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 105

Psychiatric Operations Hospitals Wellness 105

Emergency Live

MAY 2, 2024

The Adaptability of Advanced Medical Posts (AMPs) in the Emergency Medical Plan: An Anticipation of the Modern Out-of-Hospital Medical Rescue System Having solved the problem of medical responders, about 280 (doctors, nurses, rescue volunteers, military stretcher bearers, radio operators) and the 18 ambulances, it was necessary to identify places to (..)

Military 66

Military Operations Hospitals 66

The Trauma Pro

DECEMBER 12, 2023

This necessitates an inter-hospital transfer that is subject to scrutiny by the trauma performance improvement program of both trauma centers. The work-up from the referring hospital can be re-evaluated. In some hospitals, orthopedics may choose to place a traction pin to provide initial fracture management.

Emergency Department 162

Emergency Department Operations Hospitals Radiology 162

PulmCCM

MAY 16, 2024

FDA approved the tool in part based on a 2021 study concluding that among 1400 patients at two Illinois hospitals, the score had an area under the receiver operating curve (AUROC) of 0.83 for diagnosis of sepsis was 0.83. Hey, that’s pretty good! Compared to what reference standard? "A

Sepsis 52

Sepsis Operations Hospitals 52

The Trauma Pro

MAY 14, 2024

Many of these issues are due to operator unfamiliarity or equipment availability. These instruments are expensive, so your hospital may not be excited about purchasing new ones just for the trauma bay. ” One of the most essential components of the resuscitative thoracotomy is rapid access to the chest.

Resuscitation 147

Resuscitation Operations Hospitals 147

Don't Forget the Bubbles

JUNE 12, 2023

I first watched “ Just a Routine Operation “, – the story of the events that led to the tragic death of Elaine Bromiley. Elaine Bromiley went into hospital for a routine operation. I remember how I felt when. When Max entered the healthcare system, he was alert and could ask for help.

Resuscitation 145

Resuscitation Anaphylaxis Best Practices Operations 145

The Trauma Pro

APRIL 26, 2024

In the last post in the series, I’ll discuss a paper in press that compares the efficacy and hospital charges of the two techniques. Unfortunately, it’s generally not feasible to operatively fix the pelvis acutely, and external fixation has limited impact on ongoing hemorrhage.

Fractures 147

Fractures Head Injuries Radiology Radiology 147

ACEP Now

MARCH 13, 2024

1 Hospital boarding is the main driver of ED crowding, with patients nearly always awaiting transfer to inpatient beds and now more commonly, to other hospitals. When considering inter-hospital transfer, the patient’s goals of care should be paramount in guiding the process.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

Pediatric EM Morsels

MARCH 1, 2024

Chest CT Demonstrates parenchymal disease better Allows for operative planning (if needed) Lung Abscess in Children: Management Rarity of the condition affects what is known (no randomized control trials on therapeutic options). Lung abscess: 14 years of experience in a tertiary paediatric hospital. Pediatr Pulmonol. 2024 Jan 11.

Pediatrics 169

Pediatrics Ultrasounds Operations Hospitals 169

PulmCCM

MARCH 11, 2024

Ascension is a $27 billion, 140-hospital conglomerate operating in 19 states—the third largest system in the U.S Observational data suggests palliative care consultation might reduce length of stay and costs , but the question had never been put to a serious randomized trial. by some accounts (after HCA and the VA).

Operations 52

Operations Administration Research Hospitals 52

The Trauma Pro

OCTOBER 3, 2023

Many vertebral fractures can be treated non-operatively. I have seen several patients in follow-up who basically stopped wearing their brace as soon as they were out of the hospital. Post-operative bracing after pedicle screw fixation for thoracolumbar burst fractures: A cost-effectiveness study. J Clin Neurosci 45:33-39, 2017.

Fractures 263

Fractures Operations Dislocations Burns 263

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. AEM August 2023 Guest Skeptic: Dr. Suchismita Datta. This is the last show for Season#11.

Operations 105

Operations Diabetic Emergencies Hospitals Research 105

ACEP Now

MAY 9, 2024

A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their plastic surgeon. 1 The Rise of the Miami BBL An entire industry has emerged around gluteal AFTs in Miami.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

The Trauma Pro

JANUARY 3, 2024

They designed a prehospital study that used end-tidal CO2 monitoring in the ambulance and correlated results with a TEG reading upon arrival at the hospital. The study was prospective and observational and involved two Level I trauma centers. End-tidal CO2 was measured from the ventilator circuit or via nasal cannula capnography.

Shock 147

Shock Operations Administration Hospitals 147

Sensible Medicine

OCTOBER 20, 2023

She came to the hospital with three days of weakness, fever, chills, and anorexia. i] My third year of medical school began with a night in the operating room with a man with an aorto-enteric fistula. ii] I once had a patient who actually abandoned her car in our hospital garage.

Hospice 79

Hospice Hospitals Operations Sepsis 79

The Trauma Pro

MARCH 5, 2024

Here are some tips: Do not rely on the medical record and previous operative note. If the surgery occurred at an outside hospital and was then transferred, you must call the initial surgeon to have this discussion before going to the OR! How can this be accomplished? Don’t believe it. The discussion is exactly the same.

Leadership 147

Leadership Operations Hospitals Wellness 147

American Medical Compliance

JANUARY 12, 2024

The responsibility of ensuring patient safety has now moved from hospital staff to individual users with access to laser technology, which was previously only available in operating rooms of hospitals. This transition has occurred frequently without the benefit of suitable or sufficient resources.

Operations 52

Operations Patient Safety Risk Management Hospitals 52

EMDocs

DECEMBER 14, 2023

A lawsuit is filed against the hospital (including the ED physician) the surgeon, his surgical group, the hospital ’ s trauma service director, and the hospital ’ s chief medical officer. Takeaways : Be certain that your emergency call schedule responsibilities are clearly defined in hospital policy.

Hospitals 71

Hospitals Patient Safety Operations Wellness 71

The Skeptics' Guide to EM

MARCH 2, 2024

He is the Vice Chair of the Emergency Department at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County. Arrangements are made for him to be transferred stat to the tertiary hospital while he is still stable. It is described as a ripping sensation that radiates to his back.

Emergency Department 123

Emergency Department Stroke Operations Hospitals 123

ACEP Now

NOVEMBER 14, 2023

In 1901, UVA opened its first hospital with 25 beds and three operating rooms. The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. She is a consultant with Quality Matters Consulting, and her expertise is in ED operations.

Academics 52

Academics Emergency Department Leadership Operations 52

The Trauma Pro

JUNE 20, 2023

The exact duties may vary somewhat geographically and even between individual hospitals. For example, wound infections occur after a given percentage of operations, and it varies based on the wound classification. There must be a departure from what is called “good and accepted practice.”

Documentation/Coding 130

Documentation/Coding Operations Hospitals 130

Ziqitza HealthCare Ltd

JANUARY 23, 2024

The incorporation of telemedicine allows paramedics to consult with emergency room physicians, providing a higher level of care en route to the hospital. Integration of Smart Monitoring Systems: Ziqitza Healthcare ltd is at the forefront of integrating smart monitoring systems into its EMS operations.

EMS 52

EMS Ambulance Services Telemedicine Operations 52

Don't Forget the Bubbles

JUNE 26, 2023

Whilst waiting for an operation, they need to be managed medically. Staged reconstructions are a topic in itself (click here for a nice summary by Children’s Hospital of Philadelphia), but here we focus on Stage 1. Six hours post-operatively, they become more mottled, with weak pulses – signs of poor systemic perfusion.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

Emergency Medicine Journal

OCTOBER 26, 2023

Background Ambulance services need to identify and prioritise patients with sepsis for early hospital assessment. Methods We undertook a retrospective diagnostic cohort study involving adult emergency medical cases transported to Sheffield Teaching Hospitals ED by Yorkshire Ambulance Service in 2019.

Sepsis 52

Sepsis Ambulance Services Operations Hospitals 52

Emergency Medicine Journal

DECEMBER 22, 2023

Community emergency medicine (CEM) is a model of pre-hospital care that delivers emergency department care to patients irrespective of their clinical environment. During the COVID-19 pandemic, the PRU rapidly developed novel care pathways that targeted patient cohorts felt to be at increased risk from traditional hospital systems.

Operations 40

Operations Emergency Department Hospitals 40

Ziqitza HealthCare Ltd

MARCH 6, 2024

Let’s delve deeper into the significance of Ziqitza’s operations and how they navigate the complex issues of traffic and population density, ensuring that help arrives when it’s needed the most. Ziqitza Rajasthan uses advanced GPS tracking systems to streamline operations.

Ambulance Services 52

Ambulance Services Telemedicine Operations Wellness 52

RebelEM

APRIL 29, 2024

Many clinicians don’t consider IO placement while others consider it a last resort or only a pre-hospital procedure. Intravenous vs.intraosseous vascular access during out-of-hospital cardiac arrest – protocol for a randomized clinical trial. PMID: 33350794 10 Meilandt C. Resusc Plus. 2023 PMID: 37502742 11 Schwalbach KT et al.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

ACEP Now

JUNE 7, 2023

Software attacks crippled operations in large hospital chains, and physical assaults on ED staff continued unabated. These data can be shared with hospital administration as there is mutual need to find solutions to the current ED flow challenges and very high ED walkaway rates. Patient volume losses in 2020 reversed in 2021.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

Ziqitza HealthCare Ltd

JULY 4, 2023

Ziqitza Healthcare Ltd operates 108 national helplines in collaboration with the central and multiple state governments to provide emergency ambulance services for free. But mere words are not enough to describe the effort that comes into building and operating such services, that too for a country with hundreds of millions of people.

Ambulance Services 52

Ambulance Services Operations EMS Telemedicine 52

PulmCCM

APRIL 24, 2024

When a ventilator-dependent patient survives their acute illness but will be dependent on hospital care for weeks or months, they often need a tracheostomy and a percutaneous gastrostomy tube before discharge to a long-term acute care hospital (LTACH). On balance, those are all good things.

Ultrasounds 52

Ultrasounds Hospitals Operations Outcomes 52

Greater Sydney Area HEMS

NOVEMBER 4, 2023

In 2022, we achieved: 95% overall first pass success rate (first pass of laryngoscope into mouth results in successful intubation, from both prehospital and inter hospital cases, including cold tube and RSI. A change of operator or removal of the blade from the mouth ends the attempt). first pass success rate from RSI.

Burns 144

Burns Airway Management Operations Resuscitation 144

Pediatric EM Morsels

JUNE 30, 2023

Congential Cystic Adenomatoid Malformation: A Teritriay Care Hospital Experience. I know we already know this, but it especially true when you are talking about trying to obtain images on a wiggling fetus somewhere around the size of a banana. Neonatology. Apr 110 (2): 101-15. J Clin Diagn Res. Nov: 10 (11): SC01-SC04.

Ultrasounds 208

Ultrasounds Pediatrics Operations EMS 208

The Trauma Pro

AUGUST 18, 2023

What happens next varies by hospital. Presentation at your transfusion committee is fine, but this data is most suitable for presentation at the trauma operations committee. Typically, one of the blood bank supervisors or a pathologist then compiles and reviews this data. And if significant variances are present (e.g.

Administration 100

Administration Operations Hospitals Wellness 100

Sensible Medicine

OCTOBER 20, 2023

She came to the hospital with three days of weakness, fever, chills, and anorexia. i] My third year of medical school began with a night in the operating room with a man with an aorto-enteric fistula. ii] I once had a patient who actually abandoned her car in our hospital garage.

Hospice 52

Hospice Hospitals Operations Sepsis 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. Ascension is a $27 billion, 140-hospital conglomerate operating in 19 states—the third largest system in the U.S This is not a hot research area.)

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

Ziqitza HealthCare Ltd

DECEMBER 25, 2023

It is the fastest way to get a patient to the hospital and also provides the necessary treatment at the moment, in the aircraft. Then there are operational and logistical costs like landing fees and ambulance on site ground transportation costs that increase the air ambulance rates. All these add to the expense.

Ambulance Services 52

Ambulance Services Operations Hospitals Research 52

EMDocs

NOVEMBER 1, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

Operations 65

Operations Radiology Radiology Fluid Resuscitation 65