PulmCCM

FEBRUARY 5, 2024

You can read the document here. Read the original document here. As all radiologists are ostensible experts, this reads more like an endorsement of POCUS in the ICU for intensivists well-trained and experienced in the technique. Ultrasound is well-suited for identifying most serious biliary system abnormalities.

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

Don't Forget the Bubbles

JUNE 19, 2024

Well-designed multicentre large studies in children were warranted; cue Leonard et al. Children in the validation cohort were admitted to the intensive care unit or operating room less frequently than those in the derivation cohort. In practice, questions remain about who applies the CDR and the inter-rater reliability.

CPR 121

CPR Research Outcomes Documentation/Coding 121

ACEP Now

MARCH 13, 2024

Consequences of this are well documented and include delayed treatment, exposure to error, increased length of stay, and increased mortality. Conclusion/Recommendation ED crowding is a national patient safety issue driven by hospitals routinely operating over capacity. ED crowding impairs this mission. Click to enlarge.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

AED Leader

JULY 3, 2024

When it comes to ensuring the safety and well-being of your business and its employees, having a reliable automated external defibrillator (AED) is essential. This durability is essential, particularly for businesses operating in demanding or outdoor environments. Yes, Cardiac Science provides a warranty on its AED defibrillators.

CPR 52

CPR Resuscitation Pediatrics Operations 52

Mind The Bleep

MAY 1, 2024

If the limb is pale and pulseless this needs urgent referral to vascular as well as orthopaedics and the fracture needs reducing immediately. Appropriate first line management will help protect and resuscitate the soft tissues and keep the fracture still either to allow healing or until definitive management (operative fixation) is possible.

Fractures 52

Fractures Documentation/Coding Head Injuries Dislocations 52

ACEP Now

JULY 8, 2024

1 Other, non-transformer-based ML methods can be used on clean, well-structured data sets, but LLMs are frequently capable of feats of unanticipated competence right out of the box. As a mechanism for augmenting clinical operations, this approach may show value in passively collecting and feeding information into other systems.

Emergency Department 52

Emergency Department Operations Documentation/Coding Research 52

The Skeptics' Guide to EM

MAY 11, 2019

Background: The first documented appendectomy was done by Claudius Amyand in 1735. This is an example of why things in evidence-based medicine can be “complicated” ( SGEM#115 and SGEM#180 Clinical Question: Operative treatment or non-operative treatment of acute Grade 1 (uncomplicated) appendicitis? Reference: Sceats et al.

Documentation/Coding 52

Documentation/Coding Operations Academics Ultrasounds 52

The Skeptics' Guide to EM

JANUARY 23, 2021

That SGEMHOP episode asked how the productivity of APPs compare to emergency physicians and what is its impact on ED operations? The American College of Emergency Physicians ( ACEP ) also has a number of documents discussing APPs in the ED. Background: We covered the use of advanced practice providers (APPs) on the SGEM#308.

Research 52

Research Poisoning Documentation/Coding Outcomes 52

ACEP Now

MARCH 14, 2024

These can be delayed, up to weeks later, so it’s important to educate patients on the importance of follow-up with burn care well-versed with electrical injuries or neurology if they have or develop these symptoms. In the operating room, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Taming the SRU

SEPTEMBER 1, 2023

to divert the plane).

Sepsis 93

Sepsis Administration Documentation/Coding Fractures 93

Don't Forget the Bubbles

MARCH 11, 2024

There are many causes, and it is less well understood than plagiocephaly. Craniosynostosis needs urgent referral and is usually corrected operatively before a child’s first birthday. Recommendations for sudden infant death syndrome prevention: a discussion document. Craniosynostosis Craniosynostosis is rare. link] Mitchell, E.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

Medagadget

MAY 23, 2023

It requires the integration of data from a kidney transplant biopsy ( i.e. , histological lesions scores), as well as clinical, immunological, and transcriptomic data. These multimodal data and rules are necessary to provide a precise diagnostic, which considers all the biological operating processes, grades, and types of rejection.

Research 83

Research Hospitals Documentation/Coding Operations 83

Taming the SRU

AUGUST 4, 2024

We discussed some practices to push learners outside of their comfort zone and promote learning, based on their level as well as their goals for the shift. The largest retrospective cohort study to date (Beyde et al.) shows that most will improve with empiric antibiotics.

Emergency Department 83

Emergency Department Dislocations Documentation/Coding Burns 83

Resus Review

FEBRUARY 12, 2015

The patient is positioned and prepped in the same way as for the standard operative tracheostomy. Elimination of scheduling difficulty associated with operating room and anesthesiology teams for critical care patients. Dont forget to document your perc trach procedure well.

Operations 52

Operations Documentation/Coding Ultrasounds Wellness 52

Pediatric Education

NOVEMBER 12, 2023

weeks was seen for well-care. No specific documentation regarding the duration of the car seat testing could be identified in the medical records. Pierre-Robin Sequence) and post-operative congenital heart disease. Patient Presentation A former 35 week, appropriate for gestational age male, now 37.5

Pediatrics 40

Pediatrics Hospitals Poisoning Documentation/Coding 40

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Although told several times, the story of the development by Henning Ruben of the prototypical modern manual resuscitator, the self-refilling bag with unidirectional non-rebreathing valves which now dominate the world of resuscitation, is still not well-known. Evaluation of Manually Operated Resuscitators CARDEN, E., & HUGHES, T.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

Mind The Bleep

FEBRUARY 7, 2024

Should also document presence of shunt, size and direction. Your histogram allows you to visualise how well your patient is oxygenating over a longer time period rather just a snapshot, and this gives you the opportunity to optimise oxygenation by altering ventilator settings if required. 2/3 systemic is normal.

Wellness 52

Wellness Seizures Documentation/Coding Operations 52

EB Medicine

MARCH 1, 2019

Nachi: This month’s team parsed through roughly 1200 articles as well as guidelines from the eastern association for surgery in trauma also known as EAST. Post opiate hypotension in prehospital trauma patients is a rare but documented complication. Unfortunately, CT does not perform well for the evaluation of myocardial contusions.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

American Medical Compliance

AUGUST 7, 2024

Moreover, compliance with HIPAA helps healthcare providers avoid substantial fines and legal penalties associated with data breaches, thereby maintaining compliance with federal standards and ensuring the smooth operation of their practices. It protects the health and well-being of staff.

Hazardous Materials 89

Hazardous Materials Documentation/Coding Legal Issues Patient Safety 89

EB Medicine

JULY 8, 2019

Jeff: Well that’s kind worrisome. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in. Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. EMS in America: The Foundation Documents. We applied to "The Golden Hour" the attitudes and abilities that led to a man on the moon.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. If you think your patient is the perpetrator, he may well be an innocent, or even an off-duty or undercover officer.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

RebelEM

AUGUST 22, 2024

1,2 Intra-arterial (IA) tPA has also shown benefit but is less well studied. Moreover, there are multiple operational and patient-specific barriers rendering timely thrombolytic administration difficult. Patients whose last known well (LKW) time was within 24 hours of presentation. Within 24 hours after treatment.

Stroke 80

Stroke Administration Outcomes Documentation/Coding 80

Don't Forget the Bubbles

JULY 26, 2023

A cardiac family history should of course be sought, but think a little outside the box as well. On arrival at hospital the child was well with normal observations. The Fontan circulation was an operation initially developed around 50 years ago to treat tricuspid atresia. Family history. What are the important investigations?

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

" [Coroners Society] King Richard I (the Lionheart) needed vast sums of money for the Third Crusade, operation of the kingdom, and for his ransom fro m Duke Leopold of Austria. All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

Regarding my Systematic assessment of ECG #1: There is significant baseline artifact , as well as baseline wander. I therefore feel it relevant to document ( in your dictation/on the medical chart ) when significant artifact potentially impairs the accuracy of your interpretation. Smith's ECG Blog.

Seizures 106

Seizures EKG/ECG EMS Documentation/Coding 106

RebelEM

AUGUST 12, 2024

Thus further adding to the well known safety of amino acid infusions The lack of a diversified patient population in combination with having used only one type of amino acid formulary greatly limits this study’s generalizability.

Outcomes 74

Outcomes Hospitals Operations Shock 74

RebelEM

JUNE 8, 2023

Epinephrine – 10ug/mL, 10mL syringe Phenylephrine – 100ug/mL, 10mL syringe Phenylephrine bolus doses from 100-200ug and epinephrine 10-20ug administered every 2-5 minutes pursuant to provider order Inclusion Criteria: Adults age >18 years old Received at least one bolus dose of phenylephrine or epinephrine pre-filled syringes Exclusion (..)

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

EB Medicine

AUGUST 1, 2018

In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. Jeff: And the etiology of CHS is not well understood. Nachi: There is a well-studied theory here and it relates to the TRPV1 receptor that we talked about earlier. Counsel them on drug abuse also.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

ACEP Now

FEBRUARY 11, 2024

The ultrasound system should be placed so that the operator is able to visualize the point of needle entry, as well as the ultrasound screen in the same line of sight. 8 For all ultrasound-guided nerve blocks, we recommend placing documentation both in the EHR and as a small skin marking with a surgical pen on the patient.

Ultrasounds 52

Ultrasounds Fractures Emergency Department Hospitals 52

Dr. Smith's ECG Blog

APRIL 6, 2023

Medical history: History of Ischemic Heart Disease History of Congestive Heart Failure Diabetes Mellitus requiring treatment with insulin Pre-operative serum creatinine >2 mg/dL He had this ECG recorded: What do you think? second that might document underlying SSS. This English proverb has served me well in the field of arrhythmias.

EKG/ECG 52

EKG/ECG Operations Documentation/Coding Wellness 52

RebelEM

MARCH 27, 2023

First ED-based study to evaluate how operational effects such as crowding can affect patient care in the form of LPV Included ARDS criteria relating to the usage of LPV in the ED allowing evaluation as to whether patients with ARDS were more likely to receive LPV settings. Prior studies have used annual census or shift level crowding.

Emergency Department 52

Emergency Department Operations Documentation/Coding Academics 52

Northwestern EM Blog

MAY 16, 2022

Follow up CT should depend on the patient and ultrasound operator. Lastly the POCUS operators were ED physicians with training “recommended by ACEP.” Please ensure that you document and discuss with the patient accordingly. In this study, 40.7% J Urol 2019. 202(3):475-483.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

Northwestern EM Blog

SEPTEMBER 12, 2022

This post will discuss a brief overview of hospital planning and operational setup with key elements of a disaster response from events that cause high numbers of blunt trauma, penetrating trauma, burns or crush injuries that may be seen following explosive events, mass shootings, or large scale motor vehicle collisions, to name a few.

Mass Casualty Incidents 52

Mass Casualty Incidents Hospitals EMS Operations 52

EB Medicine

JUNE 6, 2019

For example, patients with misdiagnosed disease has less RLQ pain and tenderness as well as diminished anorexia, nausea, and vomiting. Jeff: Well that’s scary - I know I’ve already missed a case, but luckily, he returned thanks to good return precautions, which we’ll get to in a few minutes. Jeff: True.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

Pediatric Emergency Playbook

JUNE 1, 2017

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Taming the SRU

MAY 30, 2023

hours earlier Free fluid in the RUQ has been shown to have a LR of 112 of requiring operative management Risk Factors for Ectopic Pregnancy prior ectopic pregnancy surgery infection assisted reproductive technologies IUD However, 50% of patients with ectopic pregnancy have no risk factors High and Lows w/ Dr. Airline companies have been sued.

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52