EMDocs

OCTOBER 10, 2024

Hospital Inpatient : R thigh is indurated and blistered but abdomen is all but ignored. On the 2nd hospital day, she becomes obtunded and is intubated. She only gets worse, and by the 4th hospital day she is unresponsive. High level amputation is considered, but she dies of sepsis and multiorgan failure on hospital day 7.

Documentation/Coding 97

Documentation/Coding Hospitals Sepsis Infectious Diseases 97

Advanced Medical Reviews

MARCH 2, 2022

Like nearly everything else, the health care industry experienced a wide array of challenges and changes due to the COVID-19 pandemic.

Urgent Care 52

Urgent Care Hospitals 52

Emergency Medicine Journal

OCTOBER 23, 2024

2 King’s College Hospital (KCH) Trust employs a simple four-item risk assessment tool (the K4 score) ( figure 1 ), which was derived from local expert opinion and implemented in 2016. Risk assessment is a mandatory field during electronic referral from the EDs or urgent care centres (UCCs) to the orthopaedic team.

Urgent Care 52

Urgent Care Hospitals 52

American Medical Compliance

AUGUST 7, 2024

More than a million hospitalized patients each year acquire healthcare-associated infections (HAIs) while being treated for other health conditions. Our Infection Control Training for Hospitals & Urgent Care Facilities provides in-depth knowledge and practical tips to help you avoid common mistakes and safeguard patient safety.

PPE 105

PPE Best Practices Patient Safety Urgent Care 105

Urgent Care Ultrasounds

APRIL 17, 2019

A window to your heart… A woman in her 40’s presented to the urgent care clinic with a four day history of cough and fevers following an upper respiratory tract infection the week prior. The patient was referred to hospital for further investigation. Cytological examination of the fluid was non-diagnostic.

Ultrasounds 52

Ultrasounds Urgent Care Hospitals Wellness 52

Urgent Care Ultrasounds

APRIL 1, 2018

POCUS reveals Hickam’s Dictum A 19 year old man presented to the urgent care clinic complaining of 2 months of increasing lethargy. However, the point of care ultrasound images also reveal a dilated cardiomyopathy with severely reduced LV systolic function.

Urgent Care 52

Urgent Care Ultrasounds Hospitals 52

Sensible Medicine

AUGUST 25, 2023

I was proud that I made the diagnosis of temporal arteritis after her presentation had stumped doctors in an urgent care, an emergency room, and in a rheumatology clinic. MM was a 63-year-old woman admitted to the hospital to participate in a phase 1 clinical trial. I met CT early in my career.

Hospitals 95

Hospitals Urgent Care Wellness Fractures 95

The Skeptics' Guide to EM

JUNE 5, 2021

He also works at an urgent care and a rural critical access hospital. He also works at an urgent care and a rural critical access hospital. Garreth Debiegun is an emergency physician at Maine Medical Center in Portland, ME and clinical assistant professor with Tufts University School of Medicine.

Stroke 52

Stroke Urgent Care Critical Access Outcomes 52

Urgent Care Ultrasounds

SEPTEMBER 14, 2020

A 60 year old man presented to the urgent care clinic complaining of several hours of shortness of breath, a gurgling sensation in his chest, and a cough productive of frothy, blood stained sputum. After discussion with the on call emergency physician the patient was referred to hospital and admitted to the observation ward overnight.

Urgent Care 40

Urgent Care Ultrasounds Hospitals 40

Urgent Care Ultrasounds

OCTOBER 24, 2018

This can be especially helpful for those working in isolated or primary care environments, without the support of formal hospital ultrasound programs. The Case A young woman presented to the urgent care clinic following the onset of severe LUQ abdominal pain.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Hospitals 52

Don't Forget the Bubbles

AUGUST 7, 2023

This prospective cohort study included patients between 0-16 years old, who presented to one of four NHS hospital sites in Greater Manchester (a large metropolitan area in the North of England), consisting of an Urgent Care Centre and three Emergency Departments. J Paediatr Child Health. Pediatrics. 2013 Apr 1;131(4):e1150–7.

Sepsis 98

Sepsis Pediatrics Urgent Care Emergency Department 98

The Skeptics' Guide to EM

SEPTEMBER 10, 2022

Pediatr Emerg Care. 2022 Guest Skeptic: Dr. Harrison Hayward is a Pediatric Emergency Medicine fellow at Children’s National Hospital. He finished his General Pediatrics residency at Yale-New Haven Hospital. Pediatr Emerg Care. He finished his General Pediatrics residency at Yale-New Haven Hospital.

Pediatrics 52

Pediatrics Emergency Department Urgent Care Hospitals 52

ACEP Now

MAY 4, 2023

He had presented to urgent care for the same complaint a week before, but did not seek follow-up at an ED despite their recommendation. Dr. Rader works at Ascension Macomb-Oakland Hospital. Dr. Fishman is an associate program director at Ascension Macomb-Oakland Hospital. References Bruner DI, Ventura EL, Devlin JJ.

Urgent Care 52

Urgent Care Ultrasounds Sepsis Emergency Department 52

EMDocs

DECEMBER 4, 2023

The facility does not have ultrasound (US) availability at the time of the patient’s presentation, as the sonographer comes to the hospital only 2 days a week. If this is not possible in the hospital system, physicians should communicate directly with someone who can facilitate the order.

Ultrasounds 96

Ultrasounds Documentation/Coding Wellness EMS 96

Urgent Care Ultrasounds

JANUARY 17, 2019

She was brought down to the urgent care clinic for assessment. The patient was referred to hospital to further investigate the cause of her collapse, in light of the uncertain aetiology of the echo findings. The Case A 70 year old woman had been waiting in the radiology department for an x-ray to be taken.

Urgent Care 40

Urgent Care Ultrasounds Radiology Radiology 40

RebelEM

JANUARY 23, 2023

PMID: 32653333 What They Did Multi-center, double-blind, randomized, phase 3 clinical trial with a parallel-group, active-controlled, non-inferiority design. Patients were randomized in a 1:1 ratio. The effectiveness of IV cetirizine was determined to be statistically non-inferior. Journal of Investigative Dermatology Symposium Proceedings , vol.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Research The Ten Commandments of Emergency Care Research (p59 ff ) From ACEP Mass Casualty Planning Management of Conventional Mass Casualty Incidents: Ten Commandments for Hospital Planning Lynn, M., Management of conventional mass casualty incidents: ten commandments for hospital planning. Memon, A., & Kaliff, J.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

ACEP Now

APRIL 2, 2024

Before arriving at our ED, the patient sought care at an urgent care clinic, where she was prescribed ondansetron without improvement. Under their recommendation, the patient was admitted to the hospital for observation on an intravenous dextrose infusion. Abdominal exam was benign.

Poisoning 40

Poisoning Administration Urgent Care Documentation/Coding 40

The Skeptics' Guide to EM

APRIL 29, 2023

Secondary Outcomes: Number of medications changed, disposition, length of stay, involuntary hold, use of parenteral benzodiazepines or haloperidol, and use of physical restraints or seclusion * Type of Study: Exploratory retrospective cohort study This is an SGEMHOP episode which means we have the lead author on the show.

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

Taming the SRU

OCTOBER 14, 2024

Six days prior, the patient was evaluated at an urgent care and prescribed doxycycline and prednisone. The patient was transitioned to a 10 day course of cefpodoxime and was discharged on hospital day 3 with ENT and ophthalmology follow up.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Documentation/Coding 52

American Medical Compliance

FEBRUARY 27, 2023

Employees may go to their primary care physicians or an Urgent Care or Hospital for consultation. It is important to remember that the results of employee blood-work are medical records, and are therefore confidential. This course provides several recommendations on employee consultations to ensure proper treatment.

EMS 52

EMS PPE Administration Urgent Care 52

Dr. Smith's ECG Blog

OCTOBER 13, 2023

Transient STEMI, serial ECGs prehospital to hospital, all troponins negative (less than 0.04 He was seen in urgent care yesterday after his symptoms persisted, where he was discharged with a presumed diagnosis of GERD after improvement in symptoms with Maalox. ng/ml) The sender asked: "Would you activate the cath lab?"

EKG/ECG 116

EKG/ECG Urgent Care Emergency Department Outcomes 116

Urgent Care Ultrasounds

OCTOBER 7, 2020

This case is courtesy of Dr Nigel Tay, at the time an Urgent Care trainee from Auckland. The Case A man in his 70’s presented to the urgent care clinic with progressively worsening SOBOE over several months. Chest – bibasal inspiratory crackles. Cultures and PCR for TB were negative.

Urgent Care 40

Urgent Care Ultrasounds Hospitals 40

Northwestern EM Blog

JANUARY 3, 2022

Terese Whipple, MD Assistant Professor Department of Emergency Medicine University of Iowa Hospitals and Clinics How To Cite This Post: [Peer-Reviewed, Web Publication] Power, E. Seltzer, J. 2022, Jan 3). Running Injuries. Expert Commentary by Whipple, T]. Retrieved from [link] Other Posts You May Enjoy

Fractures 52

Fractures EMS Urgent Care Stroke 52

Don't Forget the Bubbles

OCTOBER 2, 2024

The Bubble Wrap Plus is a monthly Paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). They used primary and urgent care clinics as referral sources and were randomised to different pathways. Can’t get enough of Bubble Wrap?

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Urgent Care 52

PulmCCM

NOVEMBER 18, 2021

Finally, a relatively small [n = 146] randomized, controlled trial in outpatients with no more than 7 days of COVID-19-related symptoms measured the effect of inhaled budesonide on urgent care utilization and symptom duration. hospital admission or death related to COVID-19. days, probability of superiority > 0.999].

Urgent Care 40

Urgent Care Hospitals Stroke Wellness 40

PulmCCM

SEPTEMBER 28, 2023

with Covid-19 randomized to 800 μg of inhaled budesonide twice daily had significantly fewer urgent care visits, and faster resolution of symptoms. Those receiving budesonide reported feeling better three days sooner than patients in the usual-care arm. Covid-associated hospitalizations are lower than last month.

COPD 95

COPD Stroke Academics Urgent Care 95

The Skeptics' Guide to EM

JANUARY 22, 2022

Their primary outcome was a ‘COVID-19 related’ urgent care visit, emergency department assessment, or hospitalization, and was significantly reduced in the budesonide arm (15% vs 3%, p=0.009). It did report positive results.

Urgent Care 40

Urgent Care COPD Outcomes Emergency Department 40

Medical Law

SEPTEMBER 15, 2021

One of the greatest fears underlying the COVID-19 pandemic has been that the healthcare system would be overwhelmed with the sheer numbers of patients, and others needing care would have to be turned away. Now that the Delta variant is surging in California and other areas of the country, some hospitals have been forced to ration care.

Telemedicine 52

Telemedicine Urgent Care Head Injuries Hospitals 52

Sensible Medicine

JULY 28, 2023

I’d been in the hospitals that were being overwhelmed and worked with the doctors who were first on the front line. Having weathered six months, caring for dozens of patients with COVID – inpatient and outpatient – without getting sick, my feelings of invincibility were returning.

Hospitals 92

Hospitals PPE Urgent Care Academics 92

Don't Forget the Bubbles

AUGUST 29, 2023

Mike told his story and then told us about an initiative he’d brought into the Children’s Hospital where he worked—the NHS Rainbow Badge. And so we looked at practice within our own departments across the three paediatric EDs and urgent care centres in Dublin. We couldn’t sit back and do nothing. This is only the start.

PPE 98

PPE Research Emergency Department Urgent Care 98

PulmCCM

FEBRUARY 10, 2025

When they arrive, the companies selling and the hospitals buying them will celebrate their dedication to innovation in sepsis care. The incidence of sepsis or rates of ICU admission were not described, and only about one-third of patients were admitted to the hospital, suggesting milder disease.

Sepsis 52

Sepsis Urgent Care Emergency Department Pediatrics 52