Taming the SRU

JULY 25, 2024

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? Staphylococcus spp.,

Stroke 98

Stroke Fractures Operations Outcomes 98

Advanced Medical Reviews

FEBRUARY 13, 2019

Research Behind Physician Burnout. Physicians who reported marginal time for documentation were 2.8 Many physicians often have too little time for documentation, utilize non-intuitive EHR user interfaces and have either not enough or too much data. What are the primary reasons for this physician burnout?

Documentation/Coding 64

Documentation/Coding Administration Operations Research 64

ACEP Now

NOVEMBER 14, 2023

In 1901, UVA opened its first hospital with 25 beds and three operating rooms. But inside these charming historic walls is a research-driven, quaternary-care, academic, medical center. The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit.

Academics 52

Academics Emergency Department Leadership Operations 52

Don't Forget the Bubbles

OCTOBER 10, 2024

Ten thousand children in the UK are operated on a year for fingertip injuries, and 96% of surgeons currently report replacing the nail plate intra-operatively. In the project’s second phase, research leads were asked to submit the written discharge material routinely provided on discharge in their institution.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

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

The Skeptics' Guide to EM

JULY 30, 2022

Background: Somewhere between two and four percent of patients presenting to US EDs with abdominal pain have a small bowel obstruction (SBO) – those who are managed operatively (who are only 20-30%) account for 60,000 hospitalizations and 565,000 inpatient care days per year. Also joining us is Dr. Andrew Goldsmith.

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 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

Ziqitza HealthCare Ltd

JUNE 18, 2023

Streamlining Administrative Tasks: Improving Efficiency and Reducing Costs AI can automate administrative tasks, such as appointment scheduling, billing, and medical coding, freeing up healthcare professionals’ time and reducing administrative burdens.

Documentation/Coding 52

Documentation/Coding Administration Ambulance Services Outcomes 52

ACEP Now

SEPTEMBER 5, 2024

A recent success by the ACEP was averting a decrease of our reimbursement for our 99284 E&M codes, saving an estimated $200 million for emergency physicians in 2023. If ACEP is already doing this, why be a member? ACEP has a voice for all, but its reach is limited by resources.

Leadership 98

Leadership PPE EMS Wellness 98

Taming the SRU

AUGUST 4, 2024

Know your audience, and tailor your presentation to them in terms of humor, pop culture references, and dress code Err on the side of making your presentation slightly shorter than the alloted time to allow room for questions. The largest retrospective cohort study to date (Beyde et al.) shows that most will improve with empiric antibiotics.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Review of the Wellcome Library movies on YouTube (1945) [ links below in references ] is instructive as to resuscitative methods of the 1930s and 1940s: Manual methods; gas bag or bellows operated by hand or machine; an anesthesia gas machine; or iron lung. Evaluation: Manually Operated Resuscitators (1971) Emergency Care Research Institute.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

Don't Forget the Bubbles

JULY 26, 2023

The Fontan circulation was an operation initially developed around 50 years ago to treat tricuspid atresia. There are different potential surgical techniques that can be employed in a staged Fontan operation and the various suture lines involved can interfere with electrical conduction pathways.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

ACEP Now

JULY 8, 2024

In this case, the LLM lacks specific domain training on the CTAS score, and the predictions do not have the appropriate foundational training to operate accurately. As a mechanism for augmenting clinical operations, this approach may show value in passively collecting and feeding information into other systems.

Emergency Department 52

Emergency Department Operations Documentation/Coding EKG/ECG 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. 1950s & 1960s Resuscitation Research. PMID:23789199 ] National Research Council (US). Increasing public usage of EDs for care.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. Natural psycho-physiological responses may alter perceptions during the life-threatening event. 8, 2012 12:12 a.m.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Cook County EM Blog

MARCH 20, 2023

Further document handedness, occupation, site of injury, and thorough review of systems to evaluate for potential complications ○ Complications as distant as pneumomediastinum following air injection of the hand have been reported5,6. ➢

Fractures 52

Fractures Documentation/Coding Operations Research 52

Advanced Emergency Nursing from AENJ

MAY 27, 2014

This is a cased kit of a Sparklet Resuscitator (J size), with pressure chamber, regulator, tubing, reservoir bag, flow stopcock, and funnel mask, with associated documents. He took up many clinical researches feeling that physiology should be an applied science contributing to the solution of human problems. a Yale physiologist.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

Pediatric Education

NOVEMBER 12, 2023

No specific documentation regarding the duration of the car seat testing could be identified in the medical records. Pierre-Robin Sequence) and post-operative congenital heart disease. The pertinent physical exam showed the patient was now 3.34 The diagnosis of a healthy preterm male who was gaining weight was made.

Pediatrics 40

Pediatrics Poisoning Hospitals Documentation/Coding 40

EMDocs

NOVEMBER 16, 2024

4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 6 Hip flexion or adduction in the early post-operative period can cause atraumatic dislocations (typically avoided for 6 weeks post-op).

EMS 98

EMS Dislocations Fractures Operations 98

EB Medicine

AUGUST 1, 2018

In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. Jeff: This DEA designation limits the ability to do research and obtain federal funding for such research. Synthetics were initially developed in the 1980s largely for research purposes.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Mind The Bleep

FEBRUARY 7, 2024

Should also document presence of shunt, size and direction. One of the few exceptions would be if the patient is paralysed, e.g. for an operation. If performing an echo you should assess left and right ventricle output, myocardial performance, systemic vascular resistance, mean arterial pressure, diastolic function, and filling.

Wellness 52

Wellness Seizures Documentation/Coding Operations 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It wrongly frightened some medical personnel as it was operated by a 50 psi wall source or from a step-down regulator from a tank (some thought the patient received wall 50 psi or 1500 psig from the tank directly to the lung. Accessed July 28, 2014 **Quoting original documents of fascinating history. Grainge, C. Developmental history.

Resuscitation 40

Resuscitation CPR Documentation/Coding EMS 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful. Syncope and cause of death were identified by codes from the International Classification of Disease, Ninth Revision. Logistic regression was used to identify predictors for the risk-score system.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

PulmCCM

MARCH 11, 2024

About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills. Ascension is a $27 billion, 140-hospital conglomerate operating in 19 states—the third largest system in the U.S This is not a hot research area.) by some accounts (after HCA and the VA).

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

American Medical Compliance

MARCH 19, 2025

The Mastering Healthcare Documentation Training teaches healthcare providers how to create comprehensive, accurate medical records that enhance patient care, ensure legal compliance, and drive quality improvement. The SOAP note is a way for healthcare workers to document in a structured and organized way.

Documentation/Coding 52

Documentation/Coding Outcomes Radiology Radiology 52

Don't Forget the Bubbles

JANUARY 1, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. However, children who had an operation experienced improvements in behaviour, symptoms, and quality of life and had lower blood pressure. Pediatrics. Shikha A, et al.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

Sensible Medicine

JANUARY 27, 2025

In the first publication from SCOT-HEART (2015), researchers reported that CTA clarified the diagnosis of coronary artery disease and led to changes in subsequent therapy—more preventive therapy and more coronary angiography. The third problem with SCOT-HEART was that it was open-label and MI events were tallied using coding data.

Outcomes 121

Outcomes EKG/ECG Documentation/Coding Academics 121

Dr. Smith's ECG Blog

MARCH 17, 2025

There is very scarce documentation, but the next ECG was obtained around 1 PM. Nevertheless, the operator performed intravascular ultrasound and saw erupted calcium nodule consistent with plaque erosion. Just look at all the research based on this ! How can any of that research be trusted when it classifies this as a success?

EKG/ECG 81

EKG/ECG Documentation/Coding Burns Research 81

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

They also proved that only expired air resuscitation guaranteed sufficient inflation volumes; that exhaled air was a suitable resuscitating gas; and that the operator would have continuous feedback from each breath. Anesthesiology, 111(1), 63-71. ** Research results of airway changes while titrating propofol (similar to ED deep sedation).

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

Don't Forget the Bubbles

DECEMBER 9, 2024

About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care. We are the trainee arm of the Paediatric Critical Care Society – Study Group (PCCS-SG) and work with them on research, audit and service evaluation. Am J Respir Crit Care Med.

Pediatrics 59

Pediatrics Sepsis Hospitals Administration 59