EB Medicine

MARCH 1, 2019

This month, after a few months of primarily medical topics, we’re talking trauma, specifically Blunt Cardiac Injury: Emergency Department Diagnosis and Management. Post opiate hypotension in prehospital trauma patients is a rare but documented complication. Ann Emerg Med. Nachi: Definitely. Prospective; 333 patients) 73.*

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

ACEP Now

FEBRUARY 11, 2024

The clavicle is one of the most commonly fractured bones in the human body. Every year, approximately 332,000 people in the United States suffer from a clavicular fracture. The clinician should note the fracture site (either via palpable landmark or ultrasound visualization). Epidemiology of clavicle fractures.

Ultrasounds 52

Ultrasounds Fractures Emergency Department Hospitals 52

Taming the SRU

NOVEMBER 14, 2023

Chief complaints involving the ear are a common occurrence in Emergency Departments across the US and include presenting symptoms such as ear pain or fullness, hearing loss, redness, trauma, vertigo, and foreign bodies. A retrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 through 2011 identified 8.6

Emergency Department 94

Emergency Department Pediatrics Wellness Fractures 94

Don't Forget the Bubbles

OCTOBER 10, 2024

The study excluded complex nail bed injuries, including those with distal phalanx fractures, germinal matrix injury or pulp lacerations, meaning outcomes are only relevant to simple nail bed injuries. However, in the secondary outcome of parental assessment, nail discard patients had higher median scores. Arch Dis Child. Epub ahead of print.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

Act V, scene I [Text from Folger Shakespeare Library] [Audio recording of Dramatic Reading; Chapter Vox] [Video recording of Act V, scene1] Most deaths that are brought to, or occur in, an emergency department will require, at least, discussion with the local Coroner or Medical Examiner.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Cook County EM Blog

MARCH 28, 2023

As the patient was also having facial pain and reported multiple episodes of blunt facial trauma over the past months, CT facial bones was completed which demonstrated chronic fracture deformities of the left inferior orbital wall, a communited chronic nasal bone fracture, and confirmed posterior lens dislocation.

Dislocations 52

Dislocations Ultrasounds Fractures Radiology 52

ACEP Now

MAY 6, 2023

Case A 35-year-old male is brought to the emergency department (ED) following a single-motor-vehicle collision in which two people were ejected and pronounced dead at the scene. Clavicular and humeral fractures are more common in passengers than in drivers. He is completely amnestic to the events of the accident.

Forensics 52

Forensics Documentation/Coding Head Injuries Fractures 52

Taming the SRU

SEPTEMBER 15, 2023

ETT onto a fiberoptic scope. ETT onto a fiberoptic scope.

CPR 90

CPR Burns Airway Management Wellness 90

RebelEM

MARCH 9, 2023

However, evaluating and managing patients with acute alcohol intoxication in the emergency department can be challenging. Assess for blood in the nares or signs of basal skull fracture, including battle signs, raccoon eyes, or hemotympanum. As always, document clinical sobriety before discharge. 2018 Mar;71(3):279-288.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

EMDocs

JULY 11, 2023

Fractures and dislocations are indications for full dose factor replacement. PMID: 7382250 MASAC Document 257 – Guidelines for Emergency Department Management of Individuals with Hemophilia and Other Bleeding Disorders. If LP is absolutely necessary, pretreat with clotting factors and speak with hematology.

Head Injuries 75

Head Injuries Pediatrics Dislocations CDC 75

ACEP Now

AUGUST 15, 2023

The AMA Code of Medical Ethics’ Opinion on Physicians Treating Family Members advises against it. When I fracture-dislocated my ankle on Mount Rainier, there was no one to do the emergency reduction; so, aided by a rush of endorphins and the lack of swelling, I did it myself. Many of these occurred at “world class” institutions.

Hospitals 52

Hospitals Documentation/Coding Fractures Dislocations 52

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Electrical injuries in the emergency department: an evidence-based review. Emerg Med Pract.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

EMDocs

NOVEMBER 16, 2024

6 Periprosthetic fracture Occurs at an estimated rate of 3.5-4.1%. Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 5 CT if concern for occult fracture.

EMS 98

EMS Dislocations Fractures Operations 98

EB Medicine

JUNE 6, 2019

Jeff: Abdominal pain is the one of most frequent complaint in US emergency departments, representing 8% of all adult ED visits, with admission rates for all patients with abdominal pain ranging between 18-42% and reaching as high as 60% for the elderly. PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

Taming the SRU

FEBRUARY 22, 2023

Paske et al.

Hospice 40

Hospice EKG/ECG Resuscitation Seizures 40

Don't Forget the Bubbles

DECEMBER 2, 2024

This single-centre prospective study focused on a quality improvement (QI) project to reduce the overuse of chest X-rays (CXR) in paediatric patients with acute asthma exacerbations (AAE) arriving at the emergency department (ED ). Arch Acad Emerg Med. Pediatric Emergency Medical Journal 2023;10(4):109-117.

Documentation/Coding 98

Documentation/Coding Pediatrics Emergency Department Fractures 98

EMDocs

JULY 3, 2023

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance.

Seizures 98

Seizures Stroke Outcomes EMS 98

Taming the SRU

SEPTEMBER 1, 2023

These were adult trauma patients with compromised vitals, clinical suspicion for life-threatening injuries, and/or presence of a severe injury Negative study for this primary outcome, but potentially an under-powered study Also, study involved mortality of all trauma patients, lumping together patients with polytrauma and those with TBI’s Secondary (..)

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

Mind The Bleep

JANUARY 28, 2025

per 1000 emergency department attendances in the UK (1). Enquire about any associated trauma such as head injuries and fractures. First Aid Measures : Document if any initial care has been done, such as cleaning or dressing the wound. The prevalence of these injuries is estimated at 5.2 fall, bump against an object).

Documentation/Coding 52

Documentation/Coding Head Injuries Fractures Emergency Department 52

ACEP Now

FEBRUARY 11, 2025

Around the world, acute pain is the most common reason for patients to present to the emergency department (ED). Regional anesthesia has been shown to decrease hospital LOS for hip fractures up to 0.9 9 The previous years volume of hip fractures was 569 patients. The Math (Decrease LOS 0.9 days) X ($2,813.00/day)

Emergency Department 80

Emergency Department Fractures Ultrasounds Hospitals 80

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Don't Forget the Bubbles

AUGUST 10, 2023

This is partly because the hands (including fingers) of children & young people have a tendency to fracture without as much compressive force being applied to the bones when compared with adult hands. We will focus on the most important structures when assessing paediatric hands in the emergency department.

Fractures 52

Fractures Soft Tissue Injuries Emergency Department Operations 52

EMDocs

FEBRUARY 18, 2025

However, if you want the full chart and a great review on pacemaker malfunctions, see Pacemaker MalfunctionReview of Permanent Pacemakers and Malfunctions Encountered in the Emergency Department – ScienceDirect Lets dive in. This can be caused by lead fracture or Oversensing. Did you guys forget theres a patient coding?

EKG/ECG 72

EKG/ECG Documentation/Coding Wellness CPR 72

Mind The Bleep

SEPTEMBER 17, 2024

Introduction Patients regularly present to the emergency department with animal bites. Feel: Palpate the area of the bite to feel for areas of tenderness as this could indicate a fracture or infection. There should be a minimum of 2 views in the plain film, or 3 in the hands if there is a suspicion of a fracture.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

EMDocs

NOVEMBER 6, 2024

He denies any past medical history other than polysubstance abuse and depression. tetani infection is also indicated.

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98