Dr. Smith's ECG Blog

MARCH 14, 2024

Written by Jesse McLaren Three patients presented with acute chest pain and ECGs that were labeled by the computer as completely normal, and which was confirmed by the final cardiology interpretation (which is blinded to patient outcome) also as completely normal. What do you think? It should never have been published.

EKG/ECG 120

EKG/ECG Documentation/Coding Patient Safety Outcomes 120

EMDocs

SEPTEMBER 26, 2024

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. EKG, labs, and a CXR are interpreted by the EP as normal. Pay attention when a patient is being seen for exertional chest pain. Too much weight was given to the EKG, CXR, and labs.

Radiology 93

Radiology Radiology EKG/ECG Documentation/Coding 93

EMDocs

MAY 24, 2023

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. The EKG and troponin are normal. Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. Exam is unremarkable.

Radiology 82

Radiology Radiology EKG/ECG Patient Safety 82

EMDocs

OCTOBER 10, 2024

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. EKG shows atrial fibrillation with a rate of 169. Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians.

Documentation/Coding 93

Documentation/Coding Hospitals Sepsis Infectious Diseases 93

AENJ: Current Issue

SEPTEMBER 30, 2023

Pressure injuries (PIs) are an important quality and patient safety metric for health care organizations. PI monitoring and treatment are often overlooked in the emergency department (ED). Emergency care professionals must be proactive about PI early identification and prevention strategies.

Emergency Department 74

Emergency Department Patient Safety Documentation/Coding Research 74

EMDocs

SEPTEMBER 25, 2023

This has been shown to increase the first pass success rate in these challenging scenarios, reducing the risk of complications and optimizing patient safety (23). Case Resolution: The patient was placed on NIPPV. The patient was placed in a semi-fowler’s position and given 0.4mg/kg of midazolam.

Emergency Department 84

Emergency Department Soft Tissue Injuries Airway Management Operations 84

EB Medicine

JULY 8, 2019

Urinalysis and urine culture should be considered especially for early post op patients, symptomatic patients, or those with GU complaints. Nachi: Check an EKG immediately after arrival for any patient that may be concerning for ACS. A normal ekg of course does not rule out a cardiac cause of their presentation.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40