University of Maryland Department of Emergency Med

SEPTEMBER 22, 2023

Since the switch from fee for service to value based care in the US, there has been a marked push to improve our documentation to expand ou. Click to view the rest

Emergency Department 58

Emergency Department 58

ESO

JANUARY 27, 2025

The ability to import data from the monitor to ESO EHR reduces documentation time while improving the accuracy of your data, allowing you to better focus on the delivery of care. 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.

MIH 98

MIH Community Paramedicine Paramedicine Paramedicine 98

Paramedic Chiefs of Canada

MARCH 19, 2025

We may also be reaching out to your organizations to assist in the collection of HS codes from vendors not directly affiliated with the PCC.

Paramedic 78

Paramedic Public Safety 78

EMS 12-Lead

MAY 15, 2024

The crew increases this current to 75mA and documents an “improvement in patient status” with palpated pulses and a BP of 115/60. As seen in Figure 4, the current is higher, the phantom complexes are larger, but they do not have true electrical capture. Figure 4 : Pacer set to 60 mA with false electrical capture and native beats.

Epinephrine 331

Epinephrine Paramedic CPR EMT 331

ESO

DECEMBER 26, 2024

Improvements like longitudinal patient records have transformed episodic documentation into comprehensive patient narratives, aiding both EMS and community health providers in delivering coordinated care. iOS for EHR Coming soon, the new native ESO EHR iOS app is designed to make documenting patient data even easier and more efficient.

First Responder 105

First Responder Emergency Medical Services EMS Critical Care 105

The Skeptics' Guide to EM

JULY 27, 2024

That document tells us “Before widespread implementation, CDRs should be compared to clinical judgement.” [3] There is an article published in AEM, with an author list that includes the who’s who of decision rules – from Jeff Kline to Nathan Kupperman to my BFF Chris Carpenter.

ICU 246

ICU ALS Ambulance OR 246

ESO

JANUARY 30, 2025

While the list is not exhaustive an d critical incidents can vary from person to person, their documentation is crucial for protecting your own team and further improving research for the entire industry. Documenting exposure to critical incidents is key. So, what else can your organization do?

First Responder 52

First Responder Public Safety EMS First Response 52

EMCrit Project

DECEMBER 10, 2023

Some authors on the ATS document were from Europe, and similarly some authors […] EMCrit Project by Josh Farkas. Within the past year, two major societies have released guidelines on ARDS: the ATS (American Thoracic Society) and the ESICM (European Society of Intensive Care Medicine).

138

138

EMS 12-Lead

SEPTEMBER 8, 2024

Paramedics increase the current slowly over nearly 3 minutes to 100ma where a documented mechanical capture (pulse palpation site not specified) was noted. Figure 2: Current started at 50 ma without electrical capture, with several native beats signified by the triangle annotated by the cardiac monitor. The ECG strip shown in Figure 3.

Paramedic 230

Paramedic EMT EMT EMS 230

ESO

DECEMBER 16, 2024

It’s an administrative burden that demands extensive documentation and reporting. A modern electronic patient care report (ePCR), like an ESO Electronic Health Record (EHR) , ensures that hospitals can easily capture documentation for standards, such as those required by The Joint Commission.

EMS 52

EMS OR 52

University of Maryland Department of Emergency Med

NOVEMBER 2, 2023

BACKGROUND: Prehospital (EMS) clinicians are positioned on the front lines of health care. With respect to stroke identification and treatment, ea. Click to view the rest

EMS 64

EMS 64

ESO

JANUARY 31, 2024

According to a recent study from ESO , decontamination procedures were only documented in 82% of all working fires incidents, and out of those exposures, only 4% documented all on-scene decontamination procedures. This leaves significant of room for improvement. What can the industry do?

Firefighter 105

Firefighter OR 105

Irish College of Paramedics

FEBRUARY 15, 2025

A draft guidance document was developed after the completion of a national consultation process though an electronic survey with EMTs. Topics were selected by using section titles from the guidance document with a view to seeking further feedback and subsequent refinement of the proposals for CPD. MethodsWillis, et al.

Paramedic 40

Paramedic EMT EMT ALS 40

ALiEM

JANUARY 26, 2024

Ciprofloxacin has been documented as a cause of IgA vasculitis. Case Question: What are common triggers for this diagnosis? Common triggers include infection, drugs, and autoimmune. Case Discussion Take-Home Points Consider IgA vasculitis, even in an older patient. References Gamboa F, Rivera JM, Gómez Mateos JM, Gomez-Gras E.

EMS 183

EMS OR 183

EMDocs

JULY 25, 2024

The nurse completes the Columbia-Suicide Severity Rating Scale (C-SSRS) and documents that the patient’s recent thoughts of killing himself and his detailed plan makes him “High Risk” for suicide. There is no documented handoff to the on-coming emergency physician (EP) who assumes care. ” 0700 : The PA-C goes off-shift.

ED 104

ED ALS Emergency Department OR 104

Critical Care Scenarios

AUGUST 22, 2021

What are some of the particulars and caveats surrounding credentialing, documentation, and billing? What are some of the particulars and caveats surrounding credentialing, documentation, and billing? All that and more… We chat about focused, clinician-performed point-of-care ultrasound (POCUS) in the ICU. How do you learn it?

ICU 100

ICU 100

ACEP Now

DECEMBER 17, 2024

One of the first documented strikes among house staff officers took place in 1974 at Howard University here in Washington, D.C., Historically, labor unionization among health care workers is uncommon, 5 including among resident physicians, 6 and the prospect of striking even more so.

E-9-1-1 105

E-9-1-1 Emergency Department ALS OR 105

EMDocs

OCTOBER 3, 2023

This is also where keeping up with documentation starts to slip. You’ll need to put the following tasks in a rank order list: new patient evaluations, dispositions, managing critical or potentially critical patients, results review, team huddle, running the board, calling consults, doing procedures, and documentation. It’s up to you.

EMR 121

EMR EMS OR Emergency Department 121

High Performance EMS

JUNE 20, 2024

The documentation that is inherent in such a process also facilitates the reporting for performance reviews. Building a defensible and thoughtful set of rules for evaluating responses options in real-time levels the field by providing consistency in the decision-making process.

EMS 240

EMS First Responder Emergency Response OR 240

EMDocs

MAY 9, 2024

Exam documents that he is alert and oriented but “tired appearing” and “not appearing post-ictal.” Defense : The EP did address the seizure when he documented “not post-ictal.” There is no negligence, as the documentation supports reasonable judgment. The triage nurse records the event as a “seizure” lasting 7 minutes.

ED 104

ED EMS OR 104

ACEP Now

NOVEMBER 7, 2024

Photographic documentation of the wound is helpful to enhance continuity of care. Social determinants, such as a history of poor medication compliance, housing insecurity, lack of a support system and transportation resources, comorbidities, or need for vascular intervention, may necessitate inpatient admission.

ED 97

ED OR Emergency Department Ambulance 97

EMergucate

MAY 25, 2016

Information Systems (Computerised Vs Manual) Manual systems Pros Cheap Easy Convenient Cons Failed documentation – notes, timing, summaries, legibility Difficult … Continue reading →

Emergency Department 100

Emergency Department EMS 100

NVFC

FEBRUARY 13, 2024

The Notice of Funding Opportunity, guidance documents, and other materials are available on the AFG web site. The application period for the FY 2023 Assistance to Firefighters Grant (AFG) is now open. These grants provide funding to fire departments for needed resources such as equipment, gear, vehicles, and training.

Firefighter 122

Firefighter 122

ALiEM

JANUARY 22, 2024

Fever was documented to be 102°F and was not associated with any chills or rigors. A 40-year-old male, tailor by occupation, was brought to the Emergency Department with complaints of high-grade fever for the past 11 days.

Emergency Department 161

Emergency Department OR 161

AAAM

MARCH 6, 2025

In June, we hosted Understanding Accessibility: Practical Strategies for Inclusive Documents, Presentations, and Websites , which provided tips on presenting at conferences that are inclusive to those with disabilities or language barriers.

OR 52

OR 52

REBEL EM

NOVEMBER 6, 2024

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

E-9-1-1 107

E-9-1-1 ACS OR Emergency Department 107

Pulsara

APRIL 2, 2024

Read the full story here.

Emergency Department 99

Emergency Department EMS 99

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. There, his initial neuro exam is documented as normal, but a head CT reveals evidence of a possible acute CVA in the right hemisphere.

EMS 93

EMS ED OR 93

EMDocs

JUNE 13, 2024

We just don’t document it. If we don’t use printed instructions, document our verbal instructions regarding the most common side effects of the drug(s) being prescribed. Documenting our warnings should be standard care. Giving written instructions about a drug is the pharmacist’s job.

Emergency Department 97

Emergency Department ED EMS OR 97

EMDocs

SEPTEMBER 26, 2024

An unknown EP reviews the report, determines that there is no reason to notify the patient, and documents nothing. It wasn’t, so you weren’t called, nor did the doc need to document anything. This patient’s history was either poorly taken or poorly documented. Too much weight was given to the EKG, CXR, and labs.

Emergency Department 97

Emergency Department ED Coronary ALS 97

EMDocs

OCTOBER 11, 2023

.” The tech cleans the wound and documents it as 2cm long and “ dirty.” The ED physician documents suturing a 3 cm laceration in a single layer, omitting any reference to any wound exploration, cleansing or debridement. I thought they were incidental “ bone islands” so I didn ’ t document them. Negligence was present.

ED 91

ED EMS OR 91

NVFC

OCTOBER 22, 2024

Course attendees received an instructor guide, slides, an Emergency Response Guide (ERG), and a resource drive with dozens of forms and documents to assist in local hazmat response planning. Nearly 500 individuals were trained through almost 4,000 contact hours.

First Responder 116

First Responder Emergency Response EMS OR 116

EMDocs

AUGUST 22, 2024

13 Interventions may include: Ascertaining a patient’s preferred language early in the clinical encounter (during registration, for instance), and clearly documenting this preference in a place that is visible to all providers. Utilizing certified interpreters and documenting their use. Educating patients on their rights.

Emergency Department 104

Emergency Department ALS E-9-1-1 ED 104

The Skeptics' Guide to EM

SEPTEMBER 14, 2024

These “allergies” are often poorly documented and could potentially be more accurately described as intolerance [1]. Background: Penicillin allergies are among the most reported drug allergies, with estimates suggesting that up to 10% of the US population claims to have a penicillin allergy.

ICU 141

ICU Emergency Department ALS ED 141

EMDocs

OCTOBER 10, 2024

Exam is normal except for tenderness as documented in the diagram. She never had a documented abdominal exam. I just failed to document it. The EP documented seeing the patient and agreed with the ARNP’s plan. If you take a history or examine a body part, document it. Temp is 98.7 and pulse 121.

ED 97

ED OR ICU 97

Dr. Smith's ECG Blog

JUNE 13, 2024

Her first set of vitals were documented: BP 116/57 Pulse 94bpm Respiratory rate 24/min O2 sat 90% on room air Temp 97F She had been cleaning a Jeep in the sun, and was sunburned. The physician documented “normal sinus rhythm”. The physician documented that she was “improved” and the patient was discharged. CK MB was 1.9

Defibrillator 92

Defibrillator STEMI EMT EMT 92

Chicago EMT Training

JANUARY 5, 2023

Out of all the things, becoming an EMT really unveiled what healthcare might truly have in store for me.

EMT 130

EMT EMT Allergic Reaction CPR 130