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SGEM#250: Scribes – I Want to Break Free (from the EMR)

The Skeptics' Guide to EM

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.

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SGEM#294: Blood Pressure – Do Better, Keep Rising with NorEpi

The Skeptics' Guide to EM

You scan through the EMR and see the blood pressure is 60/40. Six hours into your shift, you finish dispo’ing the “really quick sign-out” from the night before. The triage nurse places a 61 year-old-man with fever, hypotension, cough into the smallest room in the ED. It’s uncomfortably low – is it time to start a norepinephrine infusion?

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SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

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). Five Rules of the SGEM Journal Club Case: A 70-year-old woman is found unresponsive and apneic at home by her partner.

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National Registry Announces Launch of Updated BLS Certification Examinations

JEMS

The National Registry announced the updated BLS Certification Examinations for EMRs and EMTs is now live.

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The Concomitant Use of Calcium and Diltiazem for Rapid Atrial Fibrillation

REBEL EM

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. Population: Inclusion Criteria: Patients 18 years old or greater.

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Proportionality is a major element in the ECG Diagnosis of OMI.

Dr. Smith's ECG Blog

I published, and Emre Aslanger externally validated, the 4-Variable formula for differentiating the ST Elevation of LAD OMI from Normal ST Elevation. Let's stretch out the QRS vertically so it is not so tiny: On upper left is the original. On the right are the precordial leads stretched vertically, so that the QRS is not tiny.

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emDOCs Podcast – Episode 87: Conquering Mid-Shift Overwhelm

EMDocs

Something to pay attention to is your inner dialogue when it’s time to close the loop of each patient’s EMR. There’s always later, right? For one chart, that’s OK, but they add up quickly. What are you doing instead of charting? What are you telling yourself is more important?

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