EMR and Events - Paramedicine Now

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

The Skeptics' Guide to EM

MARCH 22, 2019

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.

EMR

EMR Emergency Department Ambulance ED

SGEM Xtra: On the Edge of Burnout ACEM18

The Skeptics' Guide to EM

NOVEMBER 24, 2018

This turned out to be a very meta event. This turned out to be a very meta event. One of the most common reasons cited for burnout is the electronic medical record (EMR) (Shanafelt et al 2016). A few months leading up to the presentation my dad, Dr. Ken Milne Sr. got seriously ill.

EMR

EMR ALS Emergency Department OR

See OMI vs. STEMI philosophy in action

Dr. Smith's ECG Blog

DECEMBER 22, 2022

by Emre Aslanger Dr. Aslanger is our newest editorial member. Dr. Aslanger is also the author of the DIFFOCULT study: Emre K. This is a very subtle change but cannot be anything other than an acute coronary event. He is an interventional cardiologist in Turkey. The pain is still ongoing, therefore cath lab is activated.

STEMI

STEMI EMR Coronary OR

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

Dr. Smith's ECG Blog

DECEMBER 13, 2023

I published, and Emre Aslanger externally validated, the 4-Variable formula for differentiating the ST Elevation of LAD OMI from Normal ST Elevation. Knowing the patient has a history of coronary disease could be relevant to today's case — as it should add to our suspicion of a new acute event. RED arrows ).

EMR

EMR Coronary OR STEMI

The Concomitant Use of Calcium and Diltiazem for Rapid Atrial Fibrillation

REBEL EM

JULY 3, 2023

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. These differences could impact the outcomes and adverse events observed in each group.

E-9-1-1

E-9-1-1 EMR Emergency Department ED

Sometimes even ST Elevation meeting criteria is not enough to be convincing

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

Written by Emre Aslanger. Emre is a new Editor of the Blog. I have trouble understanding the chain of events that resulted in the unacceptable delay and cost the patient’s anterior wall. PMID: 34523597. == MY Comment by K EN G RAUER, MD ( 11/13/2022 ): == Highly interesting case by Emre Aslanger. Turk Kardiyol Dern Ars.

EMR

EMR Coronary OR STEMI

OMI-NOMI paradigm established as better than STEMI-NSTEMI with new article

Dr. Smith's ECG Blog

JULY 31, 2020

The more leads with suspicious findings — the greater the concern for an acute ongoing event. Any ST elevation in inferior leads that occurs in association with mirror-image opposite ST depression in lead aVL. ST depression that is maximal in leads V2-to-V4.

STEMI

STEMI Coronary EMR ALS

50 year old with acute chest pain, with ‘normal’ ECG and falling troponin

Dr. Smith's ECG Blog

APRIL 21, 2023

Even in the absence of clinical information — this tracing has to be viewed as highly suspicious of an acute ongoing event ( exactly as it was immediately interpreted by Dr. Meyers and the Queen of Hearts AI program ). Taking Another LOOK at the ECGs in Figure-1: Today's case began with us first being shown ECG #2.

STEMI

STEMI Coronary EMR OR

The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

REBEL EM

JUNE 8, 2023

From a safety standpoint this is a great thing, but also could be the reason we see such few adverse events Discussion: There is a recent “push” to utilize “Push dose pressors” as the correction of acute hypotension in a variety of clinical scenarios. In other words these were pre-made syringes and not mixed at the bedside. Am J Emerg Med.

Epinephrine

Epinephrine Emergency Department ALS Critical Care

EMT Spotlight: Field Supervisor Kaitlyn Collazo

On Time Medical Transportation

JANUARY 17, 2022

We caught up with Kaitlyn to ask about what made her want to join EMS, tips on getting promoted from within, and her career goals. Here’s what we learned.

EMT

EMT EMT EMS Medical Transportation

Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

APRIL 19, 2023

Additionally, low ionized calcium levels have been correlated with increasing mortality in sepsis and other critical illnesses in adults and children (Bora, Ramazan, Oznur, Emre, & Basar, 2021), (Sanchez, et al., Calcium Chloride Is Given to Sicker Patients During Cardiopulmonary Resuscitation Events. References: 1. Ramazan, K.,

E-9-1-1

E-9-1-1 Advanced Life Support Overdose CPR

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

Takotsubo is a sudden event, not one with crescendo angina. In a prospective angiographic study involving patients undergoing percutaneous intervention for coronary artery disease, only half the subsequent events arose from lesions with sufficient stenosis to have warranted intervention at the time of revascularization. From Gue at al.

Emergency Department

Emergency Department E-9-1-1 Coronary STEMI

The Brink of Burnout

AAEM RSA

APRIL 8, 2021

Propelled by the loss of autonomy and an unnatural tethering to a computer and an EMR system, we have seen the rate of burnout approach nearly 50% of physicians, and signs of burnout have been seen in residents and medical students alike.1,2 Burnout has been an increasing topic of discussion for physicians over the past several years.

ICU

ICU EMR OR ED

Paramedic vs Combat Medic: What’s the Difference?

Paramedic Training Spot

DECEMBER 21, 2021

An EMR performs emergency medical interventions with minimal equipment. As you reflect on what it means to be an American Soldier, you may reference publicized war stories, a ceremonial event, a loved one who served, an Army Strong commercial on the telly, or maybe you think of a specific holiday.

Paramedic

Paramedic Emergency Medical Technician EMT EMT

Paramedicine Now

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

SGEM Xtra: On the Edge of Burnout ACEM18

Trending Sources

See OMI vs. STEMI philosophy in action

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

The Concomitant Use of Calcium and Diltiazem for Rapid Atrial Fibrillation

Sometimes even ST Elevation meeting criteria is not enough to be convincing

OMI-NOMI paradigm established as better than STEMI-NSTEMI with new article

50 year old with acute chest pain, with ‘normal’ ECG and falling troponin

The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

EMT Spotlight: Field Supervisor Kaitlyn Collazo

Calcium in Out-of-Hospital Cardiac Arrest

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

The Brink of Burnout

Paramedic vs Combat Medic: What’s the Difference?

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