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

The Trauma Pro

DECEMBER 26, 2023

Screening looks at patient factors such as age, obesity, and previous VTE, as well as injury risk factors like spine and pelvic fractures and decreased mobility. But the key fact is that every compression device manufacturer includes existing DVT as a contraindication in their product documentation.

Fractures 124

Fractures Documentation/Coding Hospitals Research 124

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

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 98

Administration Outcomes Research COPD 98

Sensible Medicine

APRIL 29, 2024

You can assess how well (or poorly) a practicing cardiologist did analyzing a paper in the Journal of Clinical Epidemiology. 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. It’s the Methods

Stroke 142

Stroke Documentation/Coding Shock Research 142

EMDocs

JUNE 8, 2023

and 9 hours of symptom onset; stroke symptoms that started during sleep were assumed to have started halfway between the actual last known well and the time of wake-up. Subsequently reduced enrollment to 310 patients because no patients had been lost to follow-up or had insufficient data documented.

Stroke 98

Stroke Administration Documentation/Coding Outcomes 98

Don't Forget the Bubbles

AUGUST 23, 2023

Definitive emotional support is critical to our emotional and psychological well-being. 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”. & Liska, H.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

Sensible Medicine

JUNE 11, 2024

This interface shortens the time required for human-to-computer interaction by transforming an input given through natural language into almost any form, from text to images to computer code. This responsibility extends to patients as well, ensuring that their voices and needs are central to the innovation process.

Documentation/Coding 90

Documentation/Coding Wellness Outcomes Research 90

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 113

CDC Documentation/Coding Research Pediatrics 113

Dr. Smith's ECG Blog

MARCH 27, 2025

Nurse notes: the silent scream of the heart The emergency nursing notes document the patient complaining of chest pain refractory to nitro, with a rising trop: 2200: ECG shown to ED MD 0020: repeat ECG shown to ED MD, patient complain of midsternal chest pain 0520: nitro x 3. This morning, he was also found to have a rising troponin.

EKG/ECG 78

EKG/ECG Documentation/Coding Research Outcomes 78

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

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

SheMD

SEPTEMBER 7, 2023

Do your research and look up the program’s website prior to interview day. At one program, rapids and codes were run by the senior residents the first half of the year, with the interns taking over in January while a senior was by their side. Provide this as part of your story as well. What are you looking for in a program?

Leadership 98

Leadership Documentation/Coding Research Wellness 98

ACEP Now

JUNE 7, 2023

Whereas previous versions of GPT were unable to pass the medical examinations, GPT-4 demonstrated scores of approximately 85 percent correct on each Step of USMLE, well above the passing threshold. Future versions are likely to have greater accuracy and error-checking abilities, as well as improved domain-specific generative abilities.

Documentation/Coding 78

Documentation/Coding Wellness Administration Research 78

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

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

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

SheMD

MAY 11, 2023

Research indicates that the gender of a provider may impact their performance. Transcripts were coded to sort data into “leadership occurrences” or “unrelated to leadership” as well as critical treatment decisions. CPR-related performance items were coded by the second as present or absent.

Leadership 52

Leadership Documentation/Coding CPR Teamwork 52

ACEP Now

SEPTEMBER 5, 2024

Creation of an accurate database of emergency physicians living and working within a state, as well as a network of each states’ EM groups and ED medical directors would help chapter leaders disseminate relevant information, strengthen advocacy efforts, and plan regional solutions summits to focus on unique challenges.

Leadership 98

Leadership PPE EMS Wellness 98

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

RebelEM

JULY 3, 2023

Currently, the infusion of IV calcium before diltiazem is not well understood, and more studies have focused on administering IV calcium prior to verapamil than diltiazem. What They Did: Researchers conducted a multicenter, retrospective cohort study in three community hospitals and two freestanding emergency departments.

Administration 98

Administration Outcomes Documentation/Coding Emergency Department 98

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

Dr. Smith's ECG Blog

AUGUST 9, 2024

He had no previously documented medical problems except polysubstance use. The LCx and OM vessels are not as well visualized. Circulation Research , 56 (2), 184–194. That said, most of the time — AIVR is a short-lived and benign rhythm ( as well as an encouraging sign that at least some reperfusion is occurring).

EKG/ECG 107

EKG/ECG EMS Emergency Department Wellness 107

Taming the SRU

AUGUST 4, 2024

We discussed some practices to push learners outside of their comfort zone and promote learning, based on their level as well as their goals for the shift. It is better to finish early than rushing through your presentation

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Don't Forget the Bubbles

OCTOBER 10, 2024

Adopting this approach would reduce time in surgery for the child as well as the financial cost of nail bed repair. This study aimed to assess discharge practices for children presenting with acute wheeze in emergency departments in the Paediatric Emergency Research in the UK and Ireland (PERUKI) network. Why does it matter?

Emergency Department 75

Emergency Department Outcomes Research Operations 75

Medical Law

JUNE 20, 2023

California Vehicle Code 21212 provides that all riders and passengers under the age of 18 are legally required to wear a helmet when using a bicycle, a non-motorized scooter, in-line roller skates, or a skateboard to travel along streets or bikeways, or on any other public bicycle path or trail.

Documentation/Coding 52

Documentation/Coding CDC Research Wellness 52

Sensible Medicine

SEPTEMBER 13, 2024

She presents with a folder of records and codes for outside EMRs. These days, the attention is likely to be more than idle pondering but actual research. Accept that the patient knows more about his symptoms, and may very well know more about his disease, than you do. 1 This never works out well. PJ is the exception.

Psychiatric 69

Psychiatric Radiology Radiology Documentation/Coding 69

Sensible Medicine

MARCH 27, 2024

Peter Attia - From Surgeon to Longevity Guru I first encountered Peter Attia online while researching ketosis , the Atkins diet and low carb diets in 2012 and found his writing to be incredibly well-researched and helpful. To support his Medicine 3.0 2 Apparently, in Attia's practice, "this is my starting point with any patient.

Research 113

Research Documentation/Coding Wellness 113

Dr. Smith's ECG Blog

AUGUST 26, 2009

To diagnose inferior MI, there must always be reciprocal ST depression or T-wave inversion or both in lead aVL (see abstract of our research below). Research presented at 2011 SAEM in Boston. Methods : We searched the catheterization laboratory database for all cases coded as acute Inferior STEMI from January 2002 through March 2008.

EKG/ECG 52

EKG/ECG Documentation/Coding Research Academics 52

Greater Sydney Area HEMS

AUGUST 1, 2023

Why does it work so well? When I found it, I felt the documentation (if done at all) largely tended to be the bare minimum, and certainly not reflective of the beautiful learning conversations happening in the room. – The re-design of C+C documentation process was launched. It also dovetails with our governance process.

Documentation/Coding 52

Documentation/Coding Outcomes Hospitals Administration 52

RebelEM

MARCH 13, 2024

This was not a Code 3 respiratory distress, fentanyl overdose with minimal response to Narcan or even an unconscious stroke patient with the blood pressure of a giraffe. Would they ever be well enough to be extubated? The patient came in working hard to breath, had minimal improvement after meds and treatments and was clearly tiring.

Documentation/Coding 58

Documentation/Coding Outcomes EMS Stroke 58

SheMD

OCTOBER 5, 2023

Find the areas to highlight (research, leadership, etc) and the areas to be prepared to discuss (lower grades, failing score, repeated course, etc). If staying in a hotel- don’t forget to use discount codes the residency program may offer. The Big Day Do your research. Applying to residency can be very stressful.

Research 52

Research Leadership Documentation/Coding Academics 52

The Skeptics' Guide to EM

OCTOBER 1, 2022

She is the cofounder of FOAMcast and is a pulmonary embolism and implementation science researcher. It is not well documented, whether gaps in pain assessment and treatment exist in conditions in which opioids are not indicated, such as migraine headaches. The headache is similar to prior migraine headaches.

Pediatrics 52

Pediatrics Emergency Department Documentation/Coding Research 52

Don't Forget the Bubbles

JULY 26, 2023

A cardiac family history should of course be sought, but think a little outside the box as well. On arrival at hospital the child was well with normal observations. The presence of these pathways is documented inutero and they usually regress by around 20 weeks gestation. Family history. What are the important investigations?

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Taming the SRU

APRIL 22, 2023

If untreated, atrial fibrillation can increase clot formation and lead to an increased risk for heart attack and stroke as well as development of congestive heart failure. Additionally, a higher HR reduction at 30 and 60 minutes, as well as ED discharge/transfer. There was no difference in safety outcomes.

Outcomes 52

Outcomes Stroke Fractures Documentation/Coding 52

Mind The Bleep

FEBRUARY 27, 2024

1] It is worth mentioning this formula was designed for well, euvolaemic children, which does not represent the popluation of children who require IV fluids. saline), however more research is needed in this area. [4] Our population and their demographics has also changed significantly since this study in 1957.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

SheMD

JULY 27, 2023

Unequal distribution of domestic responsibility has been documented as a factor in the underrepresentation in female physicians in leadership roles in academic medicine as well as contributing to career satisfaction. How does this apply to us? Similar Articles Hitti E, Hadid D, Khoury SJ, Tamim H, Makki M, Karam CM.

Academics 52

Academics Leadership Documentation/Coding Research 52