hospital. Circulation. Circulation.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Hospitals Documentation/Coding CPR 52

The Skeptics' Guide to EM

DECEMBER 2, 2017

Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival. DISCLAIMER: The views and opinions of this podcast do not […] The post SGEM#197: Die Trying – Intubation of In-Hospital Cardiac Arrests first appeared on The Skeptics Guide to Emergency Medicine. Reference: Andersen et al.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

The Skeptics' Guide to EM

MAY 8, 2021

CPR is initiated and a hospital rapid response team is called. The issue of whether corticosteroids should be administered is brought up during the code. Background: Cardiac arrests have high morbidity and mortality rates both in-hospital cardiac arrests (IHCAs) and out of hospital cardiac arrests (OHCAs).

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

RebelEM

JANUARY 29, 2024

in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 to 4.0mg/hr typically given in EKOS therapy (See Below).

Stroke 136

Stroke Outcomes Hospitals Administration 136

Don't Forget the Bubbles

MAY 10, 2023

Then you hear the words coming out of the speaker, “ Paediatric code black. Paediatric code black ”. You’ve heard the phrase code black before – it’s a traumatic cardiac arrest. They’re getting CPR. You know a paediatric code black means paediatric traumatic cardiac arrest. You actually run down the corridor.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

SheMD

MAY 11, 2023

This study focused on gender differences in CPR performance and trialed an intervention to impact the leadership behaviors of female medical students. Transcripts were coded to sort data into “leadership occurrences” or “unrelated to leadership” as well as critical treatment decisions. Why do we care about this article? Crit Care Med.

Leadership 52

Leadership Documentation/Coding CPR Teamwork 52

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests first appeared on The Skeptics Guide to Emergency Medicine. JAMA Sept 2021.

Advances Cardiac Life Support (ACLS) 40

Advances Cardiac Life Support (ACLS) Hospitals Emergency Department Resuscitation 40

Don't Forget the Bubbles

JULY 26, 2023

This has been trialled (out of hospital) in known children with SVT. Upside-down position for the out of hospital management of children with SVT, Bronzetti et al, International Journal of Cardiology 2017 this showed that a modified position (upside down) improved cardioversion rates from 33% to 67%. www.cats.nhs.uk/wp-content/uploads/guideline-intubation.pdf

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Advanced Emergency Nursing from AENJ

NOVEMBER 27, 2017

The following quotes from the ILCOR and AHA documents, under fair-use doctrine, will help summarize for you the changes. DISPATCH-ASSISTED COMPRESSION-ONLY CPR COMPARED WITH DISPATCH-ASSISTED CONVENTIONAL CPR (ADULTS): CONSENSUS ON SCIENCE. The effect of delayed ventilation versus 30:2 high-quality CPR.

CPR 40

CPR Basic Life Support Resuscitation Pediatrics 40

AED Leader

AUGUST 22, 2024

Drawing from my extensive experience as a CPR instructor and emergency responder, I’ve witnessed firsthand how rapid deployment and proper usage of AEDs can mean the difference between life and death during neurological emergencies. Importance of CPR training CPR training is critical for anyone responding to a medical emergency.

CPR 52

CPR Shock Operations Outcomes 52

PulmCCM

FEBRUARY 17, 2025

Cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. hospitals each year. How do physicians and providers decide to stop CPR after in-hospital cardiac arrest—and how should they? However, AHA’s guidelines are notably silent on how long to perform CPR.

CPR 112

CPR Hospitals Resuscitation Documentation/Coding 112

The Skeptics' Guide to EM

NOVEMBER 16, 2019

She had a witnessed arrest, and CPR was initiated by bystanders. You call your hyperthermia team to initiate targeted temperature management (TTM), which in your hospital means 33C for 24 hours followed by slow rewarming for 24 hours. Do you continue with the ICE Code? This has been or out-of-hospital cardiac arrests (OHCA).

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EMS Research Documentation/Coding 40

Dr. Smith's ECG Blog

JUNE 11, 2021

Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo with a history of hypertension developed chest pain and collapsed, and had bystander CPR. The patient was brought to the ED as a possible Code STEMI and was seen directly by cardiology.

EKG/ECG 52

EKG/ECG Documentation/Coding CPR Shock 52

EMDocs

JANUARY 11, 2024

Methods This scientific statement was led by the AHA and NCS and focused on the acute and critical care management of adult cardiac arrest survivors of in-hospital and out-of-hospital cardiac arrest. This post covers the key components, with each section starting with the key takeaway followed by the scientific statements.

Seizures 98

Seizures Shock Infectious Diseases CPR 98

Dr. Smith's ECG Blog

APRIL 8, 2016

Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." In 10 patients with marked hypokalemia, the serum potassium level returned to normal rapidly (16 hours) during the hospitalization even though only 29% of the predicted potassium requirement was infused before its normalization.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Administration 52

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

A Rising Troponin That afternoon, he complained of increased shortness of breath and was noted to have oxygen saturations in the 70s, prompting a mini code to be called. He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. 3–8 Shi et al.

Shock 52

Shock EKG/ECG Outcomes Hospitals 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

Hospital admission had been recommended, but she left that ED against medical advice. Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." There is some ST depression and peaked T-waves. mEq/L and a creatinine 1.5 If cardiac arrest from hypokalemia is imminent (i.e.,

Shock 40

Shock EKG/ECG Resuscitation Ultrasounds 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

In fact, the pressure delivered was limited to ~50 cm/H2O, relieving the excess, but holding that amount for CPR. It was extremely well-liked by field personnel, but virtually unknown in hospitals. The antipathy between field personnel with demand valves and hospital staff with bags was so great that there was seldom any agreement.

Resuscitation 40

Resuscitation CPR Documentation/Coding EMS 40

Taming the SRU

SEPTEMBER 1, 2023

Lane & Mcdonough Definition of an immediate whole body CT (iWBCT) scan Shortly after patient arrival. Lane & Mcdonough Definition of an immediate whole body CT (iWBCT) scan Shortly after patient arrival.

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

PulmCCM

MARCH 11, 2024

You probably don’t ever see this–you bill as usual, but CMS reportedly doesn’t pay your hospital for any of your 99292s until billed time goes over 104 minutes. About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills.

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

Taming the SRU

JUNE 6, 2023

Allows for the patient to be held for a psychiatric evaluation Varies greatly based on state laws In OH, this means patient can be held for 24h prior to being evaluation by a psychiatrist & may be held for additional 72h after that initial evaluation is performed In OH, can be signed by physician, psychologist, mental health NP, mental health clinical (..)

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

American Medical Compliance

MARCH 14, 2025

The outside component should contain: Hand rub Hand soap, and Paper towels The inside of the bag may normally contain a: BP cuff Stethoscope CPR mask Disposable gown Mask, and Goggles This would vary from agency to agency. This bag should have an outside pocket and a zipper for access to the inside of the bag.

Best Practices 52

Best Practices Patient Safety CPR Wellness 52

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

factor than oral (which still suffers from the too-personal-contact-reluctance of the lay rescuer, as in “hands only CPR”), and to the more euphonious persuasion of “Mouth to Mouth” and “Kiss of Life.” At that time, too, it was felt that the cause, or —at least, the major focus of investigation, of Upper Airway Obstruction was the tongue.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40