RebelEM

JULY 3, 2023

What They Did: Researchers conducted a multicenter, retrospective cohort study in three community hospitals and two freestanding emergency departments. Patients confirmed on ECG to have atrial fibrillation or atrial flutter Patients with HR >120 bpm. The study was dependent on EMR documentation which is prone to error.

Administration 91

Administration Outcomes Documentation/Coding Emergency Department 91

Dr. Smith's ECG Blog

DECEMBER 27, 2018

This ECG comes from Pierre Taboulet ( [link] /)( [link] ) an ECG whiz who codes a lot of ECGs for Cardiologs' Artificial Intelligence Deep Neural Network algorithm ( [link] ). I do research on Cardiologs' algorithm: Smith SW et al. This ECG is displayed on the Cardiologs platform. What an honor.

EKG/ECG 40

EKG/ECG Documentation/Coding Emergency Department Wellness 40

ACEP Now

JULY 6, 2023

Emergency physicians have become leaders in achieving cost efficiency in health care, predominantly through implementation of new processes and research findings, enabling us to achieve significant financial savings. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

ACEP Now

JULY 8, 2024

3 Taking a different approach, this study did not utilize information available at triage, but instead used full-note text from completed documentation of history, examination, and assessment. The evolving capabilities of LLMs far outpace the ability of researchers to test and report their performance.

Emergency Department 52

Emergency Department Operations Documentation/Coding EKG/ECG 52

Taming the SRU

FEBRUARY 22, 2023

Multitasking is performing two tasks simultaneously In studies of emergency physicians, around 70% of responses to an interruption result in a task switch Multitasking accounts for only 8% of responses to interruption Multitasking is only truly possible for manual tasks (hand-washing, gathering equipment, etc.)

Hospice 40

Hospice EKG/ECG Resuscitation Seizures 40

Dr. Smith's ECG Blog

MAY 23, 2022

Written by Jesse McLaren, with comments by Smith and Grauer Four patients presented with cardiorespiratory symptoms, with inferior ST elevation and reciprocal change on their ECG. Note: according to the STEMI paradigm these ECGs are easy, but in reality they are difficult. First lets start with each ECG without clinical context.

EKG/ECG 52

EKG/ECG Documentation/Coding Hyperthermia / Hypothermia Research 52

ACEP Now

DECEMBER 10, 2023

3 You order toxicology labs, an EKG, and a sitter to observe. After resuscitation, the patient should be evaluated by a multi-disciplinary team in the hospital to re-affirm the patient’s code status and medical treatment goals. The initial QTc is normal, but on repeat becomes prolonged. CMP reveals hypokalemia.

Resuscitation 52

Resuscitation EKG/ECG Documentation/Coding Hospitals 52

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: This DEA designation limits the ability to do research and obtain federal funding for such research. Synthetics were initially developed in the 1980s largely for research purposes.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Abnormal ECG – looks for cardiac syncope. Abnormal Electrocardiogram (ECG): Defined (San Fran syncope rule) as any new changes when compared to the last ECG or presence of non-sinus rhythm. If no previous ECG was available, ECG was classified as abnormal if any abnormality was present. orthostatic vitals b.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Sensible Medicine

JANUARY 27, 2025

All patients had regular clinical evaluation, including exercise electrocardiography (ECG) if deemed appropriate, before being randomly assigned to either standard care or standard care plus CTA. Nearly 90% of both groups had ECG stress tests at baseline. This was the original primary endpoint ).

Outcomes 121

Outcomes EKG/ECG Documentation/Coding Academics 121

Dr. Smith's ECG Blog

MARCH 8, 2025

Her first ECG is shown. After this ECG was obtained, the ER physician received word that the patient's husband had died in the crash. Repeat ECG was obtained immediately, just 24 minutes after the prior ECG: Given the context, my top differential diagnosis would be stress cardiomyopathy AKA takotsubo. Overall bland.

EKG/ECG 77

EKG/ECG CPR Resuscitation Wellness 77

Taming the SRU

FEBRUARY 3, 2025

Initial work up when suspicious of this process should include ECG, chest x-ray, urinalysis, and the following labs: CBC, CMP, magnesium, phosphate, calcium, uric acid, VBG (for pH), and lactate dehydrogenase (10). Therefore, it should only be administered in life-threatening arrhythmia and not simply for peaked t waves on ECG (2,20).

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56

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. Picture from Research Gate ( The Measuring of the Head Circumference of Children [17]. It is very important to document these however as they can be a sign of a shaken baby.

Dislocations 52

Dislocations Documentation/Coding Ultrasounds Wellness 52