EMDocs

AUGUST 22, 2024

3,4 Notably, institutions receiving federal funding (such as hospitals receiving Medicare reimbursement) must abide by Title VI of the 1964 Civil Rights Act, which entitles persons with NELP to language assistance. Utilizing certified interpreters and documenting their use. Educating patients on their rights.

Documentation/Coding 100

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 100

EMDocs

JULY 25, 2024

The brother’s wife calls the airport police who are able to locate him and send him to a nearby hospital. The nurse completes the Columbia-Suicide Severity Rating Scale (C-SSRS) and documents that the patient’s recent thoughts of killing himself and his detailed plan makes him “High Risk” for suicide.

Documentation/Coding 100

Documentation/Coding Hospitals Patient Safety Emergency Department 100

PulmCCM

JANUARY 6, 2025

With financial penalties coming for noncompliance with the new rule, hospital administrators rapidly deployed the alerts to fire on all eligible inpatients. The SCREEN Trial SCREEN was a stepped-wedge cluster randomized trial of an EMR alert for organ failure, conducted at 45 wards of 5 hospitals in Saudi Arabia from 2019 to 2021.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

Sensible Medicine

FEBRUARY 16, 2024

Bill had coded and died overnight. A nurse had a needlestick during the code. I learned from the nursing staff that Bill’s family was in his hospital room, hoping to speak with someone about what had gone wrong. She had called Cara in the middle of the night to find out whether Bill had any HIV risk factors.

Documentation/Coding 135

Documentation/Coding Academics Shock Research 135

ACEP Now

JANUARY 11, 2024

The wave of increasing hospital closures and service line cutbacks continues to sweep the United States. A recent article documents 56 additional U.S. hospitals that are closing clinical departments or ending or reducing services. 2 Of these 56 additional hospitals, many are not rural; thus, this specter is expanding.

Hospitals 52

Hospitals Administration Documentation/Coding Research 52

The Trauma Pro

DECEMBER 26, 2023

Everyone knows that venous thromboembolism (VTE) is a potential problem in hospitalized patients, and especially so in trauma patients. But the key fact is that every compression device manufacturer includes existing DVT as a contraindication in their product documentation. And we probably won’t, ever.

Fractures 124

Fractures Documentation/Coding Hospitals Research 124

RebelEM

NOVEMBER 30, 2023

PMID: 37597449 Clinical Question : In sepsis patients with CHF, does a restricted volume resuscitation strategy of less than 30mL/kg IV crystalloid initiated within the first three hours of sepsis identification, compared to volume resuscitation with 30 mL/kg IV crystalloid, decrease in-hospital mortality? 2.89, p = 0.01.

Sepsis 118

Sepsis Fluid Resuscitation Resuscitation Administration 118

PulmCCM

JUNE 5, 2023

veterans’ hospitals did not show a mortality reduction from low-dose methylprednisolone. Patients receiving hydrocortisone required more insulin, but did not have higher observed rates of hospital-acquired infections or gastrointestinal bleeding. iatrogenic or hospital-acquired) were excluded.

Advances Cardiac Life Support (ACLS) 96

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 96

Don't Forget the Bubbles

MARCH 19, 2024

This has coincided with a widespread shortage of specialist placements for children facing behavioural, psychiatric, and child protection challenges, leading to an over-reliance on the placement of these children in hospitals. A paediatric social admission is one where a child is admitted to the hospital but not for a medical reason.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Sensible Medicine

FEBRUARY 6, 2024

First, their qualifications are spectacular: academic accolades, research, publications, clinical medicine experiences prior to residency, even real-life professional experiences. If applicants are more impressive on paper, but no more impressive in the clinics and hospitals, aren’t we doing something wrong?

Military 129

Military Free Clinics Documentation/Coding Academics 129

Sensible Medicine

AUGUST 21, 2023

On yesterday’s podcast , I talked with Bobby Yeh, an academic cardiologist who made a compelling case for enhancing credibility of observational research. The reasons are multiple, but I will articulate a few: Most epidemiological studies are done from large data sets that are not collected for the purpose of research.

Administration 98

Administration Outcomes Research COPD 98

EMDocs

FEBRUARY 12, 2025

The patient also reported significant pain and had a Hospital Anxiety and Depression Scale (HADS) score indicating severe anxiety and depression. Research indicates that timely intervention can significantly reduce morbidity associated with radiation skin injuries. J Appl Clin Med Phys. 2022;23(3):e13526. Clin J Oncol Nurs.

Best Practices 54

Best Practices Documentation/Coding Radiology Radiology 54

PulmCCM

APRIL 29, 2024

ICUs, and a popular research focus for academics, generating a steady stream of papers. government proposed adding VAP to its “hospital-acquired conditions” list—the ones that it won’t pay for. Hospital administrators put VAP on the kill list. It used to be highly prevalent in U.S. Just kidding!

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

RCEM Learning

MAY 20, 2022

Author: Rick Body / Editor: Govind Oliver / Code: / Published: 06/02/2020 In 2017 the National Institute for Health Research (NIHR) published its Training Review. The NIHR Incubator for Emergency Care (EC) is being led by RCEM, in partnership with the College of Paramedics and the National Ambulance Research Steering Group.

Documentation/Coding 52

Documentation/Coding Academics Research Hospitals 52

Don't Forget the Bubbles

JUNE 19, 2024

In adult trauma cases, there has been significant research to help decide which patients require X-ray or CT imaging for possible cervical spine injuries, leading to the development of the National Emergency X-Ray (NEXUS) prediction rule and the Canadian C-Spine Rule (CCR). Why is this study needed? What were the limitations of the study?

CPR 124

CPR Research Documentation/Coding Outcomes 124

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

The Trauma Pro

MAY 10, 2024

It also standardizes comparisons between hospitals that use STAT. This may be helpful for future triage-related research. This fills in the code on the second tab which will be added to TraumaBase. Once again, let’s look at over- and undertriage experience in the paper: Undertriage: 9.1% What Does It All Mean?

Blood Transfusions 113

Blood Transfusions Radiology Radiology Documentation/Coding 113

RebelEM

OCTOBER 5, 2023

Strengths: The investigators framed a research question centered on patient outcomes, ensuring the study’s relevance and practicality. The researchers employed a double-blind, placebo-controlled, randomized controlled trial design to minimize potential biases, enhancing the reliability of the results. In the placebo group, 20.5

Research 94

Research Outcomes Administration Shock 94

Emergency Medicine Journal

MAY 23, 2023

Background Whether and how bystander cardiopulmonary resuscitation (CPR) modifies the cardiac rhythm after out-of-hospital cardiac arrest (OHCA) over time remains unclear. The first documented cardiac rhythm was compared between patients who received bystander CPR and those who did not, using a 1:2 propensity score-matched analysis.

Resuscitation 40

Resuscitation CPR Hospitals Documentation/Coding 40

Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

EMDocs

JUNE 8, 2023

Pre-enrollment calculations estimated that 400 enrollments would be necessary to provide the trial with 80% power to detect a 15% difference in the primary outcome, allowing for up to 90 patients to be lost to follow-up or to have insufficient data documented.

Stroke 95

Stroke Administration Documentation/Coding Outcomes 95

Sensible Medicine

AUGUST 7, 2024

A 2015 Nature (Pediatric Research) paper by Nils J. Bergman summarizes a body of research that confirms the benefits of sleeping on the belly. This is an astounding difference in the quality of sleep, and to this day, premature infants in the hospital are slept on their stomachs. This may not be true for infants.

CDC 114

CDC Documentation/Coding Research Pediatrics 114

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests first appeared on The Skeptics Guide to Emergency Medicine. JAMA Sept 2021.

Advances Cardiac Life Support (ACLS) 40

Advances Cardiac Life Support (ACLS) Hospitals Emergency Department Resuscitation 40

Medagadget

MAY 23, 2023

A recent study in Nature Medicine , entitled “ An automated histological classification system for precision diagnostics of kidney allografts ,” has showcased the efforts of a group of researchers who have developed an automated system that can diagnose kidney transplant rejection.

Research 83

Research Hospitals Documentation/Coding Operations 83

ACEP Now

SEPTEMBER 5, 2024

With elimination of CME funding in many of our hospitals and groups, it is crucial to continue to add value and communicate that value to residents before graduation. While some issues are handled locally, many issues cannot be solved in our emergency department or hospital. If ACEP is already doing this, why be a member?

Leadership 98

Leadership PPE EMS Wellness 98

SheMD

SEPTEMBER 7, 2023

Do your research and look up the program’s website prior to interview day. At one program, rapids and codes were run by the senior residents the first half of the year, with the interns taking over in January while a senior was by their side. Did a general surgeon perform an emergency c-section at a hospital where there wasn’t OBGYN?

Leadership 98

Leadership Documentation/Coding Research Wellness 98

SheMD

MAY 11, 2023

Research indicates that the gender of a provider may impact their performance. Transcripts were coded to sort data into “leadership occurrences” or “unrelated to leadership” as well as critical treatment decisions. CPR-related performance items were coded by the second as present or absent. link] ,Why is this article important?

Leadership 52

Leadership Documentation/Coding CPR Teamwork 52

RebelEM

JULY 3, 2023

What They Did: Researchers conducted a multicenter, retrospective cohort study in three community hospitals and two freestanding emergency departments. The study was dependent on EMR documentation which is prone to error. Critical information such as HR, SBP, drug administration times were occasionally missing.

Administration 91

Administration Outcomes Documentation/Coding Emergency Department 91

ACEP Now

JUNE 7, 2023

In the New England Journal of Medicine, members of the team from Microsoft Research and OpenAI give a high-level overview of performance on question banks, but also explore additional avenues for LLM applications. Dr. Radecki (@emlitofnote) is an emergency physician and informatician with Christchurch Hospital in Christchurch, New Zealand.

Documentation/Coding 78

Documentation/Coding Wellness Administration Research 78

Don't Forget the Bubbles

JULY 26, 2023

This has been trialled (out of hospital) in known children with SVT. Upside-down position for the out of hospital management of children with SVT, Bronzetti et al, International Journal of Cardiology 2017 this showed that a modified position (upside down) improved cardioversion rates from 33% to 67%.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

RCEM Learning

MAY 20, 2022

Author: Damian Roland / Editor: Govind Oliver / Code: / Published: 06/02/2020 There are many old and unhelpful stereotypes in medicines. On paper Emergency Medicine (EM) research is flourishing. Clearly the issues are multifactorial but it is interesting to note that enthusiasm to be involved in research is not in short supply.

Academics 52

Academics Research EMS Documentation/Coding 52

The Skeptics' Guide to EM

JANUARY 23, 2021

She is the cofounder of FOAMcast and a pulmonary embolism and implementation science researcher. Dr. Westafer serves as the Social Media Editor and research methodology editor for Annals of Emergency Medicine […] The post SGEM#316: What A Difference An A.P.P. Diagnostic Testing Differences Between A.P.P.s Reference: Pines et al.

Poisoning 52

Poisoning Research Documentation/Coding Operations 52

Don't Forget the Bubbles

OCTOBER 10, 2024

This time the team from Bristol Royal Children’s Hospital ED tell us what is new in the world of paediatric literature… Led by Dr John Coveney a Paediatric Emergency Medicine Trainee in Bristol who has revived The Journal Club at Bristol Royal Children’s Hospital ED on a monthly basis. 2023 Mar 30;110(4):432-438.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

The Skeptics' Guide to EM

JULY 30, 2022

AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. She is also the creator of all those wonderful Paper in a Pictures.

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 52

RebelEM

MARCH 13, 2024

This was not a Code 3 respiratory distress, fentanyl overdose with minimal response to Narcan or even an unconscious stroke patient with the blood pressure of a giraffe. How does thinking on the spectrum of more or less right impact our utilization of new research or of implementing a consultant’s recommendations?

Documentation/Coding 58

Documentation/Coding Outcomes EMS Stroke 58

Don't Forget the Bubbles

DECEMBER 16, 2024

Research indicates that vaccine-induced antibodies persist for 412 years, while immunity from natural infection lasts between 4 and 20 years. Manual for the laboratory diagnosis of measles and rubella infection Geneva: WHO Documents Production Services, 2007 Available from: [link] [Accessed 4 Oct 2024] Government of the United Kingdom.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

The Skeptics' Guide to EM

NOVEMBER 16, 2019

NEJM Oct 2019 Guest Skeptic: Dr. Laura Melville (@lmelville535) is an emergency physician in Brooklyn, New York, is a part of the New York ACEP Research Committee, ALL NYC EM, and is the NYP-Brooklyn Methodist Resident Research Director. Do you continue with the ICE Code? This has been or out-of-hospital cardiac arrests (OHCA).

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EMS Research Documentation/Coding 40