Emergency
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ED Coding Update: Heed these advanced coding and documentation concepts for pediatric patients
Documentation requirements for infants and children often require more detail for appropriate documentation of both the medical necessity and the level of medical decision making to support the additional time and effort required.
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Study suggests more training, support for nurses treating patients with behavioral health concerns
An analysis of survey data and information gleaned from focus group sessions suggests there are several interventions that, at least from a nursing perspective, could potentially improve the care behavioral health patients receive in the emergency setting and shorten their stay.
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Pediatric emergency care coordinator role associated with improved ‘readiness’
A new study suggests that EDs that have a pediatric emergency care coordinator are better prepared to meet the needs of young patients than EDs that do not.
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Reimbursement for end-of-life planning offers dividends to emergency providers
CMS is proposing to set up a separate payment system along with advance care planning codes so these conversations can take place at the most appropriate time for patients and families.
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The “Choosing Wisely”® Campaign: An Evidence-Based Review of the Recommendations: Part I
The purpose of this paper is to perform a critical review of available evidence regarding each of the 10 recommendations.
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Summer Emergencies: Heat Illness, Lightning Injuries, Drowning, and Sunburn
This monograph covers potentially serious summer emergencies such as exertional heat-related illness, lightning injuries, drowning — and a very common one — sunburn.
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Emergent Vascular Access: Is Intraosseous Better Than Central Venous Catheter Placement?
In this single-center, prospective, observational study, intraosseous access outperformed central venous catheter placement in terms of first-pass success rates, mean placement times, and complication rates.
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Is Peripheral Intravenous Administration of Vasopressors Really Safe?
The administration of vasoactive medications by peripheral intravenous access is safe and feasible in critically ill, hypotensive patients.
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What's in a Name: Should Protocols for Sepsis Treatment Be So Complete?
ABSTRACT & COMMENTARY: Early and aggressive goal-directed therapy treatment for sepsis leads to a decrease in mortality.
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Neurological Emergencies in Children and Adolescents
Neurological issues in children can take a very dramatic but relatively benign form, or can be subtle but representative of serious underlying illness. Differentiating between high- and low-risk presentations can be challenging, but a thorough understanding of pediatric practice guidelines can help emergency department physicians determine the most appropriate ED interventions and eliminate potential injury to a child from either excessive intervention or the sequelae of a missed diagnosis. This monograph will help ED physicians recognize and appropriately treat seizures in children, and provide advice to worried parents about their child’s potential for seizure recurrence. In addition, physicians will learn how to determine which patients require lumbar puncture and understand the risks of brain CT imaging in the pediatric population. It also covers how to know when to emergently or urgently refer children to pediatric neurology.