Remove Documentation/Coding Remove EMS Remove Radiology
article thumbnail

Medical Malpractice Insights: Radiology over-reads – Who’s responsible?

EMDocs

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. This patient’s history was either poorly taken or poorly documented.

article thumbnail

Dr. Elsburgh Clarke Was Among First to Specialize in Emergency Medicine

ACEP Now

The specialty, he said, spoke to his interest in surgery and EMS in a way that family medicine did not. 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.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Medical Malpractice Insights: Dirt left in wound leads to infection

EMDocs

.” The tech cleans the wound and documents it as 2cm long and “ dirty.” The ED physician documents suturing a 3 cm laceration in a single layer, omitting any reference to any wound exploration, cleansing or debridement. I thought they were incidental “ bone islands” so I didn ’ t document them. Negligence was present.

article thumbnail

Red Leg in the Heartland of America: A Rural Physician’s Approach to the Patient with a Potential DVT

EMDocs

Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.

article thumbnail

Perspectives – Aortic Laceration in a Rural Mississippi ED: A resident’s response

EMDocs

I have been a part of many traumatic codes and resuscitations during my training, but I knew this one would probably be my most difficult one. The radiology tech has his hand on a weak femoral pulse. Should be here in 5 minutes.” reported one of the seasoned nurses. She was calm. My response: “Call everyone. Prepare everything.

article thumbnail

Nephrolithiasis: Ultrasonography versus Computed Tomography

Northwestern EM Blog

vs. It is worth mentioning that this study was a multicenter study based in the US with representation from ED, Radiology, and Urology. Third, for those with proper training, and with some exceptions (see the systematic review paper for case vignettes that highlight these), POCUS is non-inferior to radiology-performed US.

article thumbnail

Corticosteroids in Severe Community Acquired Pneumonia: Could CAPE COD catalyze a change in critical care management?

RebelEM

Pneumonia diagnosis supported by clinical and radiologic criteria. While patients received respiratory support, supportive care, and antibiotics at the discretion of the medical team, the specific interventions provided outside the study were not documented, potentially leading to co-intervention bias.