Pediatric EM Morsels

OCTOBER 27, 2023

He, along with Dr. Bob Luten, a PEM physician in Jacksonville, FL , designed the Broselow-Luten color-coded length-based system to help estimate a child’s weight, and thereby offload the cognitive burden of medication dosing and choice of equipment sizes in pediatric resuscitations. .” Academic Emergency Medicine, 14: 500-501.

Pediatrics 243

Pediatrics Resuscitation Documentation/Coding Wellness 243

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

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.

Documentation/Coding 64

Documentation/Coding Academics Emergency Department Hospitals 64

Sensible Medicine

FEBRUARY 6, 2024

First, their qualifications are spectacular: academic accolades, research, publications, clinical medicine experiences prior to residency, even real-life professional experiences. Two things are clear about the internal medicine residents I get to work with. Require applicants to do tasks that predict whether they will succeed.

Military 114

Military Free Clinics Documentation/Coding Academics 114

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

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

MAY 11, 2019

His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. 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

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

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.

Documentation/Coding 56

Documentation/Coding Academics Emergency Department Hospitals 56

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 62

Documentation/Coding Academics Wellness 62

Medagadget

JUNE 12, 2023

Scott Jung, Medgadget: Can you share a little bit about your background and how you ended up writing about the body’s electric code? I began to read academic papers I had never heard of, about electrical signalling in development and wound healing – not in niche publications but places like Nature.

Research 79

Research Academics Documentation/Coding Poisoning 79

The Skeptics' Guide to EM

JANUARY 28, 2023

Academic Emergency Medicine published a special contribution in December 2022 exploring the implications of this for providers of emergency healthcare. You said something specifically about documentation as well? * I interpreted that to mean, at times, men should talk less and listen more. This is one of those times.

Research 52

Research Documentation/Coding Academics Wellness 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

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 Outcomes Pediatrics Documentation/Coding 75

ACEP Now

MAY 10, 2024

This may impact the external validity of the results to attending physicians in a non-academic, community, or rural settings. 2014 ESC guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. Prevalence: The prevalence of 3.5

Ultrasounds 52

Ultrasounds Outcomes Documentation/Coding Academics 52

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 88

Administration Outcomes Research COPD 88

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 Documentation/Coding Academics 52

Northwestern EM Blog

SEPTEMBER 26, 2022

It is well-documented that ED physicians have historically high rates of burnout compared to other specialties as well as a high incidence of post-traumatic stress disorder (PTSD) compared to the general population. STOP5: a hot debrief model for resuscitation cases in the emergency department.

Resuscitation 52

Resuscitation Emergency Department Academics Wellness 52

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

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

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 73

EKG/ECG Outcomes Academics Documentation/Coding 73

PulmCCM

OCTOBER 30, 2023

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. It used to be highly prevalent in U.S. Then, in 2009, the condition disappeared completely. Just kidding! In 2008, the U.S.

Sepsis 52

Sepsis Shock Hospitals Outcomes 52

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

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

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 78

EKG/ECG Shock Documentation/Coding Academics 78

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Triage documented a complaint of left shoulder pain. Academic Emergency Medicine 27(S1): S220; May 2020. 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."

EKG/ECG 113

EKG/ECG Outcomes Documentation/Coding Academics 113

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

Definitive diagnosis that ECG #1 is in fact VT is more than academic. As I discussed and documented in Lesson 1 of My Comment at the bottom of the page in the April 2, 2022 post of Dr. Smith's ECG Blog — certain patients may remain in sustained VT not only for hours — but even for days!

EKG/ECG 127

EKG/ECG Shock Documentation/Coding Academics 127

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 11, 2022

Code STEMI was activated. From an academic standpoint — I found several subtle ECG findings from the 2 tracings in this case to be especially interesting. This one of the highest risk OMI patterns possible to see on an ECG. This pattern is essentially always accompanied by cardiogenic shock and high rates of VT/VF arrest, etc.

EKG/ECG 52

EKG/ECG Shock EMS Documentation/Coding 52

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 14, 2024

We also studied 7 years of Code STEMI patients requiring emergent reperfusion, and found that 4% presented with an ECG labeled ‘normal’, often confirmed by the final blinded interpretation. This was just published in print in this month's Academic Emergency Medicine: McLaren, Meyers, Smith and Chartier.

EKG/ECG 96

EKG/ECG Documentation/Coding Patient Safety Outcomes 96

Dr. Smith's ECG Blog

JUNE 23, 2023

The amiodarone was discontinued and the patient did well. == MY Comment , by K EN G RAUER, MD ( 6/23 /2023 ): == From an academic standpoint — I love WCT ( W ide- C omplex T achycardia ) rhythms. This likelihood of VT increases to at least 90% if the patient has documented underlying heart disease.

EKG/ECG 52

EKG/ECG Documentation/Coding Academics Wellness 52

Sensible Medicine

FEBRUARY 16, 2024

Bill had coded and died overnight. A nurse had a needlestick during the code. ” David Rind is an academic primary care physician at Beth Israel Deaconess Medical Center and Chief Medical Officer of the Institute for Clinical and Economic Review.

Documentation/Coding 119

Documentation/Coding Academics Shock Research 119

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

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 75

EMS Documentation/Coding Pediatrics Emergency Department 75

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

Documentation/Coding 59

Documentation/Coding Seizures Wellness Psychiatric 59

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 Outcomes 52