Sensible Medicine

SEPTEMBER 19, 2024

Emerging research is shedding light on where we need to turn our attention. We need to pivot our nation’s research priorities to examine our nation’s food supply. The National Institutes of Health has supported some excellent research—I’ve seen it. trillion health care economy. We need a new approach.

Research 145

Research Military Poisoning Burns 145

Sensible Medicine

AUGUST 3, 2024

These participants received a gift card code in this email so they could purchase a 50-pack of masks at their local pharmacy. To reiterate, the intervention was an email with instructions and a gift code. One can make the argument that most published research findings are false, but some aren’t even useful.

Documentation/Coding 144

Documentation/Coding Outcomes Research 144

PulmCCM

JANUARY 15, 2025

In 2020 during the Covid pandemic, researchers at the University of Michigan reported in a letter to the New England Journal of Medicine that in 12% of patients with darker skin, pulse oximeters overestimated their oxygen saturation, reading 92 to 96% when arterial blood gases confirmed the true value to be less than 88%. January 2025.

Academics 81

Academics Documentation/Coding Administration Research 81

The Skeptics' Guide to EM

JANUARY 25, 2025

Evidence of questionable research practices in clinical prediction models. Their widespread use introduces a strong temptation for researchers to achieve better AUC values. This drive can lead to things like p-hacking, a questionable research practice in which investigators manipulate data or analyses to cross predefined thresholds.

Research 49

Research EMS Documentation/Coding Operations 49

EMDocs

AUGUST 22, 2024

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. Utilizing certified interpreters and documenting their use. Educating patients on their rights. Pediatrics.

Documentation/Coding 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

Emergency Medicine Journal

AUGUST 23, 2023

Interviews were transcribed verbatim and coded inductively by the primary researcher. We coded all items to capture experiences of 111 First within the full project coding tree and from this constructed two explanatory themes which were refined by the wider research team.

Emergency Department 75

Emergency Department Urgent Care Documentation/Coding Patient Safety 75

The Trauma Pro

MAY 3, 2024

They separated all patients with acetabular and pelvic ring fractures using ICD-10 codes. There is still room for research in this space. They scanned five years of data from the National Inpatient Sample, which included data from 35 million inpatient admissions in the US. What about stable patients? AE seems to be the way to go.

Fractures 113

Fractures Radiology Radiology Documentation/Coding 113

EMDocs

JULY 25, 2024

The nurse completes the Columbia-Suicide Severity Rating Scale (C-SSRS) and documents that the patient’s recent thoughts of killing himself and his detailed plan makes him “High Risk” for suicide. There is no documented handoff to the on-coming emergency physician (EP) who assumes care. ” 0700 : The PA-C goes off-shift.

Documentation/Coding 104

Documentation/Coding Hospitals Patient Safety Emergency Department 104

Sensible Medicine

DECEMBER 18, 2023

Now let’s compare the two documents. Here is what the USPSTF says: They call for more research. From their document. The AAP champions surgery and medications. I have been critical of the AAP’s endorsement — a topic I discussed here. Let’s take a look at the USPSTF. And here too with specific endpoints.

Pediatrics 145

Pediatrics Documentation/Coding Burns Academics 145

Medagadget

OCTOBER 19, 2023

By attaching the microRNA strand to a folate molecule, the researchers could target it to cancer cells. The researchers hope that the treatment will expand the therapeutic arsenal available to oncologists when they are treating cancer. The researchers were also clever about targeting the treatment to cancer cells.

Research 91

Research Documentation/Coding 91

Don't Forget the Bubbles

MAY 31, 2023

The patients were identified through site leads from the PERUKI research network. Because of the retrospective nature of the study, if data had not been recorded in the ED notes, it was not available to researchers. D., & Paediatric Emergency Research United Kingdom and Ireland (PERUKI) (2023). Which patients were involved?

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

Sensible Medicine

FEBRUARY 16, 2024

Bill had coded and died overnight. A nurse had a needlestick during the code. One was a future interventional cardiologist who was so calm and determined that you would have been happy to have her leading your tribe during a zombie apocalypse; the other is now a world-famous cardiologist, researcher, and educator.

Documentation/Coding 132

Documentation/Coding Academics Shock Research 132

American Medical Compliance

APRIL 16, 2024

Advocating for the Care You Want Research shows that you are more likely to get the care you want if you have conversations about your future medical treatment and put a plan in place. Furthermore, advance directives are legal documents that provide instructions for medical care and only go into effect if you cannot communicate your wishes.

Documentation/Coding 100

Documentation/Coding Research Outcomes 100

Pediatric EM Morsels

JULY 5, 2024

We collected data directly from the bedside clinician which enabled us to gather pertinent patient symptoms and physical examination findings that may not be well documented in the medical record, but more accurately identify the child’s injuries.” Cervical spine injuries in children associated with sports and recreational activities.

Pediatrics 164

Pediatrics Head Injuries Dislocations Research 164

PEMBlog

MARCH 4, 2025

Garcia T, Florin TA, Leonard J, Shah SS, Ruddy RM, Wallihan R, Desai AP, Alter S, El-Assal O, Marzec S, Keaton M, Yun KW, Leber AL, Mejias A, Cohen DM, Ramilo O, Ambroggio L; Childrens Hospitals Initiative for Research in Pneumonia (CHIRP). Studies supporting antibiotic treatment of documented mycoplasma pneumoniae in children are limited.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

PulmCCM

JANUARY 6, 2025

This was despite a higher intensity of care in the visible-alert patients, who had more rapid responses, ICU transfers, code blues, intubations, and initiation of dialysis. This led the authors to speculate that qSOFA parameters were being documented more diligently on the wards randomized to screening.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

Don't Forget the Bubbles

AUGUST 23, 2023

2016) “Implementation of a Post-Code Pause: Extending Post-Event Debriefing to Include Silence”. 2012) “Implementation of a Rapid Post-Code Debrief Quality Improvement Project in a Community Emergency Department Setting”. Spartan Medical Research Journal. Selected References Copeland, A. & & Liska, H. 23 (2), pp.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

Sensible Medicine

FEBRUARY 6, 2024

First, their qualifications are spectacular: academic accolades, research, publications, clinical medicine experiences prior to residency, even real-life professional experiences. Two things are clear about the internal medicine residents I get to work with. Require applicants to do tasks that predict whether they will succeed.

Military 127

Military Free Clinics Documentation/Coding Academics 127

The Trauma Pro

DECEMBER 26, 2023

But the key fact is that every compression device manufacturer includes existing DVT as a contraindication in their product documentation. But the simple truth is that we have no solid research that either supports or condemns the use of active compression devices in patients with known DVT.

Fractures 124

Fractures Documentation/Coding Hospitals Research 124

AENJ: Current Issue

SEPTEMBER 30, 2023

A team at a Level 1 trauma center recognized the need for ED-friendly documentation and a validated ED skin risk assessment instrument. The purpose of this research study was to determine the content validity of the Bjorklund Tool. The Bjorklund 25-item ED Skin/Risk Assessment Tool was selected.

Emergency Department 74

Emergency Department Patient Safety Documentation/Coding Research 74

Sensible Medicine

APRIL 29, 2024

Specification curve analysis is similar to a multiverse analysis, meaning it’s a way of defining and implementing all plausible and valid analytic approaches to a research question. In this section, they documented the variations in analytic method (for instance, the choice of model and co-variates).

Stroke 142

Stroke Documentation/Coding Shock Research 142

RCEM Learning

MAY 20, 2022

Author: Rick Body / Editor: Govind Oliver / Code: / Published: 06/02/2020 In 2017 the National Institute for Health Research (NIHR) published its Training Review. The NIHR Incubator for Emergency Care (EC) is being led by RCEM, in partnership with the College of Paramedics and the National Ambulance Research Steering Group.

Academics 52

Academics Documentation/Coding Research Hospitals 52

PulmCCM

JUNE 5, 2023

Check out the preliminary program , and use code PULMCCM15 to get 15% off the attendance fees. Register today for H&R 2023 Sucralose disrupts DNA in in vitro cell cultures, and is linked to leaky gut syndrome, according to researchers publishing in a toxicology journal. Rochelle Walensky steps down this month.

Advances Cardiac Life Support (ACLS) 96

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 96

Medagadget

JUNE 12, 2023

The book covers over 200 years of research, from Luigi Galvani’s experiments on frog legs in the late 1700’s to the popularity of “ electroceuticals ” in the last decade. Scott Jung, Medgadget: Can you share a little bit about your background and how you ended up writing about the body’s electric code?

Research 78

Research Academics Documentation/Coding Poisoning 78

Don't Forget the Bubbles

JUNE 19, 2024

In adult trauma cases, there has been significant research to help decide which patients require X-ray or CT imaging for possible cervical spine injuries, leading to the development of the National Emergency X-Ray (NEXUS) prediction rule and the Canadian C-Spine Rule (CCR). Why is this study needed?

CPR 124

CPR Research Documentation/Coding Outcomes 124

RebelEM

NOVEMBER 30, 2023

What They Did: Researchers performed a systematic review and meta-analysis. Future research should also explore distinctions between different types of heart failure, the role of early vasopressor use, and variations in sepsis severity. The study was conducted according to PRISMA guidelines.

Sepsis 121

Sepsis Fluid Resuscitation Resuscitation Administration 121

Sensible Medicine

AUGUST 21, 2023

On yesterday’s podcast , I talked with Bobby Yeh, an academic cardiologist who made a compelling case for enhancing credibility of observational research. The reasons are multiple, but I will articulate a few: Most epidemiological studies are done from large data sets that are not collected for the purpose of research.

Administration 96

Administration Outcomes Research COPD 96

Mind The Bleep

OCTOBER 22, 2024

Behind the scenes, this entry is assigned a clinical code (such as a SNOMED CT code) so it can be recognised as a blood pressure value by any health record software worldwide if the record should ever be exported there. Some clinicians might have an interest in coding and software development (also known as clinicians who code ).

Documentation/Coding 59

Documentation/Coding Telemedicine Urgent Care Operations 59

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. doi: 10.1016/j.acap.2022.08.011.

Pediatrics 74

Pediatrics Emergency Department Research Burns 74

Sensible Medicine

AUGUST 28, 2024

But these ideas have never been fully quantified (and are a neglected area of current research), and again, there seem to be costs to sleeping a healthy, full-term infant on her back. ” These are strong words that most physicians would argue against. ” These are strong words that most physicians would argue against.

Research 95

Research CDC Documentation/Coding 95

EMDocs

FEBRUARY 12, 2025

Research indicates that timely intervention can significantly reduce morbidity associated with radiation skin injuries. The severity is influenced by radiation dose, exposure duration, and individual patient factors including age and skin type. Immediate symptoms can often mask more severe underlying damage, requiring vigilance in assessment.

Best Practices 56

Best Practices Documentation/Coding Radiology Radiology 56

The Trauma Pro

MAY 10, 2024

This may be helpful for future triage-related research. This fills in the code on the second tab which will be added to TraumaBase. Once again, let’s look at over- and undertriage experience in the paper: Undertriage: 9.1% undertriage (Cribari) reduced to 3.3% It also standardizes comparisons between hospitals that use STAT.

Blood Transfusions 113

Blood Transfusions Radiology Radiology Documentation/Coding 113

Emergency Medicine Journal

JULY 24, 2023

Introduction Pain is the most common presenting feature within the ED, yet undertreatment of pain in the ED is a well-documented problem worldwide. Despite the development of interventions to address this problem, there is still limited understanding of how pain management can be improved within the ED.

Emergency Department 74

Emergency Department Documentation/Coding Research Wellness 74

Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

Sensible Medicine

AUGUST 7, 2024

A 2015 Nature (Pediatric Research) paper by Nils J. Bergman summarizes a body of research that confirms the benefits of sleeping on the belly. Research by Collett et al (2018) shows that, despite some improvement in PP by 18 months, the deformations persist beyond 36 months. This may not be true for infants.

CDC 114

CDC Documentation/Coding Research Pediatrics 114

PulmCCM

APRIL 29, 2024

ICUs, and a popular research focus for academics, generating a steady stream of papers. And maybe, noticing all the fuss, some clinicians might have started coding for VAP slightly less often in equivocal cases. You don’t hear much about ventilator-associated pneumonia (VAP) anymore. It used to be highly prevalent in U.S.

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

PulmCCM

JANUARY 16, 2024

The dueling guidelines conflict in parts, reflecting the fundamental ontological confusion and challenges to effective research on the amorphous syndrome that is ARDS. Progress in ARDS research has been very slow, from a clinical perspective. You can read the document for all the caveats. ” What About Statins for ARDS?

Research 87

Research Documentation/Coding Outcomes Fractures 87