The Skeptics' Guide to EM

DECEMBER 18, 2021

Addressing gender inequities: Creation of a multi-institutional consortium of women physicians in academic emergency medicine. Addressing gender inequities: Creation of a multi-institutional consortium of women physicians in academic emergency medicine. Women are less likely to be given senior academic promotions [4].

Academics 40

Academics Leadership Emergency Department Documentation/Coding 40

PulmCCM

JUNE 12, 2023

Read in JAMA In The News Journal editors walk off the job: Forty leading scientists—the entire academic board of the journal NeuroImage —resigned to protest publisher Elsevier’s practice of charging academic authors over $3300 per paper to publish in the prestigious journal.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

Stop and Think

JULY 17, 2024

Reading only the guidelines is not enough, because guideline documents are merely one group’s take of the seminal trials. We enlisted the help of Mohammed Ruzieh, a trainee of Foy, and now an academic cardiologist at the University of Florida.

Wellness 74

Wellness Academics Documentation/Coding 74

RCEM Learning

MAY 20, 2022

Author: Rick Body / Editor: Govind Oliver / Code: / Published: 06/02/2020 In 2017 the National Institute for Health Research (NIHR) published its Training Review. The NIHR Incubator for EC will support academic training within the field of EC, under the governance and direction of the NIHR Academy. What are NIHR Incubators?

Documentation/Coding 52

Documentation/Coding Academics Research Hospitals 52

EMDocs

SEPTEMBER 30, 2024

5 urban academic EDs, attending charts. Among patients with a primary provider documented in the chart, 30-day outpatient follow-up rate was 21.3% (n = 313). Clinical question: In adult patients with asthma discharged from the ED, what are prescription rates for ICS? 4000 visits amount 3000 patients.

Outcomes 106

Outcomes Academics Documentation/Coding Emergency Department 106

PulmCCM

JANUARY 6, 2025

This was despite a higher intensity of care in the visible-alert patients, who had more rapid responses, ICU transfers, code blues, intubations, and initiation of dialysis. This led the authors to speculate that qSOFA parameters were being documented more diligently on the wards randomized to screening.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

PulmCCM

APRIL 29, 2024

ICUs, and a popular research focus for academics, generating a steady stream of papers. And maybe, noticing all the fuss, some clinicians might have started coding for VAP slightly less often in equivocal cases. You don’t hear much about ventilator-associated pneumonia (VAP) anymore. It used to be highly prevalent in U.S.

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

EMDocs

JUNE 9, 2023

We’re defining “protocol” here as a written document that provides oversight from the medical director about how to assess and treat patients. Reassessment and Documentation After any type of restraint is instituted, careful assessment, re-assessment, and documentation is required. Was the documentation complete?

EMS 98

EMS Documentation/Coding Pediatrics Psychiatric 98

ALiEM

JANUARY 26, 2024

Ciprofloxacin has been documented as a cause of IgA vasculitis. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Case Question: What are common triggers for this diagnosis? Dermatol Ther.

Academics 73

Academics Documentation/Coding EMS Hospitals 73

Sensible Medicine

MAY 25, 2023

“The Centers for Medicare and Medicaid Services should make establishing payment codes for products involving women’s heart disease a priority to prompt private insurers to cover new service lines.” The authors continued, “Calcium deposits in breast arteries can indicate a problem.”

Documentation/Coding 72

Documentation/Coding Academics Wellness 72

Taming the SRU

AUGUST 4, 2024

Know your audience, and tailor your presentation to them in terms of humor, pop culture references, and dress code Err on the side of making your presentation slightly shorter than the alloted time to allow room for questions. It is better to finish early than rushing through your presentation

Dislocations 86

Dislocations Emergency Department Documentation/Coding Burns 86

ALiEM

JANUARY 22, 2024

Fever was documented to be 102°F and was not associated with any chills or rigors. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Eschar: a clue to scrub typhus. 2011 Oct 18;183(15):E1152.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

Sensible Medicine

AUGUST 21, 2023

On yesterday’s podcast , I talked with Bobby Yeh, an academic cardiologist who made a compelling case for enhancing credibility of observational research. Please do listen. Bobby is one of the smartest people in cardiology today.

Administration 97

Administration Outcomes Research COPD 97

The Injectable Orange

APRIL 4, 2017

Quite simply, document your intended personal learning objective; identify a high quality resource that addresses this (article, workshop, conference); document a reflection on your achieved personal learning outcome. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine , 21 (10), 1069–1082.

Emergency Department 52

Emergency Department Evidence-Based Practice Academics Documentation/Coding 52

ACEP Now

JUNE 7, 2023

ED leaders worked to develop new physician documentation and coding guidelines that needed to be implemented at the beginning of 2023. Academic Emergency Medicine. Commercial payers aggressively abused the No Surprises Act as a method to delay, downcode, and deny payment for emergency services. Maame Y, et al. 2020;27:600–611.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

ACEP Now

JULY 7, 2024

My current practice is a hybrid of academic and community sites, and I have worked in myriad community hospitals from busy ones to single coverage critical access hospitals. Sometimes there is a risk management staff member on call to support you in navigating challenging outcomes, including your immediate documentation.

Resuscitation 98

Resuscitation Risk Management Critical Access Hospitals 98

SheMD

JULY 27, 2023

Unequal distribution of domestic responsibility has been documented as a factor in the underrepresentation in female physicians in leadership roles in academic medicine as well as contributing to career satisfaction. How does this apply to us?

Academics 52

Academics Leadership Documentation/Coding Research 52

The Skeptics' Guide to EM

NOVEMBER 21, 2020

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. The American College of Emergency Physicians ( ACEP ) has a number of documents discussing APPs in the ED. Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Emergency Department 52

Emergency Department Telemedicine Academics Outcomes 52

RebelEM

JUNE 8, 2023

PMID: 36108346 Clinical Question: What is the efficacy and safety of peripherally administered push dose pressors for the treatment of acute hypotension?

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

ACEP Now

NOVEMBER 7, 2023

3 These regulations have led to widespread practices of EHI, such as test results and clinical documentation, being shared with patients in real time. Training opportunities for documentation best practices should be employed. Code of federal regulations eCFR website. substance use disorder” rather than “drug addict”).

Documentation/Coding 52

Documentation/Coding Best Practices Ethical Issues Academics 52

The Skeptics' Guide to EM

MARCH 31, 2023

You find her at the desk, asleep with her face on the keyboard, patient documentation half finished. AEM March 2023 * Population: A convenience sample of emergency physicians from a single academic emergency department. As she tries to wipe the drool out of the keyboard, you ask how she has been sleeping recently.

Academics 52

Academics Documentation/Coding Emergency Department Outcomes 52

ALiEM

MARCH 11, 2024

There is limited literature documenting eye involvement and pictographic examples of its presentation. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. ” N Engl J Med. Epub 2022 Jul 21.

Academics 56

Academics Documentation/Coding Emergency Department Hospitals 56

Dr. Smith's ECG Blog

AUGUST 26, 2009

Published in Academic Emergency Medicine, vol. Methods : We searched the catheterization laboratory database for all cases coded as acute Inferior STEMI from January 2002 through March 2008. Also, remember the value of lead aVL: see this post. And this one Click here for a great case of developing inferior MI with hyperacute T-waves.

EKG/ECG 52

EKG/ECG Documentation/Coding Research Academics 52

Northwestern EM Blog

MARCH 1, 2025

Document thorough skin assessment every nursing shift, and inspect weight-bearing ventral surfaces. Academic Emergency Medicine. Reattach EKG leads to back. Tilt patient into reverse Trendelenburg. Slight, intermittent lateral repositioning (20-30 degrees) should also be used, changing sides at least every 2 hours. Strayer, R.J.,

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

PEMBlog

MAY 11, 2023

These were used by two independent reviewers to determine Neonatal Facial Coding System with pain scores. Acad Emerg Med, 2017 This was a single-center (one academic Pediatric Emergency Department) randomized double-blind trial of J-Tip versus EMLA – topical anesthetic (TA) cream for pain relief in 66 infant LPs.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 52

Don't Forget the Bubbles

MAY 6, 2024

of patients with follow-up documentation, 70.8% (95% CI 62.9–77.9) The study included academic NICUs, which may reduce the generalisability of the results. Data collected were the worst values documented within the same calendar day as the blood cultures were obtained. Of the 74.9%

Sepsis 75

Sepsis Pediatrics Outcomes Documentation/Coding 75

SheMD

OCTOBER 8, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. And if you worry about reporting a program because of retaliation, document all of it and submit after match or anonymously. Disclaimer: This post was written before the COVID-19 pandemic. This post contains affiliate links.

Leadership 105

Leadership Best Practices Academics Documentation/Coding 105

RebelEM

MARCH 27, 2023

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. J Crit Care.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

Dr. Smith's ECG Blog

SEPTEMBER 10, 2023

Ongoing pain noted throughout all documentation, but after nitro drip and prn morphine, "pain improved to 2/10." Academic Emergency Medicine 27(S1): S220; May 2020. Setting – large, academic, suburban ED. Repeat ECG: New developing Q waves in V2 and V3, further confirming evolving OMI. CT aorta negative for dissection.

EKG/ECG 78

EKG/ECG Outcomes Academics Documentation/Coding 78

SheMD

OCTOBER 5, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. If staying in a hotel- don’t forget to use discount codes the residency program may offer. Disclaimer: This post was written before the COVID-19 pandemic. Driving often costs less, and can even save time when compared to flying.

Research 52

Research Leadership Documentation/Coding Academics 52

ACEP Now

AUGUST 1, 2023

emergency department deserves access to an emergency physician no matter their zip code. There is no substitution for the physician led team. Every patient in a U.S. At no point should a physician role be replaced by a NPP for any reason, but especially as a perceived profit/control strategy.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

When Pendell and I are coding ECGs for the Queen's training, this is one category: "Definite ischemia, difficult to differentiate between posterior OMI and subendocardial ischemia." Academic Emergency Medicine 27(S1): S220; May 2020. In my opinion, I think it looks more like subendocardial ischemia.

EKG/ECG 82

EKG/ECG Shock Documentation/Coding Academics 82

Advanced Emergency Nursing from AENJ

MARCH 14, 2016

But the admitted patient 'without a bed" could not go upstairs to a lower ratio unit (Tele or ICUs) until a bed there was available, so the patient remained at 1:4, unless tying up the Code Room at 1:1. It's common to endow academic chairs or departments.

Emergency Nursing 40

Emergency Nursing Documentation/Coding Academics Pediatrics 40

Dr. Smith's ECG Blog

MARCH 31, 2023

I first became interested in computerized ECG interpretation in the beginning of my academic days in the early 1980s ( References to some of my work appear below — as I believe I may have been the first family physician to publish in this area ). RED arrows in leads V3,V4 highlight T- QRS-D in ECG #2. ( Louis, 1998, pp 374-379.

EKG/ECG 52

EKG/ECG Academics Wellness Documentation/Coding 52

ACEP Now

MARCH 13, 2024

Consequences of this are well documented and include delayed treatment, exposure to error, increased length of stay, and increased mortality. Academic Emergency Medicine 22.2 Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

ACEP Now

JULY 6, 2023

Brian Zink captured a wonderful initial vision statement for our specialty with the title of his book, “Anyone, Anything, Anytime,” which documented the history of our specialty. “A New Spin” is the personal perspective of the author and does not represent an official position of ACEP Now or ACEP. In 2023 we must move beyond that title.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

EMDocs

JUNE 16, 2023

It is also important to recognize that the majority of children seeking ED care are treated at community sites rather than urban, academic institutions. Boarding of Mentally Ill Patients in Emergency Departments: American Psychiatric Association Resource Document. Pediatrics March 2023; 151 (3): e2022057383. 10.1542/peds.2022-057383

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52