Downeast Emergency Medicine

DECEMBER 1, 2021

The investigators used thematic analysis to independently code transcripts using an initial set of deductive codes, followed by inductive codes developed during the coding process. All transcripts were then coded using a final code book and resultant codes were organized into themes and subthemes with supportive quotes.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Hospitals 52

Total Medical ComplianceHIPAA

NOVEMBER 13, 2023

An informative download outlining exceptions to information blocking is accessible via the above link. Develop a documented process for managing exceptions to information requests, aligning them with consent, privacy, and regulatory requirements. Information Blocking CFR: [link]. FR to the exceptions: [link].

Documentation/Coding 52

Documentation/Coding Hospitals 52

RebelEM

JANUARY 29, 2024

Click here for Direct Download of the Podcast Paper: Aykan AC et al. Because the lungs receive 100% of cardiac output, it has been hypothesized that a lower dose of thrombolytic therapy may still be effective with a better safety profile [3][4]. REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

Stroke 136

Stroke Outcomes Hospitals Administration 136

ACEP Now

JANUARY 30, 2024

Live and in person for the first time in three years, the PEM Assembly is part of this year’s ACEP Accelerate, where you can fuel your future with four different, professional, enhancing tracks, including the ED Director’s Academy and the Reimbursement and Coding Conferences. Learn more at acep.org/accelerate.

Pediatrics 52

Pediatrics EMS Documentation/Coding Stroke 52

RebelEM

MARCH 13, 2024

REBEL Reflections Episode 5: Thinking in Bets – Making Better Decisions When You Don’t Have All the Facts Click here for Direct Download of the Podcast Think back to the last time someone asked you a difficult question regarding a patient on shift. How sure were you about your decision?

Documentation/Coding 58

Documentation/Coding Outcomes EMS Stroke 58

Resus Review

OCTOBER 8, 2015

Download Coronary Artery Diagram pdf. This documentation then helps with preop planning and facilitating communication between teammates. I developed the diagram below specifically for markup purposes. It sacrifices geometry for ease of interpretation and diagramming.

Documentation/Coding 52

Documentation/Coding EKG/ECG 52

The Skeptics' Guide to EM

OCTOBER 21, 2020

The presentation is available to watch on YouTube , listen to on iTunes and all the slides can be downloaded from this LINK. The rivalry between Newton and Hooke is well documented. I had the honour of presenting at the Department of Family Medicine’s Grand Rounds at the Schulich School of Medicine and Dentistry.

Documentation/Coding 52

Documentation/Coding Wellness 52

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records. Based upon California Health and Safety Code 102850 and Government Code 27491. Based upon California Health and Safety Code 102850 and Government Code 27491.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Don't Forget the Bubbles

JULY 26, 2023

The presence of these pathways is documented inutero and they usually regress by around 20 weeks gestation. Those children that present later, and certainly those who represent with SVT in later childhood after a documented period of SVT during their infancy are much more likely to need medical or interventional therapies.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Maria Yang, MD

JULY 10, 2023

In order to enter Play Ball Park, you must download an app so you can show a QR code on your phone to the gatekeepers. A lot of people who wanted to enter the park ended up loitering outside the gate to download the app and complete the questionnaire—more on that in a moment. What if you don’t have a smartphone?

Documentation/Coding 40

Documentation/Coding 40

EMDocs

MAY 26, 2023

Podcast: Play in new window | Download (Duration: 17:49 — 24.5MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Non-Pharmacologic Management In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

Pediatrics 76

Pediatrics Emergency Department Psychiatric Documentation/Coding 76

EMDocs

JUNE 2, 2023

Podcast: Play in new window | Download (Duration: 19:53 — 27.3MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Pharmacologic Management In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children. Document what you gave and why, as well as the impact.

Psychiatric 66

Psychiatric Pediatrics Emergency Department Administration 66

RebelEM

MARCH 2, 2023

Click here for Direct Download of the Podcast Paper: Stewart, RAH et al. Based on recent studies, current guidelines recommend that O2 should not be given to non-hypoxemic patients with STEMI or NSTEMI [2,3]. REBEL Cast Ep114 – High Flow O2, Suspected ACS, and Mortality? Low O2 protocol: 3.1% aOR 0.96, 95% CI 0.86 aOR 0.78; 95% CI 0.63

Outcomes 52

Outcomes EMS EKG/ECG Hospitals 52

Downeast Emergency Medicine

APRIL 26, 2021

Trauma patients between the ages of 18-90 years had to have either had one documented episode of hypotension (defined as a systolic BP <90 mmHg) or tachycardia (>100 beats/minute) to be included in the study. If the trauma center performed screening ultrasounds to evaluate for asymptomatic DVTs, they were not included in this study.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Documents improvements in BVMs previously investigated and found deficient in FIO2. Download from Hindawi Publishing without additional data availability. Download from Hindawi Publishing without additional data availability. Classic pre-EMS document describing rescue care by rural volunteer squads. Abdo Khoury, M.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

Sensible Medicine

FEBRUARY 28, 2024

The online MESA Risk Score Calculator is available here and the app can be downloaded for free (search for “MESA Risk Score”) on Apple and Android smartphones. For many individuals, this is life-transforming. If the discussion is done properly, the test result will radically improve their life and longevity.

Stroke 48

Stroke Documentation/Coding Outcomes Wellness 48

EMDocs

JUNE 16, 2023

Podcast: Play in new window | Download (Duration: 13:57 — 19.2MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Management of the child with mental health problems who is boarding in the ED In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children. 10.1542/peds.2022-057383

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

Taming the SRU

MAY 30, 2023

Generally accepted (and some airlines spell it out) that they are assuming the liability even for you helping Documentation: To protect yourself (and the airline), will/should make documentation of what happened. Airline companies have been sued. Each airline generally has their own protocol.

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

PulmCCM

OCTOBER 16, 2023

Download the central line checklist from John Hopkins here. Experienced proceduralists may have internalized most or all checklist steps into muscle memory and habit, but it’s worth using one until 100% adherence becomes almost automatic, and maybe after that, too.

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

Don't Forget the Bubbles

JULY 5, 2023

However, there are documented adverse events such as haemorrhagic cerebrovascular accidents or recurrence of VOC after drug withdrawal, which represent a drawback in its regular use. Corticosteroids : there is a lot of controversy on steroidal treatment. 2019, 3 rd edition.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

RebelEM

MAY 15, 2024

REBEL Core Cast 122.0 – Neutropenic Fever Click here for Direct Download of the Podcast. Coding for Mucositis. Identify low risk patients and send them home with PO antibiotics and close oncology follow-up in conjunction with your oncologist. Antimicrob Agents Chemother. 2014 Jul; 58(7): 3799–3803. doi: 10.1128/AAC.02561-1

Infectious Diseases 104

Infectious Diseases Administration Sepsis Anaphylaxis 104

Downeast Emergency Medicine

OCTOBER 21, 2021

Applications were coded as “consistent” with Federation of State Medical Boards (FSBM) if they inquired only about current impairment from a mental health condition or did not ask about mental health conditions. All other applications were coded as “not consistent.” Download article summaries sHANAFELT ET AL. DYRBYE ET AL.

Documentation/Coding 52

Documentation/Coding Emergency Department Shock Research 52

Don't Forget the Bubbles

AUGUST 10, 2023

Descriptive Terms When describing injuries of the hand for documentation or referral purposes it is important to know the terminology that is widely in use in order to convey an accurate description to others. Hand dominance, mechanism of injury and vascular, neurological, and musculoskeletal status should all be evaluated and documented.

Fractures 52

Fractures Soft Tissue Injuries Emergency Department Operations 52

Mind The Bleep

NOVEMBER 2, 2024

Bruising- this can be common after a vaginal or instrumental birth or in babies who are large for gestational age, and should be documented carefully. The uvula can be difficult to visualise at times so document carefully that the palate has not been fully examined so that the GP can have a close look at the 6-8 week check.

Documentation/Coding 52

Documentation/Coding Dislocations Ultrasounds Wellness 52