Documentation/Coding Sepsis Ultrasounds 
Dr. Smith's ECG Blog
JANUARY 2, 2025
Bedside cardiac ultrasound showed moderately decreased LV function. She was managed for sepsis with antibiotics including azithromycin, had hypotension with arterial and central lines placed and pressors. , but potassium returned normal. In the middle of the night, a "code" was called, and multiple rhythms like this were recorded.
ACEP Now
OCTOBER 29, 2024
Our nurse did not study Paul Ekman’s Facial Action Coding System for Action Units to code “fear” in the patient’s face. This means deviating from protocols (when warranted) for sepsis because your initial impression is the patient would be harmed with that much fluid. A testicular ultrasound confirmed restored blood flow.
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EMDocs
APRIL 2, 2024
Check the pulse RSI= Resuscitation Sequence Intubation Hypoxia, Hypotension, and Acidosis are the reason patients code during/post intubation These patients are super high risk for all 4 Optimize first pass success – Induction agent + paralytic Unconscious patients will still have muscle tone Induction Ketamine or Etomidate at half doses (i.e.,
PulmCCM
FEBRUARY 5, 2024
You can read the document here. Read the original document here. In 18 severe sepsis patients in 3 years at one center who underwent PET scanning (apparently done ad hoc), 14 of the 18 had positive tests, and 11 were true positives, leading to surgery in 2 and pacemaker removal in 2 (and longer / new antibiotics in 2).
Taming the SRU
FEBRUARY 5, 2024
1) However, it wasn’t until the 1890s that purposeful, successful, and safe attempts to access this fluid were documented (2). It is most helpful to do the ultrasound immediately before needle insertion, as movement of the patient may shift cutaneous landmarks from underlying bony structures. WHY - Why Not? REFERENCES 1.
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.
EB Medicine
JULY 8, 2019
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.
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