EMDocs

AUGUST 22, 2024

7 This has also been observed in a pediatric patient population. 12 How do we address these disparities in the emergency department? Utilizing certified interpreters and documenting their use. Studies have shown that NELP patients are: More likely to have a longer waiting room length of stay.

Documentation/Coding 100

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 100

RebelEM

NOVEMBER 6, 2024

Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. Medial epicondyle fractures in the pediatric population. PMID: 30521261 Gottlieb M, Schiebout J. 2018 Jun;54(6):849-854. doi: 10.1016/j.jemermed.2018.02.011. 2018.02.011. Epub 2018 Apr 19. J Am Acad Orthop Surg.

Dislocations 107

Dislocations Fractures Soft Tissue Injuries Outcomes 107

PEMBlog

JUNE 14, 2023

Thousands of children and adolescents spend days at time in Emergency Departments waiting for definitive mental health disposition. Leyenaar; Pediatric Mental Health Boarding. Pediatrics October 2020; 146 (4): e20201174. Zima; Follow-up After Pediatric Mental Health Emergency Visits. West J Emerg Med.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

EB Medicine

JANUARY 3, 2023

2) 2023 E/M coding guidelines are in effect. 2) 2023 E/M coding guidelines are in effect. Announcements: 1) The interactive Clinical Pathways have launched and they are available for free!

Shock 52

Shock Pediatrics Airway Management Sepsis 52

ACEP Now

JUNE 7, 2023

ED leaders worked to develop new physician documentation and coding guidelines that needed to be implemented at the beginning of 2023. The preliminary results of the 2022 Emergency Department Benchmarking Alliance performance measures survey found a significant deterioration in patient processing due to inpatient boarding.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

Don't Forget the Bubbles

MAY 31, 2023

Children presenting with diabetes and diabetic ketoacidosis to Emergency Departments during the COVID-19 pandemic in the UK and Ireland: an international retrospective observational study. During the COVID-19 pandemic , we noticed a change in the type of patients presenting to the Emergency Department. Arch Dis Child.

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

EMDocs

JUNE 9, 2023

We’re defining “protocol” here as a written document that provides oversight from the medical director about how to assess and treat patients. If you have restraints in your ambulance, are those restraints appropriately sized for pediatric patients? Was the documentation complete? What type of restraint was used?

EMS 95

EMS Documentation/Coding Pediatrics Psychiatric 95

Don't Forget the Bubbles

AUGUST 23, 2023

In most Emergency Departments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’ & Liska, H.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

ACEP Now

NOVEMBER 14, 2023

The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. While most academic EDs have lost pediatric volume, the UVA ED continues to see almost 20 percent pediatric patients. Pediatric patients go to their own zone.

Academics 52

Academics Emergency Department Leadership Operations 52

EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr.

Pediatrics 70

Pediatrics Emergency Department Research Burns 70

The Skeptics' Guide to EM

OCTOBER 1, 2022

Disparities in the emergency department management of pediatric migraine by race, ethnicity, and language preference. Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. AEM September 2022.

Pediatrics 52

Pediatrics Emergency Department Documentation/Coding Research 52

EMDocs

JUNE 2, 2023

Document what you gave and why, as well as the impact. Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. Erratum in: West J Emerg Med. Acad Pediatr. 2023.03.005.

Psychiatric 85

Psychiatric Pediatrics Emergency Department Administration 85

Don't Forget the Bubbles

NOVEMBER 20, 2023

Neck lumps are a common presenting complaint to the paediatric emergency department with many aetiologies, sometimes resulting in a diagnostic conundrum. Document the size, consistency and location in the notes to compare if they represent. Evaluation and Management of Pediatric Neck Masses. Pediatric Neck Mass.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

EMDocs

MAY 26, 2023

Emerg Med Clin North Am. Structured team approach to the agitated patient in the emergency department. Emerg Med Australas. Use and avoidance of seclusion and restraint: consensus statement of the american association for emergency psychiatry project Beta seclusion and restraint workgroup. Dtsch Arztebl Int.

Pediatrics 94

Pediatrics Emergency Department Psychiatric Documentation/Coding 94

PEMBlog

OCTOBER 18, 2024

Duchenne Muscular Dystrophy (DMD) is a complex and progressive disease requiring highly specialized care, especially in emergency situations. When patients with DMD present in the Emergency Department (ED), an understanding of the nuanced aspects of their care is essential for optimal management. Pediatrics. 2018-0333I.

Emergency Department 52

Emergency Department Fractures Best Practices Documentation/Coding 52

EB Medicine

NOVEMBER 1, 2021

Also, this month use code ACEP21! and get 20% of all orders at [link] Emergency Department Management of Rib Fractures Author: Patrick Maher, MD Episode Outline: Why rib fractures? It is in Beta and your feedback is welcome. ,* Also, this month use code ACEP21! Coming to Google Play soon. Coming to Google Play soon.

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

SheMD

DECEMBER 1, 2023

But less physicians talk about the difficult “firsts” like failing your first test, losing your first patient, or being involved in your first code. I remember my first code blue like it was yesterday. He had such a bright future…until he rolled into our pediatric ICU. Thirty minutes after he arrived a code blue was called.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Resuscitation 52

Don't Forget the Bubbles

JUNE 19, 2024

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. A proportion of the patients who were initially missed using the CDR were found to actually have risk factors documented in EMS reports or the medical record.

CPR 124

CPR Research Documentation/Coding Outcomes 124

EMDocs

JUNE 16, 2023

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department. Challenges while Boarding The length of stay for pediatric mental health visits has increased.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

Don't Forget the Bubbles

MAY 6, 2024

Acad Pediatr. of patients with follow-up documentation, 70.8% (95% CI 62.9–77.9) Pediatric Critical Care Medicine , 25 (3), pp.e117-e128. Data collected were the worst values documented within the same calendar day as the blood cultures were obtained. 2024;24(1):111-118. doi:10.1016/j.acap.2023.06.023 Of the 74.9%

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

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

Taming the SRU

AUGUST 4, 2024

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient. It is better to finish early than rushing through your presentation

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

ACEP Now

OCTOBER 10, 2024

There’s no hard line for how many hours you should be measured on in terms of boarding or in terms of how long you’re in the emergency department. Right now, there’s no incentive to get people out of the emergency department by hospital administrators. OTHER EMERGENCY PHYSICIAN CANDIDATES Click to enlarge.

Telemedicine 105

Telemedicine Critical Access Hospitals Emergency Department 105

The Skeptics' Guide to EM

OCTOBER 28, 2017

Pediatrics 2017 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. The pediatric age group represents one of the populations at risk for oligoanalgesia.

Pediatrics 52

Pediatrics Documentation/Coding Emergency Department Hospitals 52

Don't Forget the Bubbles

DECEMBER 16, 2024

Clear history taking In the Emergency Department, healthcare professionals should prioritise thorough history-taking when assessing potential suspected cases. JOINT committee on vaccination and immunisation code of practice June. Pediatric vaccination during the COVID-19 pandemic. Pediatrics. Epidemiol Infect.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

PEMBlog

MAY 11, 2023

Pediatr Emerg Care This randomized, double-blinded, placebo-controlled trial in infants 0-3 months old getting an LP, younger than 3 months, presenting to the ED meeting clinical criteria for LP. These were used by two independent reviewers to determine Neonatal Facial Coding System with pain scores. Pediatr Emerg Care.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 52

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications. 2015;25(4):622-627. Surg Obes Relat Dis.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EMDocs

AUGUST 8, 2023

Document consideration of torsion in males with abdominal pain. Just the facts: assessment and management of testicular torsion in the emergency department. Pediatr Emerg Care. Medicolegal considerations: 3rd most common cause of malpractice suits in males 12-17 years old & average settlement of $60,000.

Ultrasounds 87

Ultrasounds Documentation/Coding Outcomes Emergency Department 87

JournalFeed

MARCH 26, 2022

High-dose IN Fentanyl Spoon Feed: Higher doses of intranasal (IN) fentanyl for pain ranging from 2-5 μg/kg (with a maximum of 200 μg) were given in a pediatric emergency department, with no documented episodes of apnea, hypotension, or respiratory failure.

Stroke 40

Stroke Documentation/Coding Emergency Department Resuscitation 40

EMDocs

JULY 11, 2023

Pediatric patients: Post circumcision bleed, head bleeds, bruises. PECARN Pediatric Head Injury/Trauma Algorithm, Canadian CT Head Injury Rule, Ottawa Knee and Ankle Rules) do not apply to those with hemophilia and should not guide management. Once they started walking it was bruising, MSK, and mouth bleeds. Clinical decision tools (e.g

Head Injuries 74

Head Injuries Pediatrics Dislocations CDC 74

Taming the SRU

OCTOBER 30, 2024

Although cancer diagnosis is not the primary goal of the care we provide in the emergency department, we can make a substantial impact on long term mortality​ HNSCC is rapidly invasive and the time to diagnosis often significantly impacts long-term morbidity and mortality in these patients.

Hospitals 52

Hospitals Emergency Department EKG/ECG Documentation/Coding 52

Taming the SRU

SEPTEMBER 15, 2023

ETT onto a fiberoptic scope.

CPR 90

CPR Burns Airway Management Wellness 90

Pediatric Emergency Playbook

APRIL 1, 2016

Read on to go from bread-and-butter pediatric blood work to answer the question – what’s up with troponin, lactate, d-dimer, and BNP in kids? A fundamental tenet of emergency medicine: We balance our obligation to detect a dangerous condition with our suspicion of the disease in given patient. Cohen et al. Cohen et al.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

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. Department of the Medical Examiner-Coroner.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

EB Medicine

AUGUST 6, 2019

Interestingly, one retrospective study found limited agreement between EMS records and hospital documentation on current DOAC usage. Jeff: DOACs should be used with caution for pregnant, breastfeeding, and pediatric patients. PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%.

Emergency Department 40

Emergency Department Stroke Wellness Outcomes 40

ACEP Now

JULY 6, 2023

Emergency physicians have earned the right to “re-brand” ourselves as indispensable, money-saving change agents in the health care enterprise. Of course, the bill for any episode of emergency department (ED) care can be substantial, exceeding the billed charges for equivalent care provided in some primary care offices.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Don't Forget the Bubbles

JULY 26, 2023

Prioritise listening to the first 30 minutes which given a good overview of aetiology and treatment (53 mins) Basics of cardiac rhythm problems in the ED Palpitations are a common reason for children to present to the emergency department, the majority of these will be benign from a cardiac perspective and instead related to stress or anxiety.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98