ACEP Now

OCTOBER 26, 2023

The parents only have a copy of the discharge instructions, and your hospital and Children’s General do not share electronic health records. And, when alerted of a bounce-back to another hospital, it’s in everyone’s best interest to know about and help rectify any possible previous mistakes as soon as possible. HHS website.

Infectious Diseases 52

Infectious Diseases Documentation/Coding Hospitals Emergency Department 52

The Skeptics' Guide to EM

MARCH 4, 2018

Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals. Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals. JAMA May 2017. JAMA May 2017.

Infectious Diseases 40

Infectious Diseases Documentation/Coding Ultrasounds Outcomes 40

ALiEM

JANUARY 22, 2024

Fever was documented to be 102°F and was not associated with any chills or rigors. The patient during his hospital stay developed ARDS and was on mechanical ventilation for 20 days. A 40-year-old male, tailor by occupation, was brought to the Emergency Department with complaints of high-grade fever for the past 11 days.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

Don't Forget the Bubbles

JANUARY 22, 2024

Repeated GP and hospital attendance might stimulate increased testing and unnecessary prescriptions. Is blood culture a useful investigation in children admitted to hospital with community-acquired pneumonia? Archives of Disease in Childhood 2018; 103: A137-A138. Families and patients may drive over-investigation.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

EMDocs

JANUARY 11, 2024

Methods This scientific statement was led by the AHA and NCS and focused on the acute and critical care management of adult cardiac arrest survivors of in-hospital and out-of-hospital cardiac arrest. Individual topics were organized by organ system, with small groups addressing each system.

Seizures 98

Seizures Shock Infectious Diseases CPR 98

ALiEM

MARCH 11, 2024

The patient’s eye lesion and symptoms resolved and he was discharged on hospital day eight. There is limited literature documenting eye involvement and pictographic examples of its presentation. During the current outbreak, ocular involvement has been used as a criteria for hospital admission.

Academics 56

Academics Documentation/Coding Emergency Department Hospitals 56

EMDocs

NOVEMBER 16, 2024

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. 8 Perform and document distal neurovascular exam. Hospitals, 2018. 5 CT if concern for occult fracture.

EMS 98

EMS Dislocations Fractures Operations 98

EMDocs

MAY 9, 2024

Exam documents that he is alert and oriented but “tired appearing” and “not appearing post-ictal.” The patient is transferred to a tertiary care hospital where an MRI reveals bilateral mastoiditis with bony erosion. Defense : The EP did address the seizure when he documented “not post-ictal.” VS are normal with a temp of 97.3.

Seizures 105

Seizures Dehydration Documentation/Coding Infectious Diseases 105

Don't Forget the Bubbles

DECEMBER 16, 2024

Whooping Cough: A Cyclical but Preventable Disease Whooping cough, caused by the bacterium Bordetella pertussis , is another infectious disease experiencing a resurgence despite the availability of vaccines. European Centre for Disease Prevention and Control. Measles facts [Internet]. cited 2024 Oct 24] WHO.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

EMDocs

OCTOBER 10, 2024

Exam is normal except for tenderness as documented in the diagram. Hospital Inpatient : R thigh is indurated and blistered but abdomen is all but ignored. On the 2nd hospital day, she becomes obtunded and is intubated. She only gets worse, and by the 4th hospital day she is unresponsive. I just failed to document it.

Documentation/Coding 98

Documentation/Coding Hospitals Sepsis Infectious Diseases 98

RebelEM

MAY 15, 2024

Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america, Clinical Infectious Diseases, 2011, 52(4):e56-93.

Infectious Diseases 100

Infectious Diseases Administration Sepsis Anaphylaxis 100

PulmCCM

OCTOBER 30, 2023

Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

Pediatric EM Morsels

FEBRUARY 2, 2024

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. Glob Pediatr Health.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

Don't Forget the Bubbles

JANUARY 20, 2025

Leprosy, also known as Hansen’s disease, is a chronic infectious disease caused by Mycobacterium leprae. The disease is named after Dr. Gerhard Armauer Hansen, who discovered the causative bacterium in 1873. Leprosaria, or leper hospitals, were established to isolate and care for people with leprosy.

Infectious Diseases 59

Infectious Diseases Research Documentation/Coding Hospitals 59

PEMBlog

DECEMBER 4, 2024

The incubation period averages about 7 to 10 days, and the disease progresses through some distinct clinical stages, which I will go over in a moment. Um, with the first documented epidemic occurring in Paris in 1578. Greater than 50 percent of kids under 12 months of age with pertussis could require hospitalization.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

Pediatric Education

NOVEMBER 19, 2023

The family lived about 90 minutes away from the hospital had wanted a home birth but had decided to deliver at a hospital because of the hypertension. They declined several routine screenings and treatments in the hospital including no Hepatitis B vaccine, Vitamin K administration and hearing screening. BMC Pediatr. Pediatrics.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

Mind The Bleep

SEPTEMBER 17, 2024

Epidemiology The number of animal bites presented to A&E is largely underestimated, as many who are bit don’t present to receive medical care 1 or won’t receive treatment in a hospital setting so they are not counted in the statistics for bites 2. Nevertheless, approximately 1-2% of attendances per year to A&E are from bites 3.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

EB Medicine

DECEMBER 1, 2018

Jeff: The information contained in this article comes from articles found on pubmed, the cochrane database, center for disease control, and the world health organization. Additionally, guidelines were reviewed from the american college of emergency physicians, infectious disease society of america, and the american academy of pediatrics.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

Don't Forget the Bubbles

NOVEMBER 5, 2023

The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). Parental physical disease severity and severe documented physical child abuse: a prospective cohort study. Can’t get enough of Bubble Wrap?

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105

EMDocs

JANUARY 6, 2025

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. 7-11 Injuries and communicable diseases account for over 75% of deaths among refugees. 12 Table 1.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75

EMDocs

DECEMBER 9, 2024

2 Beginning in January 2023, the DRC documented a record number of annual suspected cases of clade 1 mpox, specifically classified as Clade 1b. By 2024, over 17,000 suspected cases (2,863 confirmed) were documented across Africa, with the majority in the DRC. as these animals can contribute to the spread of disease.

CDC 75

CDC Documentation/Coding Infectious Diseases Dehydration 75