American Medical Compliance

MARCH 11, 2024

In a survey , dental providers agree that careful and precise recordkeeping is indispensable, emphasizing the importance of documenting elements such as patient histories, examination results, diagnoses, radiographs, treatment plans, consent forms, and clinic notes. This does not only facilitate comprehensive patient care.

Documentation/Coding 105

Documentation/Coding Best Practices Operations Outcomes 105

The Trauma Pro

MAY 26, 2023

We developed our first iteration of a solid organ injury practice guideline at Regions Hospital way back in 2002. It was borne out of the enormous degree of clinical variability I saw among my partners. We based it on what little was publicly available, including an EAST practice guideline.

Blood Transfusions 130

Blood Transfusions Operations Pediatrics Hospitals 130

The Trauma Pro

FEBRUARY 23, 2024

The American Pediatric Surgical Association (APSA) published a practice guideline way back in 2000 that outlined a consistent way to care for children with solid organ injuries. The trauma group at Vanderbilt modified the APSA guidelines and, more recently, made additional changes based on a new algorithm released by the organization.

Pediatrics 259

Pediatrics Hospitals Resuscitation 259

The Trauma Pro

DECEMBER 22, 2023

The author questions the justification of this practice and posits that there are risks to extrapolating information based on radiographs with markers placed by the trauma team. It has been a common practice among trauma surgeons for many, many decades. Which essentially makes it dogma. Bottom line: Here are my thoughts.

Operations 264

Operations Outcomes 264

The Skeptics' Guide to EM

DECEMBER 2, 2023

Identifying children likely to benefit from antibiotics for acute sinusitis: a randomized clinical trial. JAMA July 2023 Date: October 17, 2023 Guest Skeptic: Dr. Alasdair Munro is a clinical research fellow specializing in pediatric infectious disease at the University of Southampton. The symptoms often overlap.

Pediatrics 132

Pediatrics Infectious Diseases Emergency Department Research 132

RCEM Learning

APRIL 9, 2024

The MRCEM OSCE is the third exam required for Membership of the Royal College of Emergency Medicine and assesses the clinical and communication skills of trainees and ensures that they are those of someone ready for higher training. Develop Clinical Skills: Practice and refine your clinical skills.

Emergency Department 52

Emergency Department Outcomes Wellness 52

PulmCCM

FEBRUARY 5, 2024

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. There is no prospective data to suggest this practice is beneficial.

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

The Trauma Pro

SEPTEMBER 14, 2023

” This guideline was implemented in 2018-2019, and patients presenting before implementation were compared to those arriving after. Was this borne of clinical judgment, or did some previous work suggest it? But the reality is that most of these patients do go on to chest CT, so this is a minor change in practice for most.

Resuscitation 162

Resuscitation Hospitals Wellness 162

RCEM Learning

APRIL 9, 2024

The FRCEM OSCE exam assesses the complex and challenging situations that are faced in Emergency Medicine practice. Pay close attention to the clinical skills, emergency procedures, communication skills, and professional behaviours that are part of the exam. Develop Clinical Skills: Practice and refine your clinical skills.

Research 40

Research Outcomes Wellness 40

EMDocs

NOVEMBER 7, 2023

 Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br  Randomized clinical trial of observational versus antibiotic treatment for a first episode of CT-proven uncomplicated acute diverticulitis. Br perforation).  Br J Surg. 2012 Apr;99(4):532-9. Open label, multicenter, RCT.  Br J Surg.

Sepsis 86

Sepsis Best Practices Hospitals Outcomes 86

American Medical Compliance

MAY 13, 2024

The following Effective Chaperoning in Clinical Settings Training is designed to educate healthcare providers (HCP) on the role of a chaperone in clinical settings. Chaperoning is an essential practice in healthcare, aimed at safeguarding the dignity, privacy, and comfort of patients during clinical examinations and procedures.

Best Practices 52

Best Practices Documentation/Coding Outcomes 52

American Medical Compliance

APRIL 17, 2024

Furthermore, the Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit (ICU PAD Guidelines) were updated in 2013 by the American College of Critical Care Medicine, in association with the Society of Critical Care Medicine and the American Society of Health-System Pharmacists.

Evidence-Based Practice 52

Evidence-Based Practice Outcomes Research 52

RCEM Learning

APRIL 9, 2024

Ensure that you have a solid understanding of the core subjects, including emergency medicine, clinical skills, critical care, resuscitation, and trauma management. These may include textbooks, online courses, question banks, and practice papers. Practice SBA Questions: SBA questions require concise and accurate answers.

Infectious Diseases 52

Infectious Diseases Airway Management Dislocations Resuscitation 52

Don't Forget the Bubbles

MAY 8, 2024

to 5.4% —the intervention did not really affect CXR ordering practices when adjusting for various factors. The persistence of high CXR rates underscores ongoing challenges in changing clinical behaviours and emphasizes the need for continued education on appropriate diagnostic practices in bronchiolitis. Eur J Pediatr.

Pediatrics 69

Pediatrics Emergency Department Outcomes Research 69

PulmCCM

JULY 31, 2023

New Practice Guidelines for Diagnosis and Management of Acute Respiratory Distress Syndrome As mentioned here previously , a group of U.S. There’s rarely anything surprising in these guideline updates, and that’s to be expected. Clinical practice naturally runs out ahead of the slow, consensus-seeking review process.

Shock 98

Shock Documentation/Coding Outcomes Wellness 98

ACEP Now

NOVEMBER 7, 2023

Dr. Bleier raised concerns that the Independent Dispute Resolution process has been virtually inaccessible for smaller practices and called out cases where physician groups were subjected to significant reimbursement cuts. He practices clinically at Grady Memorial Hospital in Atlanta. Learn more at openbook.acep.org.

Leadership 98

Leadership Administration Research Risk Management 98

Don't Forget the Bubbles

JANUARY 10, 2024

However, there is a huge variation in transfusion practice globally. This can be partly explained by uncertainty regarding the clinical benefit of blood transfusions in critically unwell children. A definitive trial was needed to help establish the best transfusion practices to prevent child mortality in LMICs. N Engl J Med.

Blood Transfusions 78

Blood Transfusions Outcomes Research Hospitals 78

EMDocs

DECEMBER 31, 2023

Without further ado, here is our list of top posts from 2023 based on viewership from you, the readers: Neurogenic Shock: Definition, Identification, and Management in the ED We start off the list with a clinical post from Kira Brayan and Jenny Beck-Esmay on diagnosing and managing neurogenic shock! Stay tuned for 2024!

Poisoning 72

Poisoning Shock EMS Hospitals 72

ACEP Now

OCTOBER 3, 2023

In April 2023, the third edition of the Brain Trauma Foundation’s evidence-based guidelines for the prehospital management of traumatic brain injury (TBI) was published in Prehospital Emergency Care. 1 The practice guidelines were written by a multi-disciplinary group of experts and went through an extensive peer review process.

Documentation/Coding 98

Documentation/Coding Fluid Resuscitation Resuscitation Pediatrics 98

Mind The Bleep

MARCH 15, 2023

Many FY2 doctors spend time in General Practice as part of the Foundation Programme. If you are a GP ST1 or ST2 preparing to start a General Practice placement, much of the following will also apply to you. Different GP practices use different software – examples include EMIS Web and SystmOne.

Administration 52

Administration Hospitals 52

Emergency Medicine Journal

FEBRUARY 20, 2024

4 The Aortic Dissection Detection Risk Score 5 and the Canadian Clinical Practice Guideline 4 are clinical decision tools available to aid progression to the definitive investigation, CT angiography of the aorta.

Hospitals 40

Hospitals 40

EMDocs

OCTOBER 28, 2023

Spoon Feed Don’t hang your hat on lactate clearance to assess therapeutic response to resuscitation in sepsis; there are too many confounders, and initial clearance does not necessarily project clinical course. Source Initial Lactate Clearance Is Confounded Highly by Comorbidities and Poorly Predicts Subsequent Lactate Trajectory. 123.064521.

Emergency Department 65

Emergency Department Pediatrics Sepsis Resuscitation 65

Pediatric EM Morsels

JULY 28, 2023

Kendra Jackson and Rebecca Raffler While we’ve gotten to snack on a Morsel on this subject before , new guidelines and research surrounding DKA and cerebral edema have come to light since the first go ‘round! Cerebral edema is a clinical diagnosis – do NOT delay treatment of cerebral edema for imaging! Authors: Drs. Pediatr Diabetes.

Fluid Resuscitation 212

Fluid Resuscitation Pediatrics Resuscitation Research 212

ACEP Now

JUNE 8, 2023

Although the treatment of community acquired pneumonia (CAP) is bread-and-butter emergency medicine, several guidelines and landmark studies have called for fairly big changes in clinical practice. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America.

Infectious Diseases 59

Infectious Diseases Administration Hospitals Shock 59

EB Medicine

JANUARY 3, 2023

Announcements: 1) The interactive Clinical Pathways have launched and they are available for free! 2) 2023 E/M coding guidelines are in effect. 2) 2023 E/M coding guidelines are in effect.

Shock 52

Shock Pediatrics Airway Management Sepsis 52

PEMBlog

SEPTEMBER 20, 2023

Special thanks to Dr. Stephen Freedman, from the University of Calgary, for reviewing this post as well – he brought some practical feedback to the table. The diagnosis of constipation should be made based on a good history and clinical exam. Use of abdominal radiographs has been associated with increased diagnostic errors.

Pediatrics 123

Pediatrics Emergency Department Hospitals Ultrasounds 123

Don't Forget the Bubbles

JUNE 14, 2023

Clinical manifestations of Lyme neuroborreliosis in children: a review. Clinical practice – latest insights in optimizing the care of children with Down syndrome. Original clinical studies Medical cannabis in schools: The experiences of caregivers. Pediatr Nephrol. 2023 May;38(5):1411-1425. Bruinsma RA, et al.

Pediatrics 119

Pediatrics Point-of-Care Testing Outcomes Hospitals 119

Taming the SRU

SEPTEMBER 8, 2023

Electronic address: easloffice@easloffice.eu; Clinical practice guidelines panel; Wendon, J; Panel members; Cordoba J, Dhawan A, Larsen FS, Manns M, Samuel D, Simpson KJ, Yaron I; EASL Governing Board representative; Bernardi M. EASL Clinical Practical Guidelines on the management of acute (fulminant) liver failure.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

ACEP Now

JUNE 1, 2023

Advances in artificial intelligence (AI) and the development of LLMs, could assist emergency physicians in their daily practice and research endeavors. However, the implementation of these models also comes with potential risks and downsides.

Best Practices 52

Best Practices Research Documentation/Coding Administration 52

RebelEM

JANUARY 22, 2024

Rosen’s Emergency Medicine: Concepts and Clinical Practice. Antithrombotic therapy for VTE disease: second update of the CHEST guideline and expert panel report. High Intermediate Low Very high Very low FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References Kabrhel C. Pulmonary embolism and deep vein thrombosis.

EMS 57

EMS EKG/ECG 57

Taming the SRU

FEBRUARY 5, 2024

(And if concerned for bacterial meningitis, give antibiotics before the CT) There are a variety of guidelines regarding which patients require a CT prior to an LP. Dr. Broadstock is a Clinical Instructor and Ultrasound Fellow in Emergency Medicine at the University of Cincinnati and an Assistant Editor of TamingtheSRU. REFERENCES 1.

Infectious Diseases 86

Infectious Diseases Seizures Ultrasounds Sepsis 86

American Medical Compliance

APRIL 25, 2024

The following MRI Level 2 Training is designed to educate healthcare professionals with Level 2 clearance on proper safety guidelines when using MRIs. For radiologic technicians or healthcare professionals, our Level 2 Training will greatly enhance your expertise in MRI practices.

Radiology 52

Radiology Radiology Operations Research 52

PEMBlog

AUGUST 30, 2023

As many as 40% of these children will receive a chest x-ray (CXR) during their ED visit despite clinical guidelines advising most of these tests are low value. Understanding root causes of CXR use in the ED clinical setting is key to mitigating overuse of this test.

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 52

Broome Docs

DECEMBER 9, 2023

Early and Empirical High-Dose Cryoprecipitate for Hemorrhage After Traumatic Injury: The CRYOSTAT-2 Randomized Clinical Trial. The full guidelines are available in multiple locations online.) 2023 Oct 12. doi: 10.1001/jama.2023.21019. 2023.21019. PMID: 37824155 JUSTIN’s Full write up here. Emerg Med Australas.

Infectious Diseases 120

Infectious Diseases Emergency Department Stroke Pediatrics 120

Don't Forget the Bubbles

NOVEMBER 27, 2023

In practice, this starts to happen with HR over 200 in infants and 180 in older children. Unfortunately, this cannot really be measured in practice, as it’s the preload on the left side that would be needed. The Surviving Sepsis Campaign International Guidelines recommend either adrenaline or noradrenaline as the first-line inotrope.

Shock 143

Shock Sepsis Fluid Resuscitation Resuscitation 143

PulmCCM

FEBRUARY 12, 2024

SCCM Guideline Update: Steroids for Community-Acquired Pneumonia, ARDS, Septic Shock Steroids are good medicine in the ICU, U.S. The new evidence prompted all three societies to issue new guideline updates. The professional societies are going solo on recent guideline updates, especially for ARDS.

Shock 52

Shock Administration Sepsis Fractures 52

EMDocs

JULY 3, 2023

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance.

Seizures 83

Seizures Stroke Outcomes EMS 83