Ziqitza HealthCare Ltd

JULY 14, 2023

In India, In the six years from 2016 to 2021, nearly 22.8 Of these, about 7 lahks, or 30 per cent, were reported under Section 498A of the Indian Penal Code (IPC), the report says. India with the image of diverse cultures and innumerable value lessons, we also recognize as the poorest system for women’s safety and rights.

Domestic Violence 52

Domestic Violence Documentation/Coding Operations Ambulance Services 52

RebelEM

MAY 15, 2024

Epub 2016 Dec 29. Coding for Mucositis. Default to using whichever score your oncologist is more comfortable with. Application of the MASCC and CISNE Risk-Stratification Scores to Identify Low-Risk Febrile Neutropenic Patients in the Emergency Department. Ann Emerg Med. 2017 Jun;69(6):755-764. doi: 10.1016/j.annemergmed.2016.11.007.

Infectious Diseases 78

Infectious Diseases Administration Sepsis Anaphylaxis 78

The Skeptics' Guide to EM

MAY 11, 2019

Case: An 18-year-old woman presents with a Grade 1 appendicitis (Tominaga et al J Trauma Acute Care Surg 2016). Background: The first documented appendectomy was done by Claudius Amyand in 1735. His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation.

Documentation/Coding 52

Documentation/Coding Operations Academics Ultrasounds 52

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records. Accessed 07/30/2016. Accessed 07/30/2016. Accessed 07/30/2016. Based upon California Health and Safety Code 102850 and Government Code 27491.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Pediatric EM Morsels

OCTOBER 6, 2023

Mogsale 2016, Shah 2021)Stool cultures are only positive in 30% of cases if collected in 2 nd -3 rd week of illness which makes them a poor choice for definitive diagnosis. Obasi 2020) Hepatic and splenic abscesses have been documented in children, and splenic rupture is particularly associated with cases of MDR typhoid fever.

Pediatrics 161

Pediatrics CDC Seizures Infectious Diseases 161

Total Medical ComplianceHIPAA

NOVEMBER 7, 2022

In its 2016-2017 HIPAA Audits Industry Report, the Office for Civil Rights (OCR) provided a few examples of what a prominent location on a website might be: Through a drop-down menu on the home page. The OCR’s report made it clear that the NPP and general privacy documents should not be combined.

Documentation/Coding 93

Documentation/Coding Wellness 93

ACEP Now

OCTOBER 26, 2023

In this case, reasonable would mean that the person requesting PHI confirms that they are the patient’s clinician and that any transmitted documents will have secure receipt, e.g., to the department’s fax machine at the clerk’s desk, away from any general access. Published January 2016. HHS website. Accessed October 9, 2023.

Infectious Diseases 52

Infectious Diseases Hospitals Documentation/Coding Administration 52

Don't Forget the Bubbles

JANUARY 22, 2024

The campaign started in the United States in 2012, in Canada two years later, and in the United Kingdom in 2016. Choosing Wisely UK was launched in 2016 by the Academy of Medical Royal Colleges to identify tests, treatments, and procedures of questionable value. 2016 ;50(13):826-8. Br J Sports Med. Regan W, Hothi D, Jones K.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

The Skeptics' Guide to EM

MAY 2, 2020

The crew then asks if you want them to transport your father Code 3 with full lights and sirens. July 2019 * Population: All dispatches of a transport-capable ground EMS vehicle to a 911 emergency scene from the 2016 National EMS Information System, both the response to the scene and the transport from the scene.

Documentation/Coding 40

Documentation/Coding EMS EKG/ECG Outcomes 40

Don't Forget the Bubbles

MAY 10, 2023

Then you hear the words coming out of the speaker, “ Paediatric code black. Paediatric code black ”. You’ve heard the phrase code black before – it’s a traumatic cardiac arrest. You know a paediatric code black means paediatric traumatic cardiac arrest. 2016; 24(135): 1-10.DOI: You actually run down the corridor.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

PEMBlog

JUNE 14, 2023

Boarding of Mentally Ill Patients in Emergency Departments: American Psychiatric Association Resource Document. Children’s Mental Health Emergency Department Visits: 2007-2016. Pediatrics March 2023; 151 (3): e2022057383. 10.1542/peds.2022-057383 2022-057383 Nordstrom K, Berlin JS, Nash SS, Shah SB, Schmelzer NA, Worley LLM.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

RebelEM

NOVEMBER 30, 2023

Studies without IRB approval Studies older than 2016 Intervention: Administration of <30 mL/kg IV crystalloid fluids within three hours of sepsis identification. Limitations: The investigators excluded studies published before 2016, non-English studies, and non-published studies, potentially missing valuable data.

Sepsis 109

Sepsis Fluid Resuscitation Resuscitation Administration 109

The Skeptics' Guide to EM

OCTOBER 1, 2022

It is not well documented, whether gaps in pain assessment and treatment exist in conditions in which opioids are not indicated, such as migraine headaches. Some groups of patients who are at greater risk than others ( elderly , women , mentally ill , certain ethnic groups, and insurance status ). Brown et al , Selbst and Clark ).

Pediatrics 52

Pediatrics Emergency Department Documentation/Coding Research 52

The Skeptics' Guide to EM

JULY 30, 2022

Somewhat surprisingly, we’ve never covered SBO on the SGEM, although Ped EM Superhero, Dr Anthony Crocco shared his views on the (lack of) utility of abdominal X-rays in paediatric constipation back in 2016 ( SGEM Xtra: RANThony#4 ).

Ultrasounds 52

Ultrasounds Operations Outcomes Documentation/Coding 52

Dr. No

JANUARY 27, 2022

This matters, because of the way ONS codes the underlying cause of death when covid–19 appears in Part I of the MCCD, or Medical Certificate of Cause of Death. To understand what is going on here, we need to return again to how ONS codes causes of death.

Documentation/Coding 52

Documentation/Coding Infectious Diseases Wellness 52

Taming the SRU

FEBRUARY 5, 2024

1) However, it wasn’t until the 1890s that purposeful, successful, and safe attempts to access this fluid were documented (2). C., & ESCMID Study Group for Infections of the Brain (ESGIB) (2016). Glennie, L., Gaillemin, O., Wyncoll, D., Kaczmarski, E., Thwaites, G., Davies, N. C., & Solomon, T. Mourvillier, B., Ostergaard, C.,

Infectious Diseases 86

Infectious Diseases Seizures Ultrasounds Sepsis 86

Ken Grauer, MD

JULY 29, 2023

The "good news" — is that we clearly see sinus P waves in ECG #1 , that document conversion to sinus rhythm ( ie, upright P waves in lead II that precede each QRS complex with a constant and normal PR interval ). (NOTE: The filter setting used a 150 Hz high-frequency cutoff. ) When I first saw this ECG — I had more questions than answers.

EKG/ECG 369

EKG/ECG Resuscitation Documentation/Coding Hospitals 369

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). Epub 2016 Jun 9. 2016 Feb;33(2):152-4. J Intensive Care Med. 2018 Mar;33(3):176-181. 2011;15(3):R145.

Emergency Department 93

Emergency Department Resuscitation COPD Shock 93

Dr. Smith's ECG Blog

JUNE 8, 2023

As they documented, “Paramedics noted patient’s 12 Lead appeared to have 1mm of elevation in III and borderline 1mm elevation in aVF, with mild depression in I and aVL. Cardiology documented “late presentation STEMI but likely aborted given resolution of ST changes from EMS to hospital.” Int J Cardiol 2016 3. Busk et al.

EKG/ECG 58

EKG/ECG Documentation/Coding EMS Emergency Department 58

Don't Forget the Bubbles

FEBRUARY 26, 2024

2016 Sep 1;20:24-31. uk/document-library/clinical-information/asthma/btssign-asthma-guideline-2019. Cochrane Database of Systematic Reviews. Mayordomo‐Colunga J, Medina A, Rey C, Concha A, Menéndez S, Arcos ML, Vivanco‐Allende A. Non‐invasive ventilation in pediatric status asthmaticus: a prospective observational study. Scotland HI.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

The Skeptics' Guide to EM

DECEMBER 26, 2020

Alcohol was the single greatest risk factor for ill health worldwide among people aged 15–49 years according to the 2016 Global Burden of Disease Study (3). This works out to an estimated 3 million deaths due to alcohol (2). There are more hospital admissions in Canada for alcohol-attributable conditions than for myocardial infarction (4).

Emergency Department 52

Emergency Department Administration Documentation/Coding EMS 52

RebelEM

MARCH 9, 2023

Barr 2016 , Trevejo-Nunez 2015) Patients are at high risk of bleeding from the GI tract due to clotting factor impairment or devastating hemorrhage from esophageal varices in the setting of portal hypertension. As always, document clinical sobriety before discharge. 2016 Feb 4;65:242-51. Osteopathic Family Physician.

Psychiatric 52

Psychiatric Emergency Department Documentation/Coding Fractures 52

Emergency Medicine Ireland

OCTOBER 28, 2020

This has relevance to the ICU population in 2 major ares * Sepsis. * EF does not correlate with particularly well with mortality in sepsis though diastolic dysfunction does * It may be due to under filling and the reduced diastolic filling due to the ubiquitous tachycardia in sepsis.

Sepsis 40

Sepsis Documentation/Coding Ultrasounds Wellness 40

The Injectable Orange

JUNE 20, 2017

This is met with resistance, “we’re too busy theirs not enough staff or time”, “the staff have done mock codes before, they really disrupt things and they hated them”. 2016 Mar;18(2):136-42. Debrief2Learn Sept 2016. link] Brazil, Spurr and Eppich, Simulcast Episode 2, August 2016 – Eppich Debriefing [link] Cheng, A.,

Head Injuries 52

Head Injuries Wellness Documentation/Coding Resuscitation 52

Mind The Bleep

NOVEMBER 21, 2023

It is important to be accurate when assessing and documenting wounds as it can have medico-legal implications, should your assessment later come up in a court case. Wounds are a very common presentation to A&E and minor injuries departments. Wound management is very clinician dependent and there is a lot of variation in practice.

Fractures 40

Fractures Burns Hospitals Documentation/Coding 40

The Skeptics' Guide to EM

FEBRUARY 23, 2019

The Surviving Sepsis Campaign makes a number of recommendations in their 2016 guideline. JAMA 2018 * Population: Patients with sepsis identified using the international Statistical Classification of Disease and Related Health Problems, Tenth Revision (ICD-10CA) coding that was modified to be consisten.

Sepsis 52

Sepsis Administration Documentation/Coding Hospitals 52

RebelEM

JUNE 8, 2023

2016; PMID: 27720568 Guest Post By: Courney Knieriem, MD PGY-1, Emergency Medicine Resident RWJBH Community Medical Center, Toms River, NJ Courtneyknieriem.md@rutgers.edu 2015;10(3):e0119331. PMID: 25789927 Schwartz MB, et al. The impact of push-dose phenylephrine use on subsequent preload expansion in the ED setting. Am J Emerg Med.

Administration 92

Administration Emergency Department Outcomes Documentation/Coding 92

ACEP Now

DECEMBER 11, 2023

The second trial, published in 2016, was a placebo-controlled dose-ranging trial, with immediate-release phenylephrine doses ranging from 10 to 40mg. NDAC briefing document: oral phenylephrine in the CCABA monograph. 2 With a primary outcome of “daily reflective nasal congestion score,” there was no difference in the primary outcome.

Administration 64

Administration Outcomes Research Documentation/Coding 64

PHEM Cast

JANUARY 5, 2016

This is the Step 1,2,3 tool described: For more information on the toxidromes associated with various chemicals, biological agents and radiation sources have a look at this document (admittedly it’s a few years old but the content is still good, especially the flow chart which is pasted below): [link] What is an anti-muscarinic chemical?

Mass Casualty Incidents 52

Mass Casualty Incidents Documentation/Coding 52

Downeast Emergency Medicine

OCTOBER 21, 2021

Applications were coded as “consistent” with Federation of State Medical Boards (FSBM) if they inquired only about current impairment from a mental health condition or did not ask about mental health conditions. All other applications were coded as “not consistent.”

Documentation/Coding 52

Documentation/Coding Emergency Department Shock Research 52

EMDocs

AUGUST 8, 2023

2016 validation study 0 points for low risk, 1-5 for intermediate risk and 6-7 for high risk. Document consideration of torsion in males with abdominal pain. 2022 meta-analysis 0-2 as low risk and ≥5 or higher as high risk = AUC of 0.924. 0 as low risk, 1-5 points as intermediate risk and ≥6 points as high risk = 99.5%

Ultrasounds 67

Ultrasounds Outcomes Documentation/Coding Emergency Department 67

Mind The Bleep

FEBRUARY 29, 2024

It is worth looking through previous documentation to see whether the patient’s team or senior intensivists have set any individual cardiovascular targets. 2016) Oxford Handbook of Anaesthesia. C Assessment BP and MAP Invasive reading (via an arterial line) or non-invasive (via a BP cuff)? Resources and References Singer, M.

Documentation/Coding 52

Documentation/Coding Hospitals Wellness Best Practices 52

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Triage documented a complaint of left shoulder pain. The neighbor recorded a systolic blood pressure again above 200 mm Hg and advised her to come to the ED to address her symptoms. The patient presented to triage at around 10 PM. The patient said, "I just don't feel good." Circulation , 130 (25). link] Bischof, J. Worrall, C., Thompson, P.,

EKG/ECG 110

EKG/ECG Outcomes Documentation/Coding Academics 110

Don't Forget the Bubbles

JULY 26, 2023

Stredder et al, Archives of Disease in Childhood 2016 we see that 58% were not asked about triggers, 30% were not asked about duration and, importantly for risk stratification, 59% were not asked for a family history of cardiac disease. The presence of these pathways is documented inutero and they usually regress by around 20 weeks gestation.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

ACEP Now

MARCH 14, 2024

McGraw Hill; 2016. Documentation with coronary arteriography within 12 1/2 hours of the onset of symptoms in two cases (three episodes). Treasure Island (FL): StatPearls Publishing; 2023 Jan– PMID: 28846317. Tintinalli JE, Stapczynski J, Ma O, et al. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e. Electrical injuries.

Burns 52

Burns Fluid Resuscitation EKG/ECG Operations 52

PHEM Cast

APRIL 21, 2021

Guidance documents College of Paramedics Statement on Intubation, available here. Cochrane Database of Systematic Reviews 2016, Issue 11. AAGBI Safer Prehospital Anaesthesia 2017, available here. Tracheal intubation. Anaesthesia & Intensive Care Medicine. 20(12);681-686. DOI:10.1002/14651858.CD011136.pub2.

Airway Management 52

Airway Management Resuscitation Hospitals EMS 52

RebelEM

JANUARY 29, 2024

Thrombolysis Compared with Heparin for the Initial Treatment of Pulmonary Embolism: A Meta-Analysis of the Randomized Controlled Trials. PMID: 15262836 Sharifi M et al. Pulseless Electrical Activity in Pulmonary Embolism Treated with Thrombolysis (from the “PEAPETT” Study). PMID: 27422214 Wang C et al.

Outcomes 121

Outcomes Stroke Hospitals Administration 121