ACEP Now

JANUARY 4, 2025

A typical shift when he was starting out would include patients falling into what was coded as 1350 major medical/trauma, 1060 minor medical/trauma, or 1050 medical walk-in. The advancement of radiology was the first thing that came to mind for Dr. Clarke when discussing how technology has advanced emergency medicine. Click to enlarge.)

Forensics 52

Forensics Urgent Care Emergency Department Hospitals 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. An ARNP is able to care for DKA. 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.

Documentation/Coding 98

Documentation/Coding Hospitals Sepsis Infectious Diseases 98

EMDocs

DECEMBER 4, 2023

Document a risk and benefit discussion with the patient regarding empiric anticoagulation, perhaps even including the HAS-BLED score in the documentation [10]. It is paramount to make sure this approach is agreed upon in your ED or urgent care and that there is a clear pathway before implementing a similar strategy.

Ultrasounds 97

Ultrasounds Documentation/Coding Wellness EMS 97