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Were making the jump to general availability (GA) and adding new features such as CAD and Cardiac Monitor integrations, Longitudinal Record (LR), and Mobile-to-Mobile functionality. You can use it to directly document and upload FLACC Pain Scores and final score data for non-verbal patients into ESO Insights for easier reporting.
The patient presented to an outside hospital An 80yo female per triage “patient presents with chest pain, also hurts to breathe” PMH: CAD, s/p stent placement, CHF, atrial fibrillation, pacemaker (placed 1 month earlier), LBBB. This case was sent by Amandeep (Deep) Singh at Highland Hospital, part of Alameda Health System.
NERIS’s ultimate goal is to save lives through the power of data , which means it will continue to evolve and improve over time to ensure the industry has what it needs to document and keep up with new and evolving threats. With API , participating CAD and RMS vendors will be able to automatically send data back and forth to NERIS.
NERIS and NFIRS are not very similar, and building NERIS fields into the current NFIRS-based reporting application would have been more confusing than helpful. You may be familiar with the documentation USFA has provided for NERIS, most of which can be found at this GitHub repository. The timeline may vary.
Sent by Anonymous, written by Pendell Meyers A man in his 60s with history of CAD and 2 prior stents presented to the ED complaining of acute heavy substernal chest pain that began while eating breakfast about an hour ago, and had been persistent since then, despite EMS administering aspirin and nitroglycerin. Pre-intervention.
The patient proceeded to cath where all coronaries were described as normal with no evidence of any CAD, spasm, or any other abnormality. Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon.
This patient had known coronary artery disease (CAD), and previously required drug eluting stents to the obtuse marginal and diagonal arteries. However, the patient had known dextrocardia based on documented medical history and was confirmed with a recent chest x-ray.
A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon. There is no further workup at this time.
Concerning history, known CAD" Recorded 2 hours after pain onset: What do you think? To realize — Assessment of ECG #1 is complicated by knowing: i ) That today’s patient has a history of documentedCAD ; and , ii ) The lack o f a prior tracing for comparison at the time the initial ECG was interpreted.
Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD MI s/p LAD stenting presented to the ED with chest pain similar to his prior MI, but worse. The pain initially started the day prior to presentation. The ejection fraction was 54% at that time.
Therefore, the “ m agical” r eciprocal r elationship seen between leads III and aVL with a cute i nferior O MI is not seen in ECG #1 ( See My Comment in the 1/29/2020 post , among many other references to this phenomenon in Dr. Smith’s blog ).
He had significant history of CAD with CABG x5, and repeat CABG x 2 as well as a subsequent PCI of the graft to the RCA (twice) and of the graft to the Diagonal. Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." A late middle-aged man presented with one hour of chest pain.
IIa C During hospital stay (after primary PCI) Either stress echo, CMR, SPECT, or PET may be used to assess myocardial ischaemia and viability, including in multivessel CAD. I C During hospital stay (after primary PCI) When echocardiography is suboptimal/inconclusive, an alternative imaging method (CMR preferably) should be considered.
EHR | Critical Care We’ve expanded our Critical Care offering with the following web and Windows mobile additions: Flight Form Lab Values – CMP (Comprehensive Metabolic Panel) Ventilator Monitoring Adjustment However, that’s not all for Critical Care documentation! Be on the lookout for additional enhancements coming soon.
Here are a few highlights of how this new functionality can support your care delivery: Specific Workflows for Critical Care DocumentationDocumenting patient information in fast-paced situations, as well as long-term and complex transports, can be time-consuming. within ESO EHR firsthand?
What began as a set of necessary features and functionality to support documentation requirements is now evolving to technology for the full patient care journey. Emergency service technology, across all markets and needs, is making a long-awaited shift. These updates come following the acquisition of Logis Dispatch and Billing solutions.
The note documents that the first view of the LCX showed 99%, TIMI 2 flow, but then (before intervention) was seen to fully occlude in real time (100%, TIMI 0). The procedure was described as very complex due to severe multivessel CAD, but ultimately PCI was successfully performed to the ostial LCX. Pre-intervention.
Case A 68 year old man with a medical history of hypertension, hyperlipidemia, and CAD with stent deployment in the RCA presented to the emergency department with chest pain. He looked back in time in the patient's chart and saw these ECGs and immediately recognized that they manifested subtle OMI. He had an EKG recorded right away.
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