Emergency Live

DECEMBER 21, 2023

The Importance of Color Codes in Hospital Emergency Situations and on Rescue Vehicles Color Codes in Hospital Emergencies In hospital settings, color codes are used to communicate specific emergency situations quickly and effectively.

Documentation/Coding 89

Documentation/Coding Hospitals 89

Don't Forget the Bubbles

MARCH 19, 2024

This has coincided with a widespread shortage of specialist placements for children facing behavioural, psychiatric, and child protection challenges, leading to an over-reliance on the placement of these children in hospitals. A paediatric social admission is one where a child is admitted to the hospital but not for a medical reason.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

The Trauma Pro

MAY 3, 2024

They separated all patients with acetabular and pelvic ring fractures using ICD-10 codes. Various hospital outcomes were tabulated, including hospital charges, mortality, and discharge location. They further narrowed their dataset to patients with angioembolization (AE) or peri-pelvic packing (PPP) as their primary procedure.

Fractures 147

Fractures Documentation/Coding Radiology Radiology 147

PDC Healthcare

AUGUST 17, 2023

Key Takeaways from a Recent Pharmacy Survey PDC surveyed 6,400 Hospital Pharmacy Managers and Directors to get feedback on their priorities and challenges. Below we explore the results and key takeaways of the PDC survey, along with some helpful tips for pharmacy professionals.

Hospitals 74

Hospitals Patient Safety Documentation/Coding 74

The Trauma Pro

AUGUST 15, 2023

MTP logistics include details such as who will be delivering the blood, what actually goes in each cooler, what ratios should be used, limitations imposed by the use of frozen plasma, and documentation. One of the most creative solutions I’ve seen is the use of a hospital security officer. Think about it.

Documentation/Coding 130

Documentation/Coding Best Practices Resuscitation Administration 130

PDC Healthcare

APRIL 2, 2024

Every year the ISBT 128 publishes labeling standards for essential items that hospital lab professionals use, including blood bags. The ISBT 128 is the “global standard for the terminology, identification, coding and labeling of medical products of human origin (including blood, cell, tissue, milk, and organ products).

Documentation/Coding 67

Documentation/Coding Hospitals Patient Safety 67

PulmCCM

APRIL 29, 2024

government proposed adding VAP to its “hospital-acquired conditions” list—the ones that it won’t pay for. Hospital administrators put VAP on the kill list. And maybe, noticing all the fuss, some clinicians might have started coding for VAP slightly less often in equivocal cases. In 2008, the U.S.

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

PDC Healthcare

APRIL 2, 2024

Every year the ISBT 128 publishes labeling standards for essential items that hospital lab professionals use, including blood bags. The ISBT 128 is the “global standard for the terminology, identification, coding and labeling of medical products of human origin (including blood, cell, tissue, milk, and organ products).

Documentation/Coding 52

Documentation/Coding Hospitals Patient Safety 52

Emergency Medicine Journal

MAY 23, 2023

Background Whether and how bystander cardiopulmonary resuscitation (CPR) modifies the cardiac rhythm after out-of-hospital cardiac arrest (OHCA) over time remains unclear. The first documented cardiac rhythm was compared between patients who received bystander CPR and those who did not, using a 1:2 propensity score-matched analysis.

Resuscitation 40

Resuscitation CPR Hospitals Documentation/Coding 40

The Skeptics' Guide to EM

FEBRUARY 3, 2023

Temperature Control After In-Hospital Cardiac Arrest: A Randomized Clinical Trial. September 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: You are working an overnight shift at a small rural hospital. Circulation. Circulation.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Hospitals Outcomes Documentation/Coding 52

PDC Healthcare

MAY 1, 2023

But in mass-casualty incidents and large-scale hazards, chaotic scenes […] The post PDC Partners with Pulsara to Streamline Communication Between EMS, Hospital Personnel, and Emergency Management appeared first on connectID - PDC Healthcare Blog.

Mass Casualty Incidents 83

Mass Casualty Incidents Hospitals EMS Patient Safety 83

Ken Grauer, MD

FEBRUARY 28, 2023

Figure-2: I've color-coded P waves from Figure-1 according to P wave morphology ( See text ). NOTE: For clarity — I've color-coded P waves in the long lead II rhythm strip according to morphology. Microvascular dysfunction — cardiac vasculitis — intravascular thrombosis.

EKG/ECG 195

EKG/ECG Documentation/Coding Sepsis COPD 195

Pediatric EM Morsels

FEBRUARY 2, 2024

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. Pediatr Emerg Care.

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

EMDocs

MAY 9, 2024

Exam documents that he is alert and oriented but “tired appearing” and “not appearing post-ictal.” The patient is transferred to a tertiary care hospital where an MRI reveals bilateral mastoiditis with bony erosion. Defense : The EP did address the seizure when he documented “not post-ictal.” VS are normal with a temp of 97.3.

Seizures 80

Seizures Dehydration Documentation/Coding Infectious Diseases 80

SheMD

DECEMBER 1, 2023

But less physicians talk about the difficult “firsts” like failing your first test, losing your first patient, or being involved in your first code. It gets announced over the PA system in the hospital and can cause a tad bit of chaos with people from multiple specialties running to the room called. He was only a teenager.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Resuscitation 52

PulmCCM

MARCH 11, 2024

You probably don’t ever see this–you bill as usual, but CMS reportedly doesn’t pay your hospital for any of your 99292s until billed time goes over 104 minutes. About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills.

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

ACEP Now

OCTOBER 26, 2023

One of the HCFA letters, written by then Medicaid Director Tim Westmoreland (the Westmoreland Letter) specifically cited that the CPT 9928X codes should be reimbursed under federal PLP unless the Medicaid plan believed there were program integrity issues with the claim. The provision similarly downcoded hospital facility fees.

Documentation/Coding 124

Documentation/Coding Hospitals Administration Emergency Department 124

The Trauma Pro

JULY 13, 2023

Inclusion of extraneous information from later in the hospital stay. Lack of accurate team arrival documentation. Which ultimately means that you (this really means your hospital) will have to pay for more registrars / PI coordinators / nurses! Reams of paper, typically 20-30 pages. Ebola screens. Sepsis score.

Sepsis 100

Sepsis Documentation/Coding Hospitals 100

EMDocs

JUNE 28, 2023

EMS report includes concern for CVA, with variable documentation of face and extremity weakness. Nursing documentation includes the presence of a facial droop. He is transported to a different hospital as possible trauma. A lawsuit is filed against the first hospital and ED physician.

Documentation/Coding 66

Documentation/Coding EMS Stroke Patient Safety 66

EMDocs

APRIL 18, 2024

He arrives in the ED of his small community hospital about 30 minutes later. The admitting nurse documents an “OTJ injury” with a chief complaint of “My boss made me come.” He arrives, admits the patient and spends the rest of the night in the hospital monitoring the patient’s condition. Right now!”

Patient Safety 86

Patient Safety Hospitals Documentation/Coding EMS 86

PulmCCM

JANUARY 29, 2024

Read the document for all the details (it’s not long). A randomized trial showed improvement in ROSC with 20 IU vasopressin + 40 mg methylprednisolone after the first dose of epinephrine for in-hospital arrests, without any survival or neurologic benefit seen. PulmCCM is not affiliated with the American Heart Association.

Seizures 115

Seizures CPR Documentation/Coding Hyperthermia / Hypothermia 115

The Trauma Pro

OCTOBER 31, 2023

If you believe that harm will occur, here are your options, from least to most damaging to your professional status at the hospital: Contact another consultant in the same or overlapping specialty (if there is one). Contact the trauma medical director, service chief, or hospital administrator and see if they can intervene.

Risk Management 113

Risk Management Documentation/Coding Hospitals Fractures 113

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests first appeared on The Skeptics Guide to Emergency Medicine. JAMA Sept 2021.

Advances Cardiac Life Support (ACLS) 40

Advances Cardiac Life Support (ACLS) Hospitals Emergency Department Resuscitation 40

PulmCCM

JUNE 5, 2023

veterans’ hospitals did not show a mortality reduction from low-dose methylprednisolone. Patients receiving hydrocortisone required more insulin, but did not have higher observed rates of hospital-acquired infections or gastrointestinal bleeding. iatrogenic or hospital-acquired) were excluded.

Advances Cardiac Life Support (ACLS) 96

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 96

ACEP Now

NOVEMBER 13, 2023

A study done at the University of Kansas found that approximately 10 percent of the ED volume at a local county hospital was attributed to some type of behavioral emergency and that approximately one in eight ED visits in the U.S The Story in Data Violence experienced in the ED is often due to agitated, confused, or delirious patients.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

Emergency Medicine Journal

MARCH 21, 2024

Methods This retrospective study included patients with code-red emergency medical communication centre (EMCC) stroke suspicion ambulance dispatch between August to December 2020. Results Among 643 patients, 59 were diagnosed with LVO at hospital arrival. Clinical features, CT images, and reperfusion treatment were recorded.

Stroke 52

Stroke Documentation/Coding EMS Hospitals 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. Software attacks crippled operations in large hospital chains, and physical assaults on ED staff continued unabated. Patient volume losses in 2020 reversed in 2021.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

EB Medicine

NOVEMBER 1, 2021

Also, this month use code ACEP21! It is in Beta and your feedback is welcome. ,* Also, this month use code ACEP21! Coming to Google Play soon. It is in Beta and your feedback is welcome. and get 20% of all orders at [link] Emergency Department Management of Rib Fractures Author: Patrick Maher, MD Episode Outline: Why rib fractures?

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

The Trauma Pro

DECEMBER 26, 2023

Everyone knows that venous thromboembolism (VTE) is a potential problem in hospitalized patients, and especially so in trauma patients. But the key fact is that every compression device manufacturer includes existing DVT as a contraindication in their product documentation. And we probably won’t, ever.

Documentation/Coding 162

Documentation/Coding Fractures Hospitals Research 162

Total Medical ComplianceHIPAA

NOVEMBER 13, 2023

As Electronic Health Record (EHR) companies prepare for potential fines reaching up to $1 million regarding information blocking violations, healthcare practices and hospitals find themselves at the cusp of impending changes. Create clear documentation for exceptions on a case-by-case basis for records management purposes.

Documentation/Coding 52

Documentation/Coding Hospitals 52

American Medical Compliance

MARCH 18, 2024

Although anyone working at a hospital can be a victim of violence, nurses and aides who have the most direct contact with patients are especially vulnerable. To become certified, please visit us at: American Medical Compliance (AMC). Reach out for other courses by visiting the AMC Course Library. Who is at Risk for Workplace Violence?

Psychiatric 95

Psychiatric Documentation/Coding Hospitals 95

The Trauma Pro

JUNE 20, 2023

Documentation provided by the nurse or other providers in the medical record must demonstrate that they were in some way involved in care of the patient. The exact duties may vary somewhat geographically and even between individual hospitals. Following are the basics of malpractice as it relates to nurses.

Documentation/Coding 130

Documentation/Coding Operations Hospitals 130

EB Medicine

DECEMBER 8, 2020

Use code AMAZON20 Write us at emplify@ebmedicine.net. Don’t forget about the $50 Amazon card with any order over $300 through 12/31/20. Write us at emplify@ebmedicine.net (mailto:emplify@ebmedicine.net).Don’t Don’t forget about the $50 Amazon card with any order over $300 through 12/31/20.

Emergency Department 52

Emergency Department Documentation/Coding Hospitals 52

Sensible Medicine

MAY 15, 2024

At the same time, I struggle to see how such a person could run codes and work in trauma surgery. In this week’s Sensible Medicine podcast, I asked why students have an entire lecture with prolonged discussion of whether a patient coming to the hospital from prison should be called a prisoner. What happens when you walk and talk?

Administration 108

Administration Documentation/Coding Hospitals Wellness 108

Stop and Think

JANUARY 1, 2024

My friend Dr. Andrew Foy had this idea: during rounds in the hospital with learners, Foy noticed that many things get done (drugs prescribed, tests ordered) as a matter of culture or history. They sit in a Google document. It will be a working document. As in…we do this because that is what we do. One review at a time.

Documentation/Coding 75

Documentation/Coding Wellness EKG/ECG Hospitals 75

Downeast Emergency Medicine

DECEMBER 1, 2021

329 participants were enrolled at an urban teaching hospital over a period of four years. Rosenberg and colleagues took a qualitative approach when investigating barriers and facilitators to successful implementation of ED-initiated buprenorphine programs in critical access hospital EDs across Maine. ROSENBERG ET AL.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Hospitals 52

Emergency Medicine Journal

FEBRUARY 20, 2024

Incident cases of AAS were identified between 2003 and 2018 using a validated algorithm based on ICD codes and death. Non-teaching and non-cardiac hospitals had a higher incidence of missed cases. Educational interventions should be prioritised in non-teaching hospitals and non-cardiac centres.

Documentation/Coding 40

Documentation/Coding Hospitals Outcomes 40