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Your medical team is great, but you […] The post SGEM#250: Scribes – I Want to Break Free (from the EMR) first appeared on The Skeptics Guide to Emergency Medicine. Most emergency physicians use some form of electronic medical records (EMRs) when seeing patients. SGEM#159 looked at the implementation of an EMR in a tertiary care ED.
Date: September 8th, 2021 Reference: Desch et al. Date: September 8th, 2021 Reference: Desch et al. He is interested and experienced in healthcare informatics, previously worked with ED-directed EMR design, and is involved in the New York City Health and Hospitals Healthcare Administration Scholars Program (HASP).
Date: June 2nd, 2020 Reference: Permpikul et al. Date: June 2nd, 2020 Reference: Permpikul et al. You scan through the EMR and see the blood pressure is 60/40. Reference: Permpikul et al. Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER): A Randomized Trial. Respir Crit Care Med 2019.
The highest prevalence of burnout (70%) was reported by emergency physicians (Shanafelt et al 2015). One of the most common reasons cited for burnout is the electronic medical record (EMR) (Shanafelt et al 2016). West et al 2016 published a SRMA in the Lancet on interventions to prevent and reduce physician burnout.
Date: September 20th, 2021 Reference: Litell et al. Date: September 20th, 2021 Reference: Litell et al. Despite the lack of high-quality evidence to support these sepsis bundles, many hospitals incorporated them into their electronic medical record (EMR).
By Smith, peer-reviewed by Interventional Cardiologist Emre Aslanger Submitted by anonymous A 53 y.o. Studies such as those by Moise et al 14 and Ellis et al 39 have shown that the relative risk of developing an acute myocardial infarction in the territory supplied by an artery with a 70%. The pain radiated to both shoulders.
Article: Rossi N et al. They utilized EMR to gather comprehensive data on patients who received IV calcium and IV diltiazem, or IV diltiazem monotherapy for the treatment of patients with AF/AFL with RVR. The study was dependent on EMR documentation which is prone to error. Am J Emerg Med.
Paper: Singer S, et al. The retrospective design of this study omitted assessment of ventricular dysrhythmias related to push dose pressor administration, as they were reliant on information in the EMR. References: Singer S, et al. PMID: 36108346 Cole JB, et al. PMID: 31270748 Maheshwari K, et al. Am J Emerg Med.
This was contributed by Co-editor Emre Aslanger, an interventional cardiologist in Turkey. Cannon waves are associated with reduced RV compliance or elevated RV end-diastolic pressure ( Ali et al — Ann Noninvasic Electrocard 22:e12423, 2017 — and — Chen and Pel-Ying Pai — Circulation 119:e381, 2009 ).
5 Paper: Lebin J et al. History of liver disease, history of substance abuse disorder, and history of delirium tremens were also extracted from the hospital EMR. 1, 2 Phenobarbital has been studied as an alternative or adjunct to benzodiazepines with encouraging results, but primarily among inpatient services. J Med Toxicol 2022.
The article by Aslanger, Smith et al that is featured above in today’s post has just been published. The above-cited newly published article by Aslanger, Smith et al provides further support to the growing body of literature of why we should compel ourselves to do so.
Paper: Owyang CG, et al. Reason for intubation, severity of illness, ARDS risk score, and ventilator settings were extracted from the electronic medical record (EMR). Data was automatically captured in the EMR so that accurate information was able to be extracted for the study. 2000 May 4; PMID: 10793162 Harvey CE, et al.
Current AHA guidelines do not recommend routine use of calcium in cardiac arrest (Panchal, et al., Calcium acts as a vasopressor and inotropic agent (Lindqwister, et al., risk ratio >1) was 4% for ROSC, 6% for 30 day survival, and 4% for survival with a favorable neurologic outcome at 30 days (Vallentin, et al.,
Written by Emre Aslanger (Emre is our newest editor. As per Dr. Aslanger and his citation of the J Am Heart Assoc article by Meyers, Smith et al — posterior leads are not needed for the diagnosis of acute posterior OMI! Here are his publications.) He says that the pain intensity was 10/10 at home but now about 4/10.
Accordingly, in the algorithm by Cai et al for patients with LBBB and ischemic symptoms ( See below ) — the first indication for PCI is clinical: patients with hemodynamic instability or acute heart failure. Which was the culprit lesion?
Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al. Lindahl et al. From Gue at al. Lindahl B, Baron T, Erlinge D, et al. Note 2: This article fails to specify whether it was troponin I or T, but I contacted the institution and they used exclusively troponin I during that time period. References: 1.
To assess the clinical impact and relevance of these concerns, Alwang et al. Reliance on a billing dataset, instead of EMR or prospective data, likely affected the quality of outcome measurement. PMID: 28423290 Kidwell K, Albo C, Pope M, et al. PMID: 24066745 Self WH, Semler MW, Wanderer JP, et al. Sickle Cell Disease.
look them up in the EMR to see if theyve been intubated before, and look at the note on the difficulty and grade of view.) et al (2022). Bacon ER,et al Tips and Troubleshooting for Use of the GlideScope Video Laryngoscope for Emergency Endotracheal Intubation. Baker JB, et al. Blunt, MC, et al. Apfelbaum, J.
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