Remove Documentation/Coding Remove Radiology Remove Sepsis
article thumbnail

Referrals

Mind The Bleep

could it be driven by a much more pressing sepsis ). Either they should ask the surgical team for clinical management of a patient with suspected septic ileus with a differential including necrotising enterocolitis or the radiology team for interpretation of the x-ray. It does not ask a question (management of what? rate control?

article thumbnail

Let ChatGPT Guide Your Hand

EM Literature of Note

Does this patient require radiologic investigations? The clinician reviewers – one resident physician and one attending physician – did not much agree (73-83% agreement) on admission, radiology, and antibiotic determinations. The “sepsis measure fallout gestapo” might disagree, however.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Medical Malpractice Insights: A Rare Presentation – Groin pain? Nec fasc? Diabetes? Appendicitis?

EMDocs

Exam is normal except for tenderness as documented in the diagram. Sepsis is diagnosed and antibiotics started for the first time. High level amputation is considered, but she dies of sepsis and multiorgan failure on hospital day 7. She never had a documented abdominal exam. I just failed to document it.

article thumbnail

Nephrolithiasis: Ultrasonography versus Computed Tomography

Northwestern EM Blog

vs. It is worth mentioning that this study was a multicenter study based in the US with representation from ED, Radiology, and Urology. Third, for those with proper training, and with some exceptions (see the systematic review paper for case vignettes that highlight these), POCUS is non-inferior to radiology-performed US.

article thumbnail

Corticosteroids in Severe Community Acquired Pneumonia: Could CAPE COD catalyze a change in critical care management?

RebelEM

Background: Community-acquired pneumonia (CAP) can lead to pulmonary and systemic inflammation, resulting in impaired gas exchange, sepsis, organ failure, and an increased risk of death. Pneumonia diagnosis supported by clinical and radiologic criteria. Population Inclusion Criteria: Adult patients (≥18 years old).

article thumbnail

Episode 29 - Assessing Abdominal Pain in Adults: A Rational, Cost-Effective, and Evidence-Based Strategy

EB Medicine

CT is good but you really should learn ultrasound, and lastly, sick patients need prompt consultation and resuscitation, not rapid trips to radiology. However, it can also be due to hypoxia, sepsis, anemia, PE, or metabolic acidosis, so consider all of those also in your differential. was sensitive for 28-day mortality in sepsis.

article thumbnail

Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Leakage from the staple line typically presents within the first week, but can present up to 35 days, usually with fevers, tachycardia, abdominal pain, nausea, vomiting sepsis, or peritonitis. Some may present with isolated tachycardia while others may present with profound sepsis – tachycardia, hypotension, and fever. At 6 to 8 mL/kg.