EMDocs

SEPTEMBER 26, 2024

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Radiology over-reads – Who’s responsible? Patient not informed of enlarged heart, dies 3 weeks post ED visit Miscommunicated radiology findings are a hot topic. EKG, labs, and a CXR are interpreted by the EP as normal.

Radiology 93

Radiology Radiology EKG/ECG Documentation/Coding 93

ACEP Now

JANUARY 4, 2025

A closer look, though, also shows the technology of the daya bulky, two-way radio for communicating with EMS, metal gurneys, glass saline bottles, and portable ECG monitors the size of a small shopping cart. Notice the use of the medical anti-shock trousers and the ECG machine. Click to enlarge.) I like the excitement.

Forensics 52

Forensics Urgent Care Hospitals Emergency Department 52

EMDocs

OCTOBER 10, 2024

Exam is normal except for tenderness as documented in the diagram. EKG shows atrial fibrillation with a rate of 169. She never had a documented abdominal exam. I just failed to document it. The EP documented seeing the patient and agreed with the ARNP’s plan. Temp is 98.7 and pulse 121. It was benign.

Documentation/Coding 93

Documentation/Coding Hospitals Sepsis Infectious Diseases 93

Dr. Smith's ECG Blog

JUNE 27, 2021

Medics recorded this ECG: There is a lot of artifact, but you can clearly see ST depression in V2 and V3. Here is the first ED ECG (there was no previous ECG on file for comparison): Sinus rhythm and LVH There is some (less than 1 mm) of STD in V3 and V4. ng/mL, and another ECG was recorded and was identical.

EKG/ECG 40

EKG/ECG Radiology Radiology Ultrasounds 40

Pediatric Emergency Playbook

JUNE 1, 2017

Electrocardiography (ECG) should be performed on any patient with significant blunt chest injury. A negative ECG is highly consistent with no significant blunt myocardial injury. Any patient with a new abnormality on ECG (dysrhythmia, heart block, or signs of ischemia) should be admitted for continuous ECG monitoring.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

JUNE 6, 2019

CT is good but you really should learn ultrasound, and lastly, sick patients need prompt consultation and resuscitation, not rapid trips to radiology. Unstable patients do not belong in a radiology suite - they belong in the ED resus bay to be resuscitated first. Nachi: And finally let’s touch upon the ekg and ACS. Jeff: True.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EB Medicine

JULY 8, 2019

Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications. Nachi: Check an EKG immediately after arrival for any patient that may be concerning for ACS. A normal ekg of course does not rule out a cardiac cause of their presentation. J Gastrointest Surg. 2017;21(11):1946-1953.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40