Sensible Medicine

OCTOBER 19, 2023

A few months ago, a sensational letter came out in JAMA Pediatrics. We wrote this letter and submitted it to the journal, documenting that the trial violated ethical codes. The authors took California school children out of the classroom, and had them line up in the school yard. Lots of false positives and negatives.

Documentation/Coding 91

Documentation/Coding Pediatrics Research Outcomes 91

PEMBlog

NOVEMBER 21, 2024

Deb Hsu, MD, MEd – Division Director, Stanford Documenting feedback: Facilitate trainee growth and ensure program accreditation Discussed structuring feedback to ensure trainees and faculty receive actionable insights for growth while providing programs with documented evidence of this feedback to meet accreditation requirements.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department 52

ACEP Now

NOVEMBER 7, 2024

A 2020 study in the journal Pediatrics found that close to three in every five patients who sought mental health treatment at EDs were boarded. Open Pediatrics After Dr. Wharff published papers about her work, other hospitals became interested in learning about it. Pediatric mental health boarding. Pediatrics.

Psychiatric 59

Psychiatric Pediatrics Hospitals Emergency Department 59

EMDocs

MAY 4, 2024

. #1: Emergent Cath Lab Activations with “Normal” Computer ECG Interpretations Spoon Feed A significant minority of code STEMI patients have an initial normal computer ECG interpretation. 3: Could Teleconsultation Reduce Pediatric Transfers? Spoon Feed This retrospective study found that of the 4,446 patients transferred over a 4.5-year

Documentation/Coding 95

Documentation/Coding Stroke Emergency Department Pediatrics 95

EB Medicine

JANUARY 3, 2023

2) 2023 E/M coding guidelines are in effect. 2) 2023 E/M coding guidelines are in effect. Announcements: 1) The interactive Clinical Pathways have launched and they are available for free!

Shock 52

Shock Pediatrics Airway Management Sepsis 52

RebelEM

NOVEMBER 6, 2024

Medial epicondyle fractures in the pediatric population. J Emerg Med. 2018 Jun;54(6):849-854. doi: 10.1016/j.jemermed.2018.02.011. 2018.02.011. Epub 2018 Apr 19. PMID: 29681420 Gottschalk HP, Eisner E, Hosalkar HS. J Am Acad Orthop Surg. 2012 Apr;20(4):223-32. Doi: 10.5435/JAAOS-20-04-223. PMID: 22474092 Hankin FM.

Dislocations 107

Dislocations Fractures Soft Tissue Injuries Outcomes 107

EMDocs

AUGUST 22, 2024

7 This has also been observed in a pediatric patient population. 13 Interventions may include: Ascertaining a patient’s preferred language early in the clinical encounter (during registration, for instance), and clearly documenting this preference in a place that is visible to all providers. 11 Unlikely to receive language assistance.

Documentation/Coding 100

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

The Trauma Pro

JULY 16, 2024

Typical options would be direct correspondence with a liaison for simple one-service issues or discussion (and good documentation) from a morbidity and mortality conference. Alternate review pathways There are more options for review other than the primary and secondary pathways mentioned in the previous paragraph.

Operations 147

Operations Documentation/Coding Pediatrics 147

Pediatric EM Morsels

AUGUST 18, 2023

Jackson 2016) A systematic review of safety data for over 16000 pediatric patients did show MAEs were the most frequently reported event. None of the patients were documented to have joint disease at follow up. 451 pediatric patients were included. Pediatrics. Clin Pediatr. Pediatr Infect Dis J. Pediatrics.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Pediatric EM Morsels

MAY 5, 2023

Adults are one thing, but how does that translate to our growing, developing pediatric patients? Lemale J, Mas E, Jung C, Bellaiche M, Tounian P; French-speaking Pediatric Hepatology, Gastroenterology and Nutrition Group (GFHGNP). Arch Pediatr. The post Vegan Diets in Children appeared first on Pediatric EM Morsels.

Pediatrics 130

Pediatrics Documentation/Coding EMS 130

EMDocs

JUNE 9, 2023

We’re defining “protocol” here as a written document that provides oversight from the medical director about how to assess and treat patients. If you have restraints in your ambulance, are those restraints appropriately sized for pediatric patients? Was the documentation complete? What type of restraint was used?

EMS 95

EMS Documentation/Coding Pediatrics Psychiatric 95

PEMBlog

JUNE 14, 2023

Leyenaar; Pediatric Mental Health Boarding. Pediatrics October 2020; 146 (4): e20201174. Zima; Follow-up After Pediatric Mental Health Emergency Visits. Pediatrics March 2023; 151 (3): e2022057383. Boarding of Mentally Ill Patients in Emergency Departments: American Psychiatric Association Resource Document.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

The Skeptics' Guide to EM

OCTOBER 1, 2022

Disparities in the emergency department management of pediatric migraine by race, ethnicity, and language preference. She is the cofounder of FOAMcast and is a pulmonary embolism […] The post SGEM#378: Keepin’ It REaL when Treating Pediatric Migraine Patients first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Emergency Department Documentation/Coding Research 52

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Don't Forget the Bubbles

NOVEMBER 20, 2023

Document the size, consistency and location in the notes to compare if they represent. Evaluation and Management of Pediatric Neck Masses. Pediatric Neck Mass. International Journal of Pediatrics. Journal of Pediatric Surgery. They may grow again with subsequent upper respiratory tract infections.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr. Acad Pediatr.

Pediatrics 70

Pediatrics Emergency Department Research Burns 70

Don't Forget the Bubbles

AUGUST 23, 2023

2016) “Implementation of a Post-Code Pause: Extending Post-Event Debriefing to Include Silence”. 2014) “Death of a child in the emergency department” American Academy of Pediatrics. 2012) “Implementation of a Rapid Post-Code Debrief Quality Improvement Project in a Community Emergency Department Setting”. & Liska, H.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

Don't Forget the Bubbles

MAY 31, 2023

Preparedness and Response to Pediatric COVID-19 in European Emergency Departments: A Survey of the REPEM and PERUKI Networks. Fitzpatrick, P., … in association with the REPEM network (Research in European Pediatric Emergency Medicine) as part of the EPISODES study group (2022). Bressan, S., Buonsenso, D., Farrugia, R., Oostenbrink, R.,

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

Taming the SRU

FEBRUARY 22, 2024

M&M - Arterial Lines - Fat Embolism Syndrome - CPC Morbidity & Mortality WITH Dr. Finney Case 1: MVC AMA, especially in pediatrics, is a high-risk disposition that requires thorough discussion and documentation Approach pediatric blunt abdominal trauma with a thorough physical exam and consider decision making tools when applicable Case 2 & (..)

Pediatrics 82

Pediatrics Documentation/Coding Wellness 82

SheMD

DECEMBER 1, 2023

But less physicians talk about the difficult “firsts” like failing your first test, losing your first patient, or being involved in your first code. I remember my first code blue like it was yesterday. He had such a bright future…until he rolled into our pediatric ICU. Thirty minutes after he arrived a code blue was called.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Resuscitation 52

EMDocs

JUNE 2, 2023

Document what you gave and why, as well as the impact. Pediatric Agitation in the Emergency Department: A Survey of Pediatric Emergency Care Coordinators. Acad Pediatr. Let’s look at management based on etiology: As always follow local procedures and recommendations. Summary All right, so that’s it for this episode.

Psychiatric 85

Psychiatric Pediatrics Emergency Department Administration 85

EB Medicine

OCTOBER 3, 2021

Also, this month use code SB25 and get a $25 Starbucks gift card when you subscribe at ebmedicine.net Emergency Dept. It is in Beta and your feedback is welcome. ,* Also, this month use code SB25 and get a $25 Starbucks gift card when you subscribe at ebmedicine.net Emergency Dept. Coming to Google Play soon.

Documentation/Coding 52

Documentation/Coding Pediatrics 52

EB Medicine

NOVEMBER 1, 2021

Also, this month use code ACEP21! It is in Beta and your feedback is welcome. ,* Also, this month use code ACEP21! EMplify – November 2021 Announcements: The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. Coming to Google Play soon.

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

EMDocs

MAY 26, 2023

Restraints should not be applied indefinitely, and multiple reevaluations should be done to determine when it is safe to remove restraints.

Pediatrics 94

Pediatrics Emergency Department Psychiatric Documentation/Coding 94

Taming the SRU

MAY 11, 2024

Validity Evidence for a Team-Leading Assessment Tool in Pediatric Emergency Resuscitation Using Video Review (Hartwell et al.) Assessed and provided feedback of pediatric resuscitations based on video review. Usually presents consistent with failure of that organ. Developed a tool to help with assessing resident-delivered lectures.

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

Don't Forget the Bubbles

MAY 10, 2023

Then you hear the words coming out of the speaker, “ Paediatric code black. Paediatric code black ”. You’ve heard the phrase code black before – it’s a traumatic cardiac arrest. You know a paediatric code black means paediatric traumatic cardiac arrest. You’re just about aware of the tannoy in the background.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

Sensible Medicine

AUGUST 7, 2024

A 2015 Nature (Pediatric Research) paper by Nils J. I found no data on how many excess pediatric and craniofacial-specialist visits PP has consumed over the years to rule out craniosynostosis. In the resulting document , the working group changed the ages at which children can be expected to reach developmental milestones.

CDC 114

CDC Documentation/Coding Research Pediatrics 114

Don't Forget the Bubbles

MAY 6, 2024

Acad Pediatr. of patients with follow-up documentation, 70.8% (95% CI 62.9–77.9) Pediatric Critical Care Medicine , 25 (3), pp.e117-e128. Data collected were the worst values documented within the same calendar day as the blood cultures were obtained. 2024;24(1):111-118. doi:10.1016/j.acap.2023.06.023 Of the 74.9%

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

ACEP Now

JANUARY 30, 2024

Be Prepared for All Pediatric Challenges Whether you want to brush up on your pediatric EM skills or take your dual-boarded training to the next level, the Advanced Pediatric EM Assembly helps you be prepared for any pediatric patient you may treat. Learn more at acep.org/accelerate.

Pediatrics 52

Pediatrics EMS Documentation/Coding Stroke 52

Don't Forget the Bubbles

JUNE 19, 2024

A proportion of the patients who were initially missed using the CDR were found to actually have risk factors documented in EMS reports or the medical record. In practice, questions remain about who applies the CDR and the inter-rater reliability. CASP checklist for Clinical Prediction Rule (CPR) studies Is CPR clearly defined?

CPR 124

CPR Research Documentation/Coding Outcomes 124

The Skeptics' Guide to EM

OCTOBER 28, 2017

Pediatrics 2017 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. The pediatric age group represents one of the populations at risk for oligoanalgesia. Reference: Harrison et al.

Pediatrics 52

Pediatrics Documentation/Coding Emergency Department Hospitals 52

Don't Forget the Bubbles

DECEMBER 16, 2024

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. JOINT committee on vaccination and immunisation code of practice June. Pediatric vaccination during the COVID-19 pandemic. Pediatrics.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

ACEP Now

JUNE 7, 2023

ED leaders worked to develop new physician documentation and coding guidelines that needed to be implemented at the beginning of 2023. Pediatric volume in community EDs is up. Commercial payers aggressively abused the No Surprises Act as a method to delay, downcode, and deny payment for emergency services.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

EMDocs

JUNE 16, 2023

Pediatric Mental Health Specifically within the pediatric population, there has been a steady rise in mental health concerns and suicide in children. As these sites face an increase in pediatric mental health visits, more efforts need to be directed at preparing community EDs to be pediatric ready. Doherty, Jennifer L.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

Don't Forget the Bubbles

FEBRUARY 26, 2024

Noninvasive positive-pressure ventilation in pediatric status asthmaticus. Pediatric Critical Care Medicine. Bilevel positive airway pressure in the treatment of status asthmaticus in pediatrics. Frontiers in Pediatrics. Non‐invasive ventilation in pediatric status asthmaticus: a prospective observational study.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

Pediatric Emergency Playbook

APRIL 1, 2016

Read on to go from bread-and-butter pediatric blood work to answer the question – what’s up with troponin, lactate, d-dimer, and BNP in kids? This is especially true in children – the majority of pediatric ambulatory visits do not require blood work to make a decision about acute care. The punchline is, use a pediatric reference.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

PEMBlog

MAY 11, 2023

Pediatr Emerg Care This randomized, double-blinded, placebo-controlled trial in infants 0-3 months old getting an LP, younger than 3 months, presenting to the ED meeting clinical criteria for LP. These were used by two independent reviewers to determine Neonatal Facial Coding System with pain scores. Pediatr Emerg Care.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 52