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Medical Malpractice Insights: Brain Abscess

EMDocs

He has been ill for 3 days with abdominal pain, fever, diarrhea, and vomiting, and his father thinks his son is dehydrated. Exam documents that he is alert and oriented but “tired appearing” and “not appearing post-ictal.” Defense : The EP did address the seizure when he documented “not post-ictal.” EM is a “team sport.”

Seizures 105
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Medical Malpractice Insights: A Rare Presentation – Groin pain? Nec fasc? Diabetes? Appendicitis?

EMDocs

Exam is normal except for tenderness as documented in the diagram. Hospital Inpatient : R thigh is indurated and blistered but abdomen is all but ignored. On the 2nd hospital day, she becomes obtunded and is intubated. She only gets worse, and by the 4th hospital day she is unresponsive. I just failed to document it.

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Failure to thrive

Don't Forget the Bubbles

It is commonly seen in the first couple of years of life and accounts for 1-5% of paediatric hospital admissions for those under two. Failure to thrive’ has many definitions We use standardized charts to document infant growth. Are there signs of significant dehydration or malnutrition? It is not a diagnosis.

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Paediatric IV Fluid Prescribing

Mind The Bleep

This is hospital dependent and you should be told about which fluid to prescribe at your induction (or I’m sure the nurses will tell you!) 3] The type of IV fluid you use will vary depending on which hospital you are working in and what is available. saline + 5% dextrose or plasma-lyte 148 + 5% dextrose. How much fluid?

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Behavioural and Psychological Symptoms of Dementia (BPSD)

Mind The Bleep

It is a very common presentation or comorbidity to see in community services and general hospital. ICD-10 codes: F00-03 are the ICD codes for dementia and its subtypes F02. ICD-10 codes: F00-03 are the ICD codes for dementia and its subtypes F02.

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Could you have prevented this young man's cardiac arrest?

Dr. Smith's ECG Blog

Written by Pendell Meyers We received a call from an outside hospital asking to transfer a "traumatic post arrest" patient. They stated that the patient was coded for 20 minutes, including multiple doses of epinephrine, and they also gave glucose, calcium, and bicarb. By history, this patient HAD at least one of these conditions.

EKG/ECG 52
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). What do you see?

EKG/ECG 40