RebelEM

MARCH 27, 2023

4 Using factors such as shock, pneumonia, and sepsis this score allows an accurate prediction of developing ARDS. There may have very well been a policy where only RTs can make changes to a ventilator after an order was placed to ensure accurate documentation. Prior studies have used annual census or shift level crowding.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

ACEP Now

MARCH 14, 2024

Electrical injuries—excluding lightning injuries—account for roughly 10,000 nonfatal shock incidents a year and 500 deaths a year. In the operating room, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia. FIGURE 2: Traumatic amputation and electrical burn of the patient’s left arm.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Review of the Wellcome Library movies on YouTube (1945) [ links below in references ] is instructive as to resuscitative methods of the 1930s and 1940s: Manual methods; gas bag or bellows operated by hand or machine; an anesthesia gas machine; or iron lung. Evaluation: Manually Operated Resuscitators (1971) Emergency Care Research Institute.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Perhaps, not insignificantly, they were accustomed to receiving systematized government-supplied medical and trauma care, with "shock rooms" receiving an influx of victims, as contrasted to those later who opposed "socialized medicine." Committee on Shock. EMS in America: The Foundation Documents. Sakran, J.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

EB Medicine

MARCH 1, 2019

Consider valvular injury in any patient who appears to be in cardiogenic shock, has hypotension without obvious hemorrhage, or has pulmonary edema. Post opiate hypotension in prehospital trauma patients is a rare but documented complication. for pericardial effusion. Jeff: Not only is US accurate, it’s also quick. Jeff: Exactly.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

EB Medicine

JULY 8, 2019

Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Pediatric Emergency Playbook

JUNE 1, 2017

The best documented cormorbidity is sickle cell disease, although other pro-thrombotic conditions also put the child at risk. The infant in shock after a ‘cold’: myocarditis Beware of the poor feeding, tachycardic, ill appearing infant who “has a cold” because everyone else around him has a ‘cold’. Congenit Heart Dis. 2007; 2:2-11.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

JUNE 6, 2019

Nachi: Moving on to blood pressure: frank hypotension should make you immediately think of a ruptured AAA or septic shock 2/2 an intra abd infection. You can also use the shock index, which as a reminder is simply the HR/SBP. The greatest value of a lactate level is to detect occult shock and sepsis. In one study, a SI > 0.7

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EB Medicine

AUGUST 1, 2018

Jeff: There are a shocking 22 million past-month users of marijuana in the US, followed by pain relievers at 3.8 In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. Make sure that the patient knows not to operate vehicles or heavy machinery under the influence of drugs.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Taming the SRU

SEPTEMBER 1, 2023

to divert the plane).

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

EB Medicine

JANUARY 2, 2019

Jeff: Perhaps most importantly, no history or physical alone can rule in or out an ectopic pregnancy, for that you’ll need testing and imaging or operative findings. For a completed abortion, you would expect a closed OS with no IUP on ultrasound with a previously documented IUP. Jeff: Up first is the urine pregnancy test.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

American Medical Compliance

OCTOBER 25, 2024

What’s more, they improve operational efficiency and enhance patient trust. This also helps you set realistic expectations for the audit’s duration and resource requirements. Assemble a Qualified Audit Team Are you ensuring a balance between legal, technical, and operational expertise within the team?

Documentation/Coding 105

Documentation/Coding Operations Best Practices Shock 105

Dr. Smith's ECG Blog

MARCH 17, 2025

There is very scarce documentation, but the next ECG was obtained around 1 PM. Nevertheless, the operator performed intravascular ultrasound and saw erupted calcium nodule consistent with plaque erosion. A shocking finding. There was no repeat ECG. ECG 2 Diagnostic for inferoposterior reperfusion. Just see Hans's recent post.

EKG/ECG 81

EKG/ECG Documentation/Coding Burns Research 81

Don't Forget the Bubbles

JULY 5, 2023

Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. Symptoms may be non-specific in the beginning with patients quickly developing septic shock and disseminated intravascular coagulation. What could be the differential diagnosis? coli and Staphylococcus aureus.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

PulmCCM

SEPTEMBER 13, 2024

Surprise witnesses then made shocking allegations under oath that employees of organ procurement organizations (OPO) pressured staff to obtain organs from living patients. When one surgeon refused, she said workers were ordered to find a different surgeon who would perform the operation.

Operations 124

Operations Administration Leadership Hospitals 124

Sensible Medicine

SEPTEMBER 4, 2024

He will laud Trump for Operation Warp Speed. The greatest irony of Trump’s COVID policy was that after supporting Operation Warp Speed, he hesitated to fully endorse the COVID vaccine. It’s shocking how many of you read and support our effort. I welcomed this assignment because I know what Dr. Prasad will argue.

Administration 129

Administration Operations CDC Documentation/Coding 129