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Medical Malpractice Insights: Excellent documentation supports standard of care and avoids lawsuit

EMDocs

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Excellent documentation supports standard of care, avoids lawsuit Vertebral artery CVA leaves patient disabled. Code Stroke is called and he is seen by a neurologist within 10 minutes. He undergoes a thrombectomy, but his outcome is poor.

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REBEL Cast Ep119: A Discussion with Scott Weingart on the CT FIRST Trial

RebelEM

Back on June 1 st , 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC? REBEL EM Blog, June 1, 2023. Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study. Below you will find some of the points we discussed.

CPR 144
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Elbow Dislocations

RebelEM

PMID: 31082090 Post Peer Reviewed By: Anand Swaminathan MD, MPH (Insta @EMSwami) The post Elbow Dislocations appeared first on REBEL EM - Emergency Medicine Blog. Treasure Island (FL): StatPearls Publishing; 2024 Jan–.

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Chest pain with serial ECGs – can you guess the sequence?

Dr. Smith's ECG Blog

Now let’s look at the actual sequence, with the addition of clinical context, and see how the patient was managed: The patient received aspirin from EMS and arrived at triage painfree (ECG #1). What was the outcome and final diagnosis? But that’s not always the case.

EKG/ECG 113
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Acute chest pain, right bundle branch block, no STEMI criteria, and negative initial troponin.

Dr. Smith's ECG Blog

Written by Pendell Meyers A man in his 40s called EMS for acute chest pain that awoke him from sleep, along with nausea and shortness of breath. Long term outcome is unavailable. For clarity in Figure-1 — I've labeled the 2 EMS ECGs and the baseline ECG recorded ~1 month earlier.

EKG/ECG 122
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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

A critical MORSEL is that every child you treat for DKA needs to have an initial thorough neuro exam including cranial nerves and then frequent neuro reassessments … and document it ( so your colleagues who take over care for the kid can know if there has been a change )! Is your patient hyperglycemic, acidotic, with ketonuria?

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Medical Malpractice Insights: Brain Abscess

EMDocs

Exam documents that he is alert and oriented but “tired appearing” and “not appearing post-ictal.” Defense : The EP did address the seizure when he documented “not post-ictal.” There is no negligence, as the documentation supports reasonable judgment. EM is a “team sport.” VS are normal with a temp of 97.3.

Seizures 102