Mind The Bleep

JUNE 18, 2023

environmental factors, pain, infection, dehydration, electrolyte disturbance, head injury, medication etc) Does the individual have capacity? It is important to complete an ECG prior to initiating pharmacological therapy as drugs, such as antipsychotics can prolong the QT interval, increasing the risk of arrhythmias.

Psychiatric 52

Psychiatric Documentation/Coding Stroke Fractures 52

ACEP Now

MARCH 11, 2025

Musculoskeletal complications include osteopenia with increased risk for long bone fractures. I recommend an order set that includes ECG, glucose, creatinine, liver enzymes, lipase, amylase, electrolytes including calcium, magnesium, and phosphate ketones, and urinalysis. 16 An elevated amylase suggests repetitive vomiting as well.

Emergency Department 52

Emergency Department Psychiatric Dehydration Pediatrics 52

EMDocs

OCTOBER 7, 2023

neurologic damage and thrombosis) 20,21 Resuscitation Lactated ringers > Normal saline due to reduced need for urinary alkalinization 22 Place foley and target urine output >300 mL/hr Electrolyte abnormalities Hyperkalemia: Obtain an ECG Stabilization: Calcium gluconate 2 g over 5-10 min.

EMS 92

EMS Fluid Resuscitation Fractures Resuscitation 92

EMDocs

NOVEMBER 4, 2024

Costochondritis, rib fractures, and pericarditis are common causes of chest pain that can be treated with multimodal regimens. 7 Rib and Sternal Fractures: Rib fractures are often caused by blunt chest trauma. Up to two-thirds of rib fractures are missed on initial chest radiographs. Most cases abate by one year.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Mind The Bleep

NOVEMBER 2, 2024

If the fontanelle is sunken then the baby may be dehydrated and if they are bulging then this can be a sign of birth injury or hydrocephalus. If you are concerned that the clavicle may be fractured then arrange an x-ray and discuss the findings with the orthopaedics team. Request an ECG for the baby if ANY murmur is identified.

Dislocations 52

Dislocations Documentation/Coding Ultrasounds Wellness 52