PulmCCM

FEBRUARY 5, 2024

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. You can read the document here. Read the original document here. What’s a Fever?

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

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. It protects the health and well-being of staff. For example, CMS requires accurate and timely documentation of patient care to ensure proper billing and reimbursement.

Hazardous Materials 105

Hazardous Materials Documentation/Coding Legal Issues Patient Safety 105

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

ALiEM

JANUARY 22, 2024

Fever was documented to be 102°F and was not associated with any chills or rigors. The patient also complained of shortness of breath for one week associated with a dry cough, as well as an altered sensorium for one day. The patient during his hospital stay developed ARDS and was on mechanical ventilation for 20 days.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

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

EMDocs

JANUARY 11, 2024

Systems included neurological, cardiac, pulmonary, hematology, infectious disease, gastrointestinal, endocrine, fluids management, and general critical care. Individualize MAP targets based on the patient, as well as treatments (inotropes, vasopressors, and fluids) for hypotensive patients. There are no hard MAP recommendations.

Seizures 98

Seizures Shock Infectious Diseases CPR 98

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

RebelEM

MAY 15, 2024

The loss of these cells leads to immunosuppression as well as decreased responsiveness of the immune system as a whole Patients with neutropenia will not only get very sick very quickly, but also will have blunted immune response and may not localize signs of infection well Fever or malaise may be their only presenting symptoms.

Infectious Diseases 98

Infectious Diseases Administration Sepsis Anaphylaxis 98

EB Medicine

APRIL 2, 2019

Nachi: All the more reason we need evidence based guidelines, which our team from South Carolina has nicely laid out after reviewing 107 references dating back to 1990, as well as guidelines from the CDC and the national guideline clearinghouse. For the exam, have a chaperone present, whose name you can document. Jeff: Exactly.

Infectious Diseases 40

Infectious Diseases Emergency Department Sexual Assault CDC 40

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

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

American Medical Compliance

MARCH 12, 2025

Introduction to Infectious Diseases and Legal Requirements Using this information, write one paragraph to explain what healthcare providers will learn from this course and why it is important for healthcare providers to know. CDC has documented rare cases of patients contracting HIV in healthcare settings from infected donor tissue.

Infectious Diseases 52

Infectious Diseases PPE CDC Documentation/Coding 52

Pediatric EM Morsels

OCTOBER 6, 2023

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective.

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

Pediatric Education

NOVEMBER 19, 2023

They felt he was breastfeeding well and had only mild jaundice. His examination was normal and the diagnosis of a well newborn infant was made. mg/dL which was well below treatment threshold. Some infants may need car seat tolerance screening as well. The laboratory evaluation of a transcutaneous bilirubin was 8.4

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

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. If you’re unvaccinated and not up to date, well then what are you doing in healthcare?

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

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. Skin lesions are typically well-defined and hypo-pigmented with sensory loss.

Infectious Diseases 59

Infectious Diseases Research Documentation/Coding Hospitals 59

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

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

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. Case Resolution The patient and family remain in isolation and receive risk stratification assessment for a notifiable disease of public health concern. Hypoglycemia is managed with IV dextrose. 12 Table 1.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75