Don't Forget the Bubbles

OCTOBER 10, 2024

Reviewed by: Isabella Davenport Article 2: Does it improve outcomes if you replace the nail in nail bed repair? Children with nail bed injuries were randomly assigned to nail replacement or discarding , with the primary outcomes being secondary infection in 7 days and cosmetic outcome in four months.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

Taming the SRU

APRIL 22, 2023

Currently, there is limited data investigating outcome differences between beta blockers and calcium channel blockers for atrial fibrillation with rapid ventricular response in a patient diagnosed with heart failure. There were similar lengths of say overall and no significant difference in safety outcomes.

Outcomes 52

Outcomes Stroke Fractures Documentation/Coding 52

PulmCCM

JANUARY 16, 2024

You can read the document for all the caveats. This looks like the major fracture between the two expert panels. Their effects on meaningful patient outcomes are unclear, though, and their appropriate use continues to be debated. The ESICU guideline did not comment on steroids for ARDS at all.

Research 87

Research Documentation/Coding Outcomes Fractures 87

The Injectable Orange

APRIL 4, 2017

Quite simply, document your intended personal learning objective; identify a high quality resource that addresses this (article, workshop, conference); document a reflection on your achieved personal learning outcome. The x-ray of her left shoulder is negative for any fracture.

Emergency Department 52

Emergency Department Evidence-Based Practice Academics Documentation/Coding 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

ACEP Now

AUGUST 15, 2023

Some of the care has been excellent, but unfortunately there have been some distressingly bad outcomes. The AMA Code of Medical Ethics’ Opinion on Physicians Treating Family Members advises against it. AMA code of medical ethics’ opinion on physicians treating family members. Many of these occurred at “world class” institutions.

Hospitals 52

Hospitals Documentation/Coding Fractures Dislocations 52

Taming the SRU

NOVEMBER 14, 2023

A thorough trauma history and physical exam should be performed including evaluation for bony fracture in the surrounding structures of the face. Complications of auricular hematoma drainage include pain, paresthesia, bleeding, infection, poor cosmetic outcome, scar formation, and re-accumulation of hematoma after the procedure.

Emergency Department 94

Emergency Department Pediatrics Wellness Fractures 94

PulmCCM

FEBRUARY 8, 2024

You can read the document for all the caveats. This looks like the major fracture between the two expert panels. Their effects on meaningful patient outcomes are unclear, though, and their appropriate use continues to be debated. The ESICM guideline did not comment on steroids for ARDS at all.

Research 52

Research Documentation/Coding Fractures Outcomes 52

Cook County EM Blog

MARCH 20, 2023

Further document handedness, occupation, site of injury, and thorough review of systems to evaluate for potential complications ○ Complications as distant as pneumomediastinum following air injection of the hand have been reported5,6. ➢ X-rays showed radiopaque foreign bodies confined to the distal thumb without fracture. Hand (N Y).

Fractures 52

Fractures Documentation/Coding Operations Research 52

EB Medicine

MARCH 1, 2019

Post opiate hypotension in prehospital trauma patients is a rare but documented complication. In terms of radiography, a chest x-ray should be obtained as rib fractures, hemopneumothorax, and mediastinal free air are all things you wouldn't want to miss and are also associated with blunt cardiac injury. of those patients.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

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

Taming the SRU

FEBRUARY 22, 2023

doing the little things right, with the understanding that small gains are additive, and that details can be the difference between a good outcome and a poor one. Lesson 11 Find what you love to do and surround yourself with people who make you better at doing it.

Hospice 40

Hospice EKG/ECG Resuscitation Seizures 40

EB Medicine

JUNE 6, 2019

Nachi: And as a brief aside, before we continue… Missed appendicitis is one of the three most common causes of emergency medicine malpractice lawsuits - with MI and fractures being the other two. Nachi: And remember that hypothermic patients who are septic have worse outcomes than those who are hyperthermic and septic. Jeff: True.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

Don't Forget the Bubbles

DECEMBER 2, 2024

This study relied on coding, and if the patient had not been coded as asthma, for example, and coded as pneumonia instead, these patients would not have been included in the study set. Most QIs focus on the care process; however, there is a lack of QIs that assess clinical outcomes. and 16.7% , respectively.

Documentation/Coding 98

Documentation/Coding Pediatrics Emergency Department Fractures 98

EMDocs

JULY 3, 2023

Introduction SAH has the potential for rapid progression and devastating outcomes. 3 Common associated injuries may include skull fractures, intracerebral contusion, cervical spine injuries, and vascular injuries of the head and neck. Short- and long-term outcome of patients with aneurysmal subarachnoid hemorrhage.

Seizures 98

Seizures Stroke Outcomes EMS 98

The Skeptics' Guide to EM

JANUARY 30, 2021

The X-ray demonstrates a fracture of the distal radius that is in an acceptable position and does not require a reduction. You immobilize her in a below elbow splint which provides significant pain relief and refer her to the local orthopedic fracture clinic. J Bone Joint Surg Am. Reference: George et al. J Bone Joint Surg Am.

Fractures 52

Fractures Documentation/Coding Outcomes 52

Taming the SRU

SEPTEMBER 1, 2023

for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

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. The resulting injuries include crush injuries, fractures, avulsions, lacerations and amputations.

Fractures 52

Fractures Soft Tissue Injuries Emergency Department Operations 52

ACEP Now

FEBRUARY 11, 2025

Proving Cost Savings Our ED is a community Level II Trauma Center, Stroke Center, and STEMI [ST-elevation myocardial infarction] Receiving Center with 4,500 trauma activations, 569 hip fractures, and 450 rib fractures per year. Regional anesthesia has been shown to decrease hospital LOS for hip fractures up to 0.9 Anaesthesia.

Emergency Department 80

Emergency Department Fractures Ultrasounds Hospitals 80

American Medical Compliance

JANUARY 8, 2025

Recognizing the Signs of Abuse Healthcare providers must remain vigilant for signs of abuse, which can include: Physical Signs : Unexplained bruises, burns, or fractures, along with frequent hospitalizations for preventable issues. Documentation : Detailed documentation is crucial.

Incident Reporting 105

Incident Reporting Documentation/Coding Dehydration Burns 105

Pediatric Education

JANUARY 12, 2025

Other therapy to address side effects also includes treatment for hypertension, glucose management, bone fractures and psychological treatment. Cognitive and emotional regulation has been disrupted by the CS, and therefore it can take a long time for the brain to resolve it (cerebral atrophy has been documented in pediatric patients).

Pediatrics 40

Pediatrics Academics Fractures Wellness 40

Dr. Smith's ECG Blog

MARCH 8, 2025

She sustained a large scalp hematoma along with several rib and vertebral fractures, but with CT scanning of chest/abdomen/pelvis/C-T-L-spine and head, no life threatening injuries were found. Was her outcome to be expected for ostial RCA OMI? A woman in her late 60s presented after a car crash. They were hit at high speed. Galiuto, L.,

EKG/ECG 75

EKG/ECG CPR Resuscitation Wellness 75

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Many authors feel NTI is absolutely or relatively contraindicated with potential basilar skull fractures; there is also opinion arguing that airway protection trumps the extreme rarity of this complication. Intracranial placement of a nasotracheal tube after facial fracture: a rare complication. Sinusitis can occur in long intubation.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40