Mount Sinai EM

DECEMBER 27, 2022

Summary Summary The Lisfranc joint is made of the first four metatarsals, cuneiforms and cuboid and associated ligaments A Lisfranc injury is any disruption of the joint The mechanism of injury (axial load on plantarflexed foot, rotational force, crush injury) should increase suspicion for this injury Familiarize yourself with the normal foot x-ray as findings for a Lisfranc injury can be subtle Management depends on the severity of injury and should involve a discussion with your orthopedic sur

Dislocations 130

Dislocations Fractures Operations Radiology 130

EMCrit

OCTOBER 21, 2022

Every Resus doc should be able to crash a patient on to APRV for lung rescue. EMCrit Project by Scott Weingart, MD FCCM.

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PDC Healthcare

OCTOBER 26, 2022

Due to increasing scrutiny around patient satisfaction and what it may mean for reimbursement, patient volume, and quality standards, it’s no surprise that patient experience is at the forefront of breast centers’ priorities. We spoke with many of our top breast health professionals about the top priorities for their facilities. As expected, improving patient experience […].

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American Medical Compliance

AUGUST 31, 2022

The Centers for Disease Control and Prevention released a statement saying that people no longer need to quarantine if they are exposed to someone with COVID-19. This recommendation also holds for people not fully vaccinated. The CDC guidelines state that exposed people now only need to wear masks while indoors for up to 10 days. They also should test for COVID-19 on day 5.

CDC 95

CDC Administration 95

Total Medical ComplianceHIPAA

JANUARY 1, 2022

Dealing with a minor’s medical records can be a minefield when a child is from a blended family or the parents have a contentious divorce going. Things get especially sticky when you add in stepparents and grandparents, and when a minor controls all or a portion of their own records. It’s a good time to review the basics. Custody versus Parental Rights: Don’t confuse custody with parental rights.

Documentation/Coding 76

Documentation/Coding 76

33 Charts

NOVEMBER 7, 2022

Peter Drucker, the father of modern day management, inspired a generation of leaders with his quote, “ One cannot manage change. One can only be ahead of it.” This needs to be reconsidered. Because there’s the fantasy of staying ahead of change and then there’s the modern reality. Early in this century technological progress exceeded the system’s ability to keep up.

Leadership 58

Leadership 58

EMergucate

NOVEMBER 7, 2022

Original paper Findings Intranasal topical TXA is associated with a lower rate of need for anterior nasal packing and a shortened stay in the ED Bottom line Topical TXA for epi…

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RebelEM

DECEMBER 28, 2022

Background: Urinary tract infection (UTI) is one of the most common reasons for anti-microbial use (Tan, 2016). However, the optimal treatment duration for UTI in men is not well studied, and current practice guidelines are based on historical dogma. One clinical trial demonstrates that afebrile UTI can be treated successfully with antibiotics for seven days in women, but that seven days is inferior to 14 days during short-term follow-up and non-inferior during long-term follow-up (van Nieuwkoop

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

Core Medical Group

DECEMBER 27, 2022

Editor's Note: This post was originally published in April 2017 and has been updated for accuracy and comprehensiveness. These 3 simple lessons will help you land the best travel nursing job ever – whether it’s your first time or fifteenth time!

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Board Bombs

DECEMBER 25, 2022

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. Happy Holidays and New Year’s to our listeners! Thank you for what you do for your patients each day. We appreciate you listening. We decided to re-publish one of our most popular episodes from 2022 as a throw-back.

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Mount Sinai EM

NOVEMBER 14, 2022

Intro For this week’s teaching pearl, I wanted to go back and cover a medical pearl. We always hear the word “ECMO” thrown around but I want to today go into a very brief overview of what ECMO is and why it is being used more commonly. I am going to provide the pearl in a Q/A format to make it easier to process. Disclaimer : This is only a very brief overview of ECMO just so everyone at least has a basic understanding of what the technology is and what the circuit looks like.

Shock 130

Shock Wellness 130

EMCrit

DECEMBER 22, 2022

All the resus/acute critical care literature goodness for December 2022. EMCrit Project by Scott Weingart, MD FCCM.

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PDC Healthcare

DECEMBER 22, 2022

Healthcare professionals are faced with many obstacles while administering IV medication to patients, which can lead to medical errors and a risk for patient safety. Nearly 40% of medical errors take place during medication administration as it is one of the most intricate processes for healthcare staff. It is critical to ensure the 5 rights […].

Best Practices 89

Best Practices Administration Patient Safety 89

American Medical Compliance

DECEMBER 29, 2022

A number of dental waterlines have been found to contain waterborne bacteria, infecting children with nontuberculous Mycobacteria (NTM). This caused the Centers for Disease Control and Prevention (CDC) to issue a health advisory on bacteria in the pipes of dental facilities. Dental Waterlines and Infections. Biofilms containing bacteria can easily develop in dental waterlines.

CDC 52

CDC 52

Total Medical ComplianceHIPAA

NOVEMBER 7, 2022

If you have spent any time on the Internet, you have been asked what you would like a website to do with its cookies. A cookie is information saved by your web browser. Cookies are like flags that allow a website to recognize and remember your device if you return to that site in the future. Some cookies can also keep track of your device over time.

Documentation/Coding 93

Documentation/Coding Wellness 93

Dr. Smith's ECG Blog

DECEMBER 23, 2022

I was working in triage very late when a 30 yo previously completely healthy woman walked in with 30 minutes of central chest pressure. This ECG was recorded: The computer called it "Normal" except for "Possible right ventricular conduction delay" What do you think? I immediately recognized an inferior-posterior-lateral OMI. There are hyperacute T-waves in II, III, and aVF.

EKG/ECG 52

EKG/ECG Documentation/Coding 52

EMergucate

DECEMBER 20, 2022

This ECG was obtained from a 22 year old man who had taken a polypharmacy overdose 24 hours ago. He had suffered a bradycardic / asystolic arrest and is currently in the intensive care unit.

EKG/ECG 52

EKG/ECG EMS 52

Emergency Medicine Cases

DECEMBER 20, 2022

In this month's Waiting to Be Seen blog Dr. Howard Ovens outlines challenges, innovations and coping strategies in the EM Crisis. The post WTBS 28 I’m OK, How Are You? How can we innovate our way out of this crisis in EM and cope until we do? appeared first on Emergency Medicine Cases.

EMS 52

EMS Wellness 52

The Skeptics' Guide to EM

JUNE 12, 2022

Date: June 12th, 2022 Reference: Finfer et al. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. NEJM 2022. Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of Critical Care Medicine at Mayo Clinic Arizona. He is board certified […] The post SGEM#368: Just A Normal Saline Day in the ICU – The PLUS Study first appeared on The Skeptics Guide to Emergency Medicine.

Fluid Resuscitation 52

Fluid Resuscitation Resuscitation Outcomes Administration 52

Core Medical Group

DECEMBER 21, 2022

The job market has been a whirlwind in recent years, so it’s likely affected you in one way or another if you’re in a management or director-level position within the healthcare industry.

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Ultrasound Gel

DECEMBER 19, 2022

This episode has been a long time coming! We're talking ultrasound-guided subclavian central lines, and a lot of people have opinions. Are they better than landmark? What should we teach learners? The GEL team discusses through the lens of this fascinating RCT. [link] [link] This episode has been a long time coming! We're talking ultrasound-guided subclavian central lines, and a lot of people have opinions.

Ultrasounds 52

Ultrasounds 52

Mount Sinai EM

NOVEMBER 14, 2022

Intro Raise your hand if you ever struggled obtaining a CSF sample from a Lumbar Puncture. I “virtually” see that most if not all of you at one point in your career struggled with this. This pearl is inspired by an overnight Elmhurst A-side shift I had several months ago with a patient requiring a Lumbar Puncture. I waved off my senior/attending and told them “No worries, I got this.

Ultrasounds 130

Ultrasounds Wellness 130

EMCrit

DECEMBER 19, 2022

This is SIESTA syndrome. The patient is locked in a cycle of unconsciousness, punctuated with brief episodes of agitation. Most of the time the patient is sedated to the point of having minimal EEG activity, which may hinder their ability to regain consciousness. . EMCrit Project by Josh Farkas.

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PDC Healthcare

NOVEMBER 22, 2022

3 More Efficient Ways to Identify Patients at an ASC According to a recent survey with PDC customers, a majority of Ambulatory Surgery Centers are using a printed label adhered to a paper or plastic wristband as their method of identifying patients. While this method enables them to satisfy the Joint Commission’s Two Patient Identifiers […]. The post 3 More Efficient Ways to Identify Patients at an ASC appeared first on connectID - PDC Healthcare Blog.

Patient Safety 87

Patient Safety 87

American Medical Compliance

DECEMBER 20, 2022

Cybersecurity threats against healthcare systems have increased since the beginning of the COVID-19 pandemic due to the adoption of new health technologies. During 2020, cyberattacks against health systems increased by forty-seven percent. Adopting stronger security measures will be essential to protecting patient data moving forward. Causes of Increased Cybersecurity Threats.

Hospitals 52

Hospitals Wellness 52

Total Medical ComplianceHIPAA

MAY 4, 2022

In the past week the American Dental Association has confirmed that they fell victim to a cybersecurity event. There is a banner posted on the home page of the website alerting their members of this continuing situation and asking for their patience as the issue is resolved. News outlets are consistently reporting the following information related to the incident: Web-based chat, email and telephone services were all impacted.

Operations 64

Operations Hospitals 64

Dr. Smith's ECG Blog

DECEMBER 22, 2022

by Emre Aslanger Dr. Aslanger is our newest editorial member. He is an interventional cardiologist in Turkey. Dr. Aslanger is also the author of the DIFFOCULT study: Emre K. Aslanger , a, ⁎ Özlem Yıldırımtürk , b Barış Şimşek , c Emrah Bozbeyoğlu , c Mustafa Aytek Şimşek , a Can Yücel Karabay , b Stephen W. Smith , d and Muzaffer Değertekin a DIFOCCULT: DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction.

EKG/ECG 52

EKG/ECG 52

The Bottom Line

DECEMBER 19, 2022

In adults with an expected ICU stay of > 72 hours, does the provision of enteral melatonin compared to placebo increase the number of delirium-free assessments within 14 days or before ICU discharge?

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Emergency Medicine Cases

DECEMBER 20, 2022

Dr. Jesse McLaren discusses some key aspects of cocaine chest pain ECG interpretation in this month's blog including: Patients with cocaine-associated chest pain require benzodiazepines +/- nitroglycerine for symptom relief, aspirin and ECG to look for signs of occlusion and reperfusion. In patients with chest pain + ST elevation, consider false positive STEMI including early repolarization, LVH and Brugada-pattern.

EKG/ECG 52

EKG/ECG EMS 52

Board Bombs

DECEMBER 18, 2022

Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. It lives in our nightmares. On this special holiday episode, Blake and Iltifat share the pearls and pitfalls of aortic dissection presentation, diagnosis, and management. You won't want to miss this high yield year's end conclusion.

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The Skeptics' Guide to EM

DECEMBER 17, 2022

Date: December 16th, 2022 Reference: Hohle et al. Massive Blood Transfusion Following Older Adult Trauma: the Effect of Blood Ratios on Mortality. AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. She is also the wonderful educator that creates the Paper in a Pic infographics summarizing each SGEM episode.

Blood Transfusions 52

Blood Transfusions Fractures EMS Hospitals 52

NRC Health

DECEMBER 15, 2022

The NRC Health 2023 Pediatric Collaborative is truly a can’t-miss experience, with exceptional presentations that will stir innovative ideas. The post Pediatric Collab preview: Support employees and deliver better care appeared first on NRC Health.

Pediatrics 52

Pediatrics 52

Medical Law

DECEMBER 14, 2022

When you’ve suffered serious injuries caused by somebody’s careless behavior, you’ll probably want to resolve the matter quickly. After all, you have other things to focus on — overcoming the trauma, getting back to work, and resuming your daily activities. There’s a natural desire to finalize the legal process and start putting your life back together.

Hospitals 52

Hospitals 52

EMCrit

DECEMBER 3, 2022

Rounding up the questions from the past few months. EMCrit Project by Scott Weingart, MD FCCM.

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EMergucate

DECEMBER 13, 2022

The following ECG was obtained in a 38 year old Indigenous man with a history of ischaemic cardiomyopathy at a regional hospital. He did not have a history of left bundle branch block previously.

EKG/ECG 52

EKG/ECG Hospitals 52

Clinical Correlations

DECEMBER 14, 2022

By: Michael Moore Peer Reviewed “Too many complex back surgeries are being performed and patients are suffering as a result” wrote National Public Radio health science journalist Joanne Silberner in her 2010 article “Surgery May Not.

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RebelEM

DECEMBER 14, 2022

Take Home Points Perichondritis is an infection of the cartilage and connective tissue of the ear Perichondritis can be recognized clinically by erythema, swelling and tenderness of the auricle. The most common organism in perichondritis is P. aeruginosa and antibiotics should be tailored to cover this organism REBEL Core Cast 92.0 – Perichondritis Click here for Direct Download of the Podcast Background Perichondritis may appear to be a simple cellulitis of the ear but, in fact, it repres

EMS 52

EMS 52