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Emergency department staff views of NHS 111 First: qualitative interview study in England

Emergency Medicine Journal

Background NHS 111 is a phone and online urgent care triage and assessment system that aims to reduce UK ED demand. In 2020, 111 First was introduced to triage patients before entry to the ED and to offer direct booking for patients needing ED or urgent care into same-day arrival time slots.

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Dr. Elsburgh Clarke Was Among First to Specialize in Emergency Medicine

ACEP Now

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. He is also familiar with the delayed care and crowding, including boarding issues, that occur.

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Three normal high sensitivity troponins over 4 hours with a "normal ECG"

Dr. Smith's ECG Blog

Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." The documentation does not describe any additional details of the history. They also documented "Reproducible chest tenderness." The following ECG was obtained.

EKG/ECG 121
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Medical Malpractice Insights: A Rare Presentation – Groin pain? Nec fasc? Diabetes? Appendicitis?

EMDocs

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.

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Digital Health: A Guide for Future Clinicians

Mind The Bleep

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 ).

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Red Leg in the Heartland of America: A Rural Physician’s Approach to the Patient with a Potential DVT

EMDocs

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.

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Case Report: Toxic Hypoglycemic Syndrome

ACEP Now

Before arriving at our ED, the patient sought care at an urgent care clinic, where she was prescribed ondansetron without improvement. 4 The association between ackee ingestion and the illness was initially recognized in 1875 and officially documented in 1904. Abdominal exam was benign.