Remove Documentation/Coding Remove Fractures Remove Sepsis
article thumbnail

Proning for ARDS

Northwestern EM Blog

There are several etiologies including viral pneumonia, bacterial pneumonia, sepsis, trauma, and pancreatitis. Document thorough skin assessment every nursing shift, and inspect weight-bearing ventral surfaces. 2020; Koulouras et. Reattach EKG leads to back. Tilt patient into reverse Trendelenburg.

article thumbnail

EQUAL: a Straightforward Approach To Caring for Disabled Patients

ACEP Now

This makes documentation and communication of the utmost importance for these patients for their health and safety. Oftentimes, it can be an indication of pain, infection, distress, anxiety, dehydration, or the first sign of sepsis. This leads into the next part of the model—Assessment.

Insiders

Sign Up for our Newsletter

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

article thumbnail

REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

RebelEM

in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47

Stroke 133
article thumbnail

Grand Rounds Recap 7.24.24

Taming the SRU

However, believers in this superstition will perceive crazier shifts if the word is uttered so you probably shouldn’t say it, or use cautiously Full moons have no impact on ED, EMS, or HEMS volumes or acuity.

EKG/ECG 52
article thumbnail

Managing the Patient with Alcohol Intoxication

RebelEM

Pain / Additional Complaints : Alcohol can weaken the immune system with only moderate use, predisposing individuals to pneumonia, soft tissue infections, and sepsis. Assess for blood in the nares or signs of basal skull fracture, including battle signs, raccoon eyes, or hemotympanum. Remove all clothing and do a full skin exam.

article thumbnail

Traumatic Arthrotomy

Northwestern EM Blog

Violation of the joint capsule exposes the sterile intra-articular space to the environment which can result in a deep infection and sepsis. X - ray : Many times, next step will be to get an X-ray to look for associated fractures. Ideally your exploration should be in a bloodless, painless field and documented as such.

article thumbnail

Episode 29 - Assessing Abdominal Pain in Adults: A Rational, Cost-Effective, and Evidence-Based Strategy

EB Medicine

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. However, it can also be due to hypoxia, sepsis, anemia, PE, or metabolic acidosis, so consider all of those also in your differential.