The Trauma Pro

MAY 24, 2024

Here’s an operative tip for trauma professionals who find themselves in the OR. Although gastric repair is usually simple and heals well, his group did note a few severe complications. It’s probably a good idea for concomitant colon injury as well, but there’s less literature support. What gives?

Operations 250

Operations Wellness 250

The Trauma Pro

OCTOBER 25, 2024

This is probably because there is no need to perform repeated operations to insert and remove the preperitoneal packs when angiography is used. Authors from several well-known trauma centers collaborated to re-analyze data from the CLOTT study. But what about venous thromboembolism risk?

Fractures 147

Fractures Head Injuries Operations Ultrasounds 147

Pediatric EM Morsels

JULY 19, 2024

DON’T forget to put on your Personal Protective Equipment as well! Have traditional, direct laryngoscopes available as well. This is worth a shot in a well appearing child that is old enough to gargle and spit. Well… sometimes it starts again. Get good light and exposure! Headlamps can also be helpful!

Pediatrics 286

Pediatrics Airway Management Wellness Operations 286

NIOSH Science Blog

MAY 14, 2020

This year has seen nurses all over the world step up and battle coronavirus disease 2019 (COVID-19) fearlessly, often while navigating evolving guidance and operating under difficult conditions with strained resources. None of us could have anticipated how prescient that would be.

Wellness 52

Wellness Operations 52

Emergency Live

AUGUST 22, 2024

The Bayesian shipwreck has caused the death of six people, including the well-known British magnate Mike Lynch The sinking of the luxurious sailing ship Bayesian off Porticello continues to hold a great hold on public opinion and cause debate among experts in the nautical sector.

Operations 52

Operations Wellness 52

Taming the SRU

MARCH 12, 2024

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. as well as patients less than 18 years old were excluded from analysis. The study’s primary outcomes were the operational impacts of the SQuID protocol on EDLOS and ICU admission rates. Acad Emerg Med 2023;30(8):800–8.

Operations 96

Operations Hospitals Best Practices Wellness 96

The Trauma Pro

OCTOBER 4, 2024

And unfortunately, I’m not able to guess the numbers well enough to do the power calculation for this study. Be sure to follow with your performance improvement program to make sure that they actually do work as well as you think! Did they have the statistical power to show such a difference? I am still intrigued by this study!

Pediatrics 147

Pediatrics Outcomes Operations Emergency Department 147

American Medical Compliance

NOVEMBER 8, 2024

It’s vital for staff well-being, helping to build a transparent, accountable workplace culture where incidents like slips, falls, and exposures are addressed promptly. Non-compliance can result in hefty fines, inspections, and audits that disrupt operations. It creates a safer environment for both patients and staff.

Documentation/Coding 87

Documentation/Coding Legal Issues Operations Incident Reporting 87

Emergency Medicine Cases

FEBRUARY 13, 2024

How can we utilize virtual care to make it work for us and our patients well? How can we integrate systems thinking into the daily operations of EDs to improve patient flow and outcomes? They answer questions such as: What can we glean from how EM has evolved in the last few decades to help shape the future? and many more.

EMS 80

EMS Operations Outcomes Wellness 80

The Trauma Pro

APRIL 26, 2024

Unfortunately, it’s generally not feasible to operatively fix the pelvis acutely, and external fixation has limited impact on ongoing hemorrhage. Years ago, we tried to pack the pelvis from the inside (peritoneal cavity), but it never worked very well. Preperitoneal packing of the pelvis (PPP) has now become popular.

Fractures 147

Fractures Head Injuries Radiology Radiology 147

The Trauma Pro

SEPTEMBER 13, 2023

Unfortunately, losing any limb has a significant psychological impact on our patients’ physical and mental well-being. It does take some extra effort to apply a well-fitted early prosthesis. The conventional treatment is to protect the amputation incision, provide physical therapy, and fit a prosthesis once the stump is mature.

Soft Tissue Injuries 147

Soft Tissue Injuries Operations Wellness 147

American Medical Compliance

MARCH 18, 2024

Requirements Specific to Missouri By August 28, 2021, any hospital licensed under the Missouri chapter, excluding any department of mental health-operated psychiatric hospital, must implement a workplace violence prevention plan to protect healthcare employees and other hospital personnel from aggressive and violent behavior.

Psychiatric 93

Psychiatric Operations Hospitals Wellness 93

Pediatric EM Morsels

APRIL 28, 2023

Has undergone many modifications as well to include up to 5 types. In general, non-operative treatment is reserved for Type I fractures and type II. The Athlete is at risk of both Osgood Schlatter’s disease as well as Tibial Tubercle Avulsion Fracture. Anterior knee pain is not always Osgood Schlatter’s.

Fractures 130

Fractures Pediatrics Operations Wellness 130

Sensible Medicine

MAY 31, 2024

Second guessing, also called post-call quarterbacking, is alive and well in medicine and, when done thoughtfully, can be a great way to teach and learn. Some of these disagreements will be critical: what drug needs to be given, does this person need to go the operating room, does JD need a chest tube? The patient did well.

Operations 67

Operations Wellness Academics Ultrasounds 67

AED Leader

MAY 3, 2024

AEDs are designed to be user-friendly and can be operated by anyone, even without medical training. Knowing that a church is well-prepared for emergencies instills confidence in the congregation and the surrounding community. It sends a message that the church values the well-being of its members and visitors.

CPR 52

CPR Operations Shock Pediatrics 52

Medical Law

SEPTEMBER 15, 2024

California drivers should still maintain their vehicles to ensure they’re well-prepared for wet and cool conditions. Oil Changes Cooler temperatures can cause oil to thicken, which can hinder efficient engine operation. Start by checking the engine oil level and make sure it is at the recommended level and appears clean.

Operations 52

Operations Wellness 52

American Medical Compliance

OCTOBER 25, 2024

Compliance isn’t just a box to check—it’s a vital responsibility that safeguards patient well-being and protects organizations from significant financial losses. What’s more, they improve operational efficiency and enhance patient trust. This staggering figure highlights the importance of staying vigilant.

Documentation/Coding 81

Documentation/Coding Operations Best Practices Shock 81

Taming the SRU

JULY 24, 2024

Ann Emerg Med 2024 Background Sepsis remains an increasingly common emergency department condition that is tied to higher morbidity and mortality across the United States as well as the rest of the world. They also developed a machine learning model using Least Absolute Shrinkage and Selection Operator (LASSO) using 80% of the available data.

Sepsis 89

Sepsis Resuscitation Emergency Department Wellness 89

Intensive Blog

JUNE 4, 2024

Author: Dr Josh Mclarty Peer Reviewer: Dr Ken Hoffman It is important to understand Temporary Pacing Threshold Checks when caring for post-operative patients in cardiac ICU. The post Temporary Pacing Threshold Checks appeared first on INTENSIVE.

Operations 53

Operations Research Wellness 53

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

The cut points for what constitute OMI and not OMI as well as confidence levels are calibrated to maximize sensitivity and specificity according to the receiver operating characteristic. The diagonal branches are overlapping one another and not well visualized in this view. Next is RAO cranial shot.

EKG/ECG 66

EKG/ECG Operations Wellness Ultrasounds 66

American Medical Compliance

NOVEMBER 29, 2024

Continuous Glucose Monitoring (CGM) technology is transforming the approach to diabetes care for healthcare providers, including endocrinologists, diabetes educators, and nurses, as well as for the patients they support. However, to maximize its benefits, healthcare providers must be well-versed in the technology.

Outcomes 79

Outcomes Wellness Operations Pediatrics 79

American Medical Compliance

OCTOBER 3, 2024

As dental professionals, it’s crucial to understand and adhere to OSHA dental compliance standards to ensure the well-being of both staff and patients. Dental practices must maintain radiation safety protocols and provide radiation safety training for staff operating radiographic equipment.

PPE 97

PPE Hazardous Materials Documentation/Coding Operations 97

AED Leader

JUNE 25, 2024

Philips is a well-known and trusted brand in the AED market, providing reliable and user-friendly devices. Train Staff in AED Operation and Maintenance Proper training is essential for effectively using and maintaining your Philips AED. Q: How can I ensure my staff is adequately trained in AED operation and maintenance?

Operations 52

Operations Best Practices Documentation/Coding Shock 52

Sensible Medicine

NOVEMBER 15, 2024

No, I do general internal medicine, mostly outpatient primary care, but I do some inpatient general medicine as well.” the orthopedist is not an overly aggressive one, anxious to take you to the operating room when what you need is six weeks of physical therapy. ” “Oh, so you’re like a GP.”

Operations 93

Operations Wellness 93

Ziqitza HealthCare Ltd

MARCH 6, 2024

Let’s delve deeper into the significance of Ziqitza’s operations and how they navigate the complex issues of traffic and population density, ensuring that help arrives when it’s needed the most. Ziqitza Rajasthan uses advanced GPS tracking systems to streamline operations.

Ambulance Services 52

Ambulance Services Telemedicine Operations Wellness 52

EM SIM Cases

SEPTEMBER 19, 2024

WHY IT MATTERS Patients in hemorrhagic shock require blood products expeditiously as well as identification and definitive management of the source of bleeding. Intubation for clinical course and pain management need to be addressed with disposition to the operating room. Boating Trauma Download [link] ECG Source = [link]

Shock 52

Shock Emergency Nursing Operations Administration 52

Don't Forget the Bubbles

JUNE 26, 2023

Whilst waiting for an operation, they need to be managed medically. Too much pulmonary blood flow and we will see well-oxygenated blood ( SpO2 >85% ) but insufficient systemic blood flow (pallor/mottling, cool peripheries, delayed capillary refill time, weak pulses, hypotension, narrow pulse pressure) and hypoxia (lactic acidosis).

Operations 127

Operations Research Hyperthermia / Hypothermia Hospitals 127

The Trauma Pro

MARCH 5, 2024

Here are some tips: Do not rely on the medical record and previous operative note. Applying these concepts will decrease the possibility of error, as well as the likelihood of any iatrogenic harm to these complex patients. How can this be accomplished? Don’t believe it. Ideally, meet face to face with the previous surgeon(s).

Leadership 147

Leadership Operations Hospitals Wellness 147

ALiEM

SEPTEMBER 9, 2024

Past surgical history was significant for laparoscopic ventral hernia repair with mesh and lysis of adhesions (three years ago), as well as prior appendectomy, cholecystectomy, c-section, and right nephrectomy. C); BP 110/56; HR 64; RR 16; SpO2 100% General : No acute distress, well appearing.

Sepsis 60

Sepsis Academics Operations Wellness 60

EMDocs

NOVEMBER 1, 2023

ECG – May show tachycardia or rate related ST depressions Laboratory evaluation: CBC w/ differential – may reveal leukocytosis with left shift CMP, Lipase – can reveal alternative intra-abdominal diagnoses as well as show findings of end-organ hypoperfusion (elevated serum creatinine, transaminitis, etc.)

Operations 67

Operations Radiology Radiology Fluid Resuscitation 67

Taming the SRU

MARCH 11, 2024

It is also important for the emergency physician to ask about previous surgeries on the affected knee, as well as anticoagulation status. She continues to do well post operatively with her rehabilitation program. He works in both the emergency department as well as the sports medicine clinic. An abnormal ABI (<0.9)

Dislocations 107

Dislocations Emergency Department Fractures Operations 107

Ziqitza HealthCare Ltd

MARCH 18, 2024

As the demand for emergency assistance surges during such crises, EMS teams must be well-prepared to manage the influx of patients and navigate complex conditions to reach those in need. These events often result in injuries, illnesses, and displacement, necessitating rapid and effective medical response.

Ambulance Services 52

Ambulance Services Telemedicine EMS Operations 52

The Trauma Pro

AUGUST 18, 2023

Presentation at your transfusion committee is fine, but this data is most suitable for presentation at the trauma operations committee. product ratios are way off) then it should also be discussed at your multidisciplinary trauma PI committee as well. And if significant variances are present (e.g.

Administration 100

Administration Operations Hospitals Wellness 100

American Medical Compliance

SEPTEMBER 23, 2024

Caregiving is an inherently demanding profession, especially within assisted living facilities, where caregivers must balance the dual responsibilities of delivering high-quality care and managing their own emotional and physical well-being. Encourage Self-Care Practices Promote the importance of self-care among caregivers.

Wellness 83

Wellness Operations 83

Stop and Think

SEPTEMBER 22, 2024

I’ve had a busy late summer writing and podcasting—as well as practicing electrophysiology here in beautiful Louisville Kentucky. And procedure times, at least in the hands of US operators, were actually longer than standard thermal ablation. I’ve been stunned about all the new subscribers. Now I have used PFA.

Operations 73

Operations Wellness 73

Pediatric Education

DECEMBER 1, 2024

She was acting normally and breastfeeding well every 2-3 hours. The patient’s clinical course as of 1 month of age, showed that the infant had been passing regular stools without any problems and was growing well. Babies with delayed passage of meconium may be well appearing and have a normal physical examination.

Pediatrics 40

Pediatrics Wellness Sepsis Operations 40

American Medical Compliance

FEBRUARY 17, 2024

Ensuring the safety and well-being of both patients and staff is paramount. By scrutinizing different facets of the work environment, including physical conditions and operational processes, organizations can comprehensively grasp potential risks and proactively address them.

Best Practices 91

Best Practices PPE Infectious Diseases Documentation/Coding 91