EM Ottawa

SEPTEMBER 28, 2023

You are treating a 43-year-old male with two days of left lower quadrant abdominal pain, a documented fever of 38.4 and malaise. He has no urinary or bowel symptoms. His past medical history is unremarkable. He looks well by ED standards. After a focused history and physical examination, you narrow the differential to diverticulitis.

Documentation/Coding 112

Documentation/Coding Wellness Infectious Diseases EMS 112

Pediatric EM Morsels

AUGUST 18, 2023

None of the patients were documented to have joint disease at follow up. BMC Infectious Disease. There were 2523 children included. Number of adverse effects was similar between the groups, however in the Levofloxacin group 85% of MSK complaints were arthralgias. 451 pediatric patients were included.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

American Medical Compliance

FEBRUARY 2, 2024

Workers covered by the legislation on Aerosol Transmissible Diseases (Cal. Moreover, the ATD Standard applies to a wide variety of entities which include public health services, medical offices, long-term care facilities and other facilities that expose individuals to diseases or procedures that emit aerosols.

Infectious Diseases 52

Infectious Diseases Documentation/Coding PPE Wellness 52

EMDocs

OCTOBER 10, 2024

Exam is normal except for tenderness as documented in the diagram. She never had a documented abdominal exam. I just failed to document it. The EP documented seeing the patient and agreed with the ARNP’s plan. If you take a history or examine a body part, document it. Temp is 98.7 and pulse 121.

Documentation/Coding 75

Documentation/Coding Hospitals Sepsis Infectious Diseases 75

American Medical Compliance

AUGUST 7, 2024

PPEs that OSHA mandates minimize exposure to infectious diseases, ensuring that healthcare workers are adequately protected during patient care. For example, CMS requires accurate and timely documentation of patient care to ensure proper billing and reimbursement.

Hazardous Materials 81

Hazardous Materials Documentation/Coding Legal Issues Patient Safety 81

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

Pediatric EM Morsels

OCTOBER 6, 2023

Obasi 2020) Hepatic and splenic abscesses have been documented in children, and splenic rupture is particularly associated with cases of MDR typhoid fever. (Shah 2021) Acalculous cholecystitis has been described in children which has led to rare reports of gallbladder perforation.

Pediatrics 161

Pediatrics CDC Seizures Documentation/Coding 161

Emergency Medicine Ireland

NOVEMBER 26, 2020

once conclusively shown to be a fungal infection heavyweights from the International Code of Nomenclature for algae, fungi, and plants (the ICNafp) weighed in and it became officially Jirovecii with “i”s at the end. References: Fishman JA, Gans H; AST Infectious Diseases Community of Practice. Clin Transplant.

Infectious Diseases 40

Infectious Diseases Documentation/Coding Hospitals 40

ACEP Now

OCTOBER 26, 2023

In this case, reasonable would mean that the person requesting PHI confirms that they are the patient’s clinician and that any transmitted documents will have secure receipt, e.g., to the department’s fax machine at the clerk’s desk, away from any general access. DR. TALAN is professor of emergency medicine and infectious diseases at UCLA.

Infectious Diseases 52

Infectious Diseases Documentation/Coding Hospitals Administration 52

The Skeptics' Guide to EM

MARCH 4, 2018

Currently, the Infectious Diseases Society of America ( IDSA ) guidelines for patients with cellulitis without systemic signs of infection, penetrating trauma, injection drug use, or other evidence of MRSA recommend only prescribing antibiotics against streptococci (1). .

Infectious Diseases 40

Infectious Diseases Documentation/Coding Outcomes Ultrasounds 40

ALiEM

JANUARY 22, 2024

Fever was documented to be 102°F and was not associated with any chills or rigors. 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.

Documentation/Coding 64

Documentation/Coding Academics Emergency Department Hospitals 64

Mind The Bleep

SEPTEMBER 17, 2024

Document clearly: The location of all wounds Medical photography or drawn labelled diagrams can aid in explaining the exact location. Pathophysiology and burden of infection in patients with diabetes mellitus and peripheral vascular disease: focus on skin and soft-tissue infections. Always consider an ATLS approach to the assessment.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

Pediatric Education

NOVEMBER 19, 2023

Young infants presenting with conjunctivitis should have their medical charts reviewed for maternal sexually transmitted infection screening status as well as if actual administration of a topical antibiotic to the infants eyes was documented, remembering that only Neisseria gonorrohea is treated with erythromycin. BMC Pediatr. Pediatrics.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

EMergucate

JUNE 25, 2012

Current therapeutic guidelines for the management of UTIs in adults First of all, just as a reminder, if you send the urine off for M/C/S for patients who are discharged home, please document under…

Documentation/Coding 40

Documentation/Coding Infectious Diseases 40

ALiEM

MARCH 11, 2024

There is limited literature documenting eye involvement and pictographic examples of its presentation. The patient’s eye lesion and symptoms resolved and he was discharged on hospital day eight. Ocular lesions are a rare presentation of the monkeypox virus.

Documentation/Coding 56

Documentation/Coding Academics Emergency Department Hospitals 56

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 Outcomes 52

EMDocs

JANUARY 11, 2024

Systems included neurological, cardiac, pulmonary, hematology, infectious disease, gastrointestinal, endocrine, fluids management, and general critical care. These conversations should occur frequently and be clearly documented for other health care professionals who are not present during the conversations (96%, 22/23).

Seizures 75

Seizures Shock Infectious Diseases CPR 75

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. Pertussis has been recognized since the 16th century. I was not practicing medicine back then.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 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

RebelEM

MAY 15, 2024

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. Coding for Mucositis.

Infectious Diseases 104

Infectious Diseases Administration Sepsis Anaphylaxis 104

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. 5 CT if concern for occult fracture.

EMS 76

EMS Dislocations Fractures Operations 76

EB Medicine

APRIL 2, 2019

Nachi: In terms of prehospital care, first, make sure you are practicing proper precautions and don appropriate personal protective equipment to eliminate or reduce the chance of bloodborne and infectious disease exposure. For the exam, have a chaperone present, whose name you can document. Jeff: Exactly. Jeff: Exactly.

Infectious Diseases 40

Infectious Diseases Emergency Department Sexual Assault CDC 40

American Medical Compliance

JANUARY 23, 2024

Therefore, it’s essential to understand things such as blood testing, blood transfusions and blood administration, and how to file the necessary documentation. By the third day of ICU admission, almost 90% of patients have a hemoglobin concentration that is “subnormal.”

Administration 52

Administration Blood Transfusions Infectious Diseases Documentation/Coding 52

EMDocs

JULY 25, 2023

Follow-up Patients should be referred to infectious disease and/or the local health department for follow-up testing. You can call the PEP Hotline anytime for help at 888-448-4911.

Infectious Diseases 66

Infectious Diseases CDC Documentation/Coding Administration 66

Don't Forget the Bubbles

JANUARY 22, 2024

A QIP performed in a paediatric intensive care unit aimed to reduce unnecessary LFT requests by implementing a blood test request form and a table of common investigations to facilitate and document discussion between the nursing and medical teams. This was achieved by targeted education and regular reminders on the utility of LFTs.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

EB Medicine

JANUARY 2, 2019

For a completed abortion, you would expect a closed OS with no IUP on ultrasound with a previously documented IUP. However, if necessary, it’s certainly appropriate as long as there is a documented discussion of the risk and benefits with the patient. Patients may or may not note the passage of products of conception.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

Don't Forget the Bubbles

NOVEMBER 5, 2023

In the Pediatric Infectious Disease Journal, Guo and colleagues assessed the difference in clinical characteristics between viral pneumonia and Mycoplasma pneumoniae in a large Chinese cohort. Parental physical disease severity and severe documented physical child abuse: a prospective cohort study. Persaud N, et al.

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105

Dr. No

JANUARY 27, 2022

This matters, because of the way ONS codes the underlying cause of death when covid–19 appears in Part I of the MCCD, or Medical Certificate of Cause of Death. To understand what is going on here, we need to return again to how ONS codes causes of death.

Documentation/Coding 52

Documentation/Coding Infectious Diseases Wellness 52

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.

CDC 59

CDC Documentation/Coding Infectious Diseases Dehydration 59