ESO

NOVEMBER 5, 2024

Here are a few highlights of how this new functionality can support your care delivery: Specific Workflows for Critical Care Documentation Documenting patient information in fast-paced situations, as well as long-term and complex transports, can be time-consuming. within ESO EHR firsthand?

Critical Care 59

Critical Care CAD OR EMS 59

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

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 ED 331

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

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

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

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).

128

128

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

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

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

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 183

ICU ALS Ambulance OR 183

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

Pediatric EM Morsels

FEBRUARY 2, 2024

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk.

E-9-1-1 161

E-9-1-1 ED OR Emergency Department 161

Pulsara

APRIL 2, 2024

Read the full story here.

Emergency Department 95

Emergency Department EMS 95

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 82

ED ALS Emergency Department OR 82

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

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 98

EMR EMS OR Emergency Department 98

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 83

ED EMS OR 83

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 93

Defibrillator STEMI EMT EMT 93

ALiEM

MARCH 11, 2024

There is limited literature documenting eye involvement and pictographic examples of its presentation. The patient’s eye lesion and symptoms resolved and he was discharged on hospital day eight. Ocular lesions are a rare presentation of the monkeypox virus.

Emergency Department 141

Emergency Department ALS OR 141

REBEL EM

MAY 15, 2023

Frantically look through the assisted care documents for do-not-resuscitate paperwork Place a chest tube on the left side Place a chest tube on the right side Start noninvasive or mechanical ventilation FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References: Dixon A. The patient’s emergent portable chest X-ray is shown below.

EMS 98

EMS Ambulance ED OR 98

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

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 136

ICU Emergency Department ALS ED 136

EMOttawa

DECEMBER 28, 2023

There is a well-documented correlation amongst EMS and adult ED physicians who provide less pediatric care to […] The post Pediatric Traumatic Cardiac Arrest appeared first on EMOttawa Blog. Trauma is the leading cause of child and youth mortality globally (1). Pediatric trauma is a high acuity but low frequency event (2).

EMS 79

EMS ED Critical Care 79

The Curious Clinicians

OCTOBER 2, 2024

Sponsor Freed is an AI scribe that listens, transcribes, and writes medical documentation for you. It turns clinicians’ patient conversations into accurate documentation – instantly. Due to system constraints, VCU Health Continuing Education cannot offer subscription services at this time but hopes to do so in the future.

ACS 105

ACS ALS OR 105

Pediatric EM Morsels

JULY 28, 2023

A critical MORSEL is that every child you treat for DKA needs to have an initial thorough neuro exam including cranial nerves and then frequent neuro reassessments … and document it ( so your colleagues who take over care for the kid can know if there has been a change )!

E-9-1-1 246

E-9-1-1 ALS OR Critical Care 246

The Skeptics' Guide to EM

OCTOBER 28, 2017

Stevens and colleagues updated their review in 2016 and concluded “sucrose is effective for reducing procedural pain” and “no serious side effects or harms have been documented with this intervention”. That rant relied upon a Cochrane SRMA by Stevens B et al 2013 and a randomized clinical trail published in Pediatrics by Gray L et al 2015.

ALS 130

ALS Emergency Department OR ED 130

The Skeptics' Guide to EM

OCTOBER 1, 2022

It is not well documented, whether gaps in pain assessment and treatment exist in conditions in which opioids are not indicated, such as migraine headaches. Some groups of patients who are at greater risk than others ( elderly , women , mentally ill , certain ethnic groups, and insurance status ). Brown et al , Selbst and Clark ).

Emergency Department 130

Emergency Department ALS ED OR 130

Medgadget

DECEMBER 16, 2022

Finally, in modernizing digital infrastructure, Intel products are enabling voice/document automation, clinical notes analysis, and real-time video connectivity for telehealth. Next, David Rhew , Chief Medical Officer at Microsoft shared via video about the company’s work in AI in healthcare.

OR 108

OR 108

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 78

Emergency Department ED EMS OR 78

The Skeptics' Guide to EM

OCTOBER 21, 2020

The rivalry between Newton and Hooke is well documented. It has been suggested that Newton may have been throwing shade at Robert Hooke. Hooke was the first head of the Royal Society in England. Hooke was described as being a small man and not very attractive. However, this seems to be gossip and has not been proven.

130

130

The Skeptics' Guide to EM

NOVEMBER 21, 2020

The American College of Emergency Physicians ( ACEP ) has a number of documents discussing APPs in the ED. The American Academy of Emergency Medicine (AAEM) has a position statement on what they refer to as non-physician practitioners that was recently updated. There has been a concern about post-graduate training of NPs and PAs in the ED.

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

JANUARY 16, 2021

The first documented use of topical ophthalmologic anesthetics was in 1818. You prescribe antibiotic drop and prepare to discharge him home when he asks, “can I get some of those numbing drops to use at home”? Background: Even small corneal abrasions can cause significant pain because the cornea is highly innervated.

ALS 130

ALS Emergency Department EMS ED 130

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 104

First Responder Emergency Medical Services EMS Critical Care 104

EMT Training Station

FEBRUARY 11, 2024

This preparation involves not only medical stabilization but also careful documentation of the victim’s condition and the care provided, ensuring a seamless transition to hospital-based treatment. This documentation is handed over to the hospital staff, providing them with a complete picture of the patient’s prehospital care.

EMT 98

EMT EMT Emergency Medical Technician First Aid 98

Pulsara

APRIL 1, 2024

This integration aims to offer a hybrid solution that respects the preferences of all users, combining the immediacy of digital alerts with the physical presence of sticky notes and faxed documents.

85

85