Remove Documentation/Coding Remove Fractures Remove Stroke
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Grand Rounds Recap 7.10.24

Taming the SRU

Femoral nerve block case review - morbidity & mortality - community practice - r2 Clinical pathologic case - visual diagnosis - when time matters - operational aspects of stroke care Femoral nerve Block Case Review WITH dr. stolz Why do we care about regional anesthesia, specifically femoral nerve blocks?

Stroke 98
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Medical Malpractice Insights: Back to Basics

EMDocs

EMS report includes concern for CVA, with variable documentation of face and extremity weakness. Nursing documentation includes the presence of a facial droop. There, his initial neuro exam is documented as normal, but a head CT reveals evidence of a possible acute CVA in the right hemisphere. a stroke or cardiac event).

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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 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 to 4.0mg/hr typically given in EKOS therapy (See Below).

Stroke 133
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Behavioural and Psychological Symptoms of Dementia (BPSD)

Mind The Bleep

ICD-10 codes: F00-03 are the ICD codes for dementia and its subtypes F02. – One stroke is prevented for every 37 patients with dementia who avoid 2-3 months of antipsychotic symptoms for their BPSD. This article outlines the main factors related to the presentation, aetiology, and treatment of BPSD.

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Grand Rounds Recap 7.24.24

Taming the SRU

Barometric pressure, humidity, and temperature changes may influence stroke and fall incidence (especially in elderly patients with cardiovascular risk factors). Nice people are not more likely to get cancer. Black clouds don’t exist (but I still sort of think they do).

EKG/ECG 52
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IV Metoprolol vs Diltiazem for A fib with RVR and Concomitant Heart Failure

Taming the SRU

If untreated, atrial fibrillation can increase clot formation and lead to an increased risk for heart attack and stroke as well as development of congestive heart failure. A subset of these patients develop an accelerated rate either primarily or due to other factors known as rapid ventricular response.

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Subarachnoid hemorrhage: ED presentation, evaluation, and management

EMDocs

National Institutes of Health Stroke Scale (NIHSS) is 13; vital signs include pulse 86 beats/minute (bpm), blood pressure 164/94 mmHg, and saturation of 98% on room air. 3 Common associated injuries may include skull fractures, intracerebral contusion, cervical spine injuries, and vascular injuries of the head and neck. Br J Neurosurg. 2017;31(2):223–6.