AENJ: Current Issue

SEPTEMBER 30, 2023

A team at a Level 1 trauma center recognized the need for ED-friendly documentation and a validated ED skin risk assessment instrument. The purpose of this research study was to determine the content validity of the Bjorklund Tool. The Bjorklund 25-item ED Skin/Risk Assessment Tool was selected.

Emergency Department 97

Emergency Department Patient Safety Documentation/Coding Research 97

American Medical Compliance

APRIL 16, 2024

Advocating for the Care You Want Research shows that you are more likely to get the care you want if you have conversations about your future medical treatment and put a plan in place. Furthermore, advance directives are legal documents that provide instructions for medical care and only go into effect if you cannot communicate your wishes.

Documentation/Coding 100

Documentation/Coding Research Outcomes 100

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 Emergency Care (EC) is being led by RCEM, in partnership with the College of Paramedics and the National Ambulance Research Steering Group.

Academics 52

Academics Documentation/Coding Research Hospitals 52

PulmCCM

MARCH 11, 2024

About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills. This is not a hot research area.) Centers for Medicare and Medicaid Services (CMS) made a change in reimbursement policy that devalued critical care time. by some accounts (after HCA and the VA).

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

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! The Pediatric Emergency Medicine Collaborative Research Commitee. Authors: Drs. 2002 Dec;141(6):793-7. PMID: 12461495.

Fluid Resuscitation 212

Fluid Resuscitation Pediatrics Resuscitation Research 212

Sensible Medicine

DECEMBER 18, 2023

Now let’s compare the two documents. Here is what the USPSTF says: They call for more research. From their document. The AAP champions surgery and medications. I have been critical of the AAP’s endorsement — a topic I discussed here. Let’s take a look at the USPSTF. And here too with specific endpoints.

Pediatrics 141

Pediatrics Documentation/Coding Burns Academics 141

Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

Administration 81

Administration Resuscitation Research Fluid Resuscitation 81

The Trauma Pro

MAY 10, 2024

This may be helpful for future triage-related research. This fills in the code on the second tab which will be added to TraumaBase. Once again, let’s look at over- and undertriage experience in the paper: Undertriage: 9.1% undertriage (Cribari) reduced to 3.3% It also standardizes comparisons between hospitals that use STAT.

Blood Transfusions 147

Blood Transfusions Documentation/Coding Radiology Radiology 147

RCEM Learning

JANUARY 23, 2024

But I wanted to continue with my research work, improving the care of patients with blunt chest trauma. When Health and Care Research Wales released the Research for Patient and Public Benefit (RfPPB) grant call and I duly applied to complete the full RCT. Then the first challenge.

Research 72

Research Wellness Outcomes Documentation/Coding 72

Medagadget

JUNE 12, 2023

The book covers over 200 years of research, from Luigi Galvani’s experiments on frog legs in the late 1700’s to the popularity of “ electroceuticals ” in the last decade. Scott Jung, Medgadget: Can you share a little bit about your background and how you ended up writing about the body’s electric code?

Research 79

Research Academics Documentation/Coding Poisoning 79

The Trauma Pro

DECEMBER 26, 2023

But the key fact is that every compression device manufacturer includes existing DVT as a contraindication in their product documentation. But the simple truth is that we have no solid research that either supports or condemns the use of active compression devices in patients with known DVT.

Documentation/Coding 162

Documentation/Coding Fractures Hospitals Research 162

Don't Forget the Bubbles

AUGUST 23, 2023

2016) “Implementation of a Post-Code Pause: Extending Post-Event Debriefing to Include Silence”. 2012) “Implementation of a Rapid Post-Code Debrief Quality Improvement Project in a Community Emergency Department Setting”. Spartan Medical Research Journal. Selected References Copeland, A. & & Liska, H. 23 (2), pp.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

ACEP Now

AUGUST 1, 2023

“Emergency physicians can be incredibly proud of the contributions JACEP Open is making to advance medical research, health care, and public health since its launch just a few years ago,” said Henry Wang, MD, MS, editor in chief of JACEP Open. The letter followed ACEP’s participation in a June 29 roundtable hosted by the Committee.

Documentation/Coding 52

Documentation/Coding Emergency Department Emergency Nursing Research 52

Emergency Medicine Journal

JULY 24, 2023

Introduction Pain is the most common presenting feature within the ED, yet undertreatment of pain in the ED is a well-documented problem worldwide. Despite the development of interventions to address this problem, there is still limited understanding of how pain management can be improved within the ED.

Emergency Department 74

Emergency Department Documentation/Coding Research Wellness 74

Emergency Medicine Journal

MAY 23, 2023

We investigated the association between bystander CPR and the likelihood of ventricular fibrillation (VF) or ventricular tachycardia (VT) as the first documented cardiac rhythm. 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

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. They can help draft research papers or grant proposals.

Best Practices 52

Best Practices Research Documentation/Coding Administration 52

Don't Forget the Bubbles

MAY 31, 2023

The patients were identified through site leads from the PERUKI research network. Because of the retrospective nature of the study, if data had not been recorded in the ED notes, it was not available to researchers. D., & Paediatric Emergency Research United Kingdom and Ireland (PERUKI) (2023). Which patients were involved?

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

Mind The Bleep

DECEMBER 19, 2023

The highest scoring 300 candidates from the MSRA will be invited to progress to the next stage of the selection process – uploading documentation to the evidence folder/portfolio. points (previously 1 point) Successful research grant application now scores 0.5 Candidates must achieve a score of 40% to be invited to interview.

Documentation/Coding 52

Documentation/Coding Research 52

Sensible Medicine

SEPTEMBER 26, 2023

Early in the psychology replication crisis, one of the most scrutinized articles was by Cornell researcher Daryl Bem , who claimed that he had proven that humans had precognition. A few researchers (Florence LeCraw, Danial Montanera, and Thomas Mroz) found no fewer than three major errors in the 2018 article.

Research 124

Research Hospitals Documentation/Coding Outcomes 124

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

PulmCCM

JUNE 5, 2023

Check out the preliminary program , and use code PULMCCM15 to get 15% off the attendance fees. Register today for H&R 2023 Sucralose disrupts DNA in in vitro cell cultures, and is linked to leaky gut syndrome, according to researchers publishing in a toxicology journal. Rochelle Walensky steps down this month.

Advances Cardiac Life Support (ACLS) 96

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

RebelEM

JUNE 22, 2023

Background: The COVID-19 pandemic has been the focus of massive research efforts over the last three years. More research is necessary in this area. Future research in this area is necessary. Our understanding of the disease and effective treatments to reduce mortality have progressed rapidly during this time.

Outcomes 123

Outcomes Research Documentation/Coding Wellness 123

Ziqitza HealthCare Ltd

JUNE 18, 2023

Streamlining Administrative Tasks: Improving Efficiency and Reducing Costs AI can automate administrative tasks, such as appointment scheduling, billing, and medical coding, freeing up healthcare professionals’ time and reducing administrative burdens.

Documentation/Coding 52

Documentation/Coding Administration Ambulance Services Outcomes 52

RCEM Learning

MAY 20, 2022

Author: Damian Roland / Editor: Govind Oliver / Code: / Published: 06/02/2020 There are many old and unhelpful stereotypes in medicines. On paper Emergency Medicine (EM) research is flourishing. Clearly the issues are multifactorial but it is interesting to note that enthusiasm to be involved in research is not in short supply.

Academics 52

Academics Research EMS Documentation/Coding 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. The reasons are multiple, but I will articulate a few: Most epidemiological studies are done from large data sets that are not collected for the purpose of research.

Administration 88

Administration Outcomes Research COPD 88

Medical Law

JUNE 20, 2023

California Vehicle Code 21212 provides that all riders and passengers under the age of 18 are legally required to wear a helmet when using a bicycle, a non-motorized scooter, in-line roller skates, or a skateboard to travel along streets or bikeways, or on any other public bicycle path or trail.

Documentation/Coding 52

Documentation/Coding CDC Research Wellness 52

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations.

Documentation/Coding 98

Documentation/Coding Fluid Resuscitation Resuscitation Pediatrics 98

RebelEM

MARCH 13, 2024

This was not a Code 3 respiratory distress, fentanyl overdose with minimal response to Narcan or even an unconscious stroke patient with the blood pressure of a giraffe. How does thinking on the spectrum of more or less right impact our utilization of new research or of implementing a consultant’s recommendations?

Documentation/Coding 57

Documentation/Coding Outcomes EMS Stroke 57

ACEP Now

NOVEMBER 14, 2023

But inside these charming historic walls is a research-driven, quaternary-care, academic, medical center. They also developed standard work documents for each role. The medical center and undergraduate campus in Charlottesville still maintain the appearance of the original quaint colonial campus.

Academics 52

Academics Emergency Department Leadership Operations 52

ACEP Now

JUNE 7, 2023

In the New England Journal of Medicine, members of the team from Microsoft Research and OpenAI give a high-level overview of performance on question banks, but also explore additional avenues for LLM applications. From these applications, it is clear these models in their present form have real potential pitfalls.

Documentation/Coding 78

Documentation/Coding Wellness Administration Research 78

ACEP Now

DECEMBER 11, 2023

A recent article documents 56 additional U.S. Dr. Severance is a clinically practicing physician, an educator, and researcher. The wave of increasing hospital closures and service line cutbacks continues to sweep the U.S. hospitals that are closing clinical departments or ending or reducing services.

Hospitals 98

Hospitals Administration Documentation/Coding Research 98

The Skeptics' Guide to EM

JANUARY 28, 2023

AEM Dec 2022 Guest Skeptic: Dr. Michelle Lin is an emergency physician and health services researcher whose goal is to transform acute care delivery to best meet the needs of those who experience the […] The post SGEM Xtra: You Don’t Own Me – Post Roe Emergency Medicine first appeared on The Skeptics Guide to Emergency Medicine.

Research 52

Research Documentation/Coding Academics Wellness 52

SheMD

OCTOBER 5, 2023

Find the areas to highlight (research, leadership, etc) and the areas to be prepared to discuss (lower grades, failing score, repeated course, etc). If staying in a hotel- don’t forget to use discount codes the residency program may offer. The Big Day Do your research. Applying to residency can be very stressful.

Research 52

Research Leadership Documentation/Coding Academics 52

ACEP Now

APRIL 2, 2024

4 The association between ackee ingestion and the illness was initially recognized in 1875 and officially documented in 1904. 5 Despite being endemic to Jamaica, cases of THS have been reported across the world, with the first case in the United States documented in 1993.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

EMDocs

JUNE 8, 2023

Pre-enrollment calculations estimated that 400 enrollments would be necessary to provide the trial with 80% power to detect a 15% difference in the primary outcome, allowing for up to 90 patients to be lost to follow-up or to have insufficient data documented.

Stroke 77

Stroke Administration Outcomes Documentation/Coding 77

SheMD

SEPTEMBER 7, 2023

Do your research and look up the program’s website prior to interview day. At one program, rapids and codes were run by the senior residents the first half of the year, with the interns taking over in January while a senior was by their side. What are you looking for in a program? Make sure to read this over before interview day.

Leadership 98

Leadership Documentation/Coding Research Wellness 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. Domestic tethers: Gender differences in career paths and domestic responsibilities of top-research medical school graduates.

Academics 52

Academics Leadership Documentation/Coding Research 52