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How can we document our clinical encounter in a way that considers a differential diagnosis that prioritizes dangerous conditions and improve our thinking around cases? How do the master EM clinicians perform an efficient and targeted history and physical exam?
Here are a few highlights of how this new functionality can support your care delivery: Specific Workflows for Critical Care DocumentationDocumenting patient information in fast-paced situations, as well as long-term and complex transports, can be time-consuming. within ESO EHR firsthand?
How to document your ultrasound findings. How to document your ultrasound findings. Find us on Patreon here! Buy your merch here! Find us on Patreon here! Buy your merch here!
The post Announcing the National EMS Documentation Survey appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!
An exploration of clinical documentation and billing/coding with Dr. Robert Oubre (@Dr_Oubre), full-time hospitalist and CDI Medical Director for a community hospital in southern Louisiana. This is based on other diagnoses and factors; hence, document everything. *
Review the chart (or ask the patient) for prior documentation of intubation or anesthesia to determine if they have a history of a difficult airway. Good practice when documenting: write exactly what you did, and if it was difficult, write why! This can require some interpretation of the context and who was intubating previously.
Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Excellent documentation supports standard of care, avoids lawsuit Vertebral artery CVA leaves patient disabled. Result : Based on excellent documentation of thoughtful medical decision making, the case was found to be defensible.
I dont the exact year these protocols were implemented, but I know that in 2008 they went from a simple typed document to an algorithm format. The document was 222 pages, including 42 medications, 14 procedures, as well as 14 policies. The first document had 170 detailed pages, including 51 medications.
Cut documentation time up to 80% and stay in control At ESO, we are committed to being responsible, ethical, and transparent as we walk through this artificial intelligence journey together. From the crews side, its obvious it shortened their documentation time. In testing, this feature reduced total documentation time by up to 80%.
Bryan and Brandon chat about notes: what makes a good one, their many and conflicting purposes, some structures and approaches, system- versus problem-based charting, and more.
Launched in May 2025, the AI-powered documentation saved over 35,700 hours for EMS professionals within its first month of general availability. Over 1,670 EMS agencies have adopted the feature since May—resulting in up to 80% reduction in total documentation time.
Other documented pharmacological causes of anisocoria include nebulized ipratropium bromide and scopolamine (14-19). EM Clinicians should consider exposure-related anisocoria in the differential diagnosis of infant patients with acutely asymmetric pupils.
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
Managing, tracking, and documenting hundreds of patient encounters per day in the middle of a high-volume, fast-moving event. “Of course,” said Billy Rice, Market Director of EMS and Air Med 12. It’s our people and our county, so we stepped up and pulled it off.” The challenge? Traditional paper methods weren’t going to cut it.
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.
Great news for EMS agencies: ESO EHR and Hinckley Medical’s OneDose are now fully integrated, streamlining the dosing and documentation process for pre-hospital providers across the country.
The guide is a living document, which I (Willy Frick) will continuously update as I encounter additional angiographic images worth learning from. Attaining expertise in angiography requires dedication and practice. What follows is an introduction to angiography -- a guide meant for people with no prior experience interpreting angiograms.
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.
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.
In this section, we focus on risk assessment, documentation, and advice from lawyers and CMPA experts, with some frequently asked questions to conclude. In part 1 of this 2-part series on medicolegal risk in Emergency Medicine, we looked at two legal cases, with a primary focus on civil litigation and college complaints.
Charlotte Fire’s role in low-acuity and non-emergency calls should decrease under the agreement as MEDIC makes “incremental system improvements,” according to the signed document. Although MEDIC leads emergency medical services, local fire departments respond to tens of thousands of medical calls each year.
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).
The platform also serves as a centralized record of patient documentation, enabling HBMC to better prepare for incoming patients by reviewing their history and medications. Pulsara enables instant communication via text and video calls, allowing for patient evaluation to begin even before the patient arrives at the hospital.
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.
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.
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
Dr. Wendy Levinson is the Chair of Choosing Wisely Canada (CWC) and a Professor of Medicine, University of Toronto This SGEM Xtra is based on document created by CADTH and presented at Choosing Wisely Canada […] The post SGEM Xtra: High-Value Care Post Covid19 – Did you ever have to make up your mind?
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.
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.
All services provided can be documented and billed, reducing missed revenue. With the ESO HDE EMPI match: All responding agencies receive patient outcome information. All responding units can learn, update training if needed, and ultimately improve patient care.
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?
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.
The EMR tasks we undertake are expanding rapidly, far beyond simply documenting history and physical examination and every implementation slows us down. There is a long list of things that they do including documentation of the clinical encounter, information retrieval, and discharge preparation.
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.
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.
Using a mixed-methods study design, the study consists of three parts: (1) development and implementation of a robust survey tool to identify, quantify, and document the exposure of violent acts committed against paramedics by the public at large, and, by individuals within paramedic service organizations. (2)
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.
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 (..)
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.
Advances in biologics, tissue engineering, tele-rehabilitation, and trauma readiness are changing clinical practice, and JBCR is documenting and driving this transformation. Shaping the Future of Burn Care Burn care is evolving rapidly.
forgetting to document a medication) Educate and fix system issues Retrain and provide additional support Review cognitive ability or fit for role At-Risk Behavior (e.g., The Just Culture model accounts for that and directs supervisors to evaluate the situation and provide a standardized means of addressing undesirable behavior (Table 1).
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