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In Case You Missed It

Posted on Fri, Sep 25, 2015
In Case You Missed It

Our weekly round up of healthcare headlines.

BMI Still Best and Simplest Pediatric Adiposity Index for Predicting Respiratory Adverse Events - Anesthesiology News

Trapped in the System: A Sick Doctor’s Story - The New York Times

NPR and the False Choice of Alternative Medicine - Science-Based Medicine

What I learned about childproofing from working in the ER - KevinMD

General anesthesia-induced anaphylaxis: Impact of allergy testing on subsequent anesthesia - MDLinx

ABIM-ACCME Collaboration Helps Hospitalists Earn Credit for Continuing Medical Education - The Hospitalist

Judge tells HHS to revisit two-midnight rule's inpatient pay cut - Modern Healthcare

Surviving the rural hospital closing challenge - Healthcare Dive

Stemming The Tide Of Prescription Opioid Overuse, Misuse, And Abuse - Health Affairs Blog

Multi-Tasking in the ER: More Is Not Better - American College of Emergency Physicians

Diagnostic Error: The IOM Talks Trash (But Not Cash) - The Health Care Blog

In Case You Missed It -- Check back next week!


Documentation Tip of the Week: Shock

Posted on Wed, Sep 09, 2015
Documentation Tip of the Week: Shock

Our weekly feature of documentation tips for clinicians.

By Timothy Brundage, MD

Shock is typically associated with evidence of inadequate tissue per fusion on physical examination

  • Skin - Degree of cutaneous perfusion
  • Kidneys - Urine output
  • Brain - Mental status

The presence of low blood pressure should not be a prerequisite for defining shock: compensatory mechanisms may preserve blood pressure through vasoconstriction, while tissue perfusion and oxygenation are already decreased significantly.

The definition of circulatory shock emerging from this consensus conference does not require the presence of hypotension.

Consensus on circulatory shock 2014

Timothy Brundage

Dr. Timothy Brundage is a hospitalist for EmCare at St. Petersburg General Hospital in St. Petersburg, Fla. Dr. Brundage earned his bachelor’s degree in chemistry and molecular biology at the University of Michigan, his M.D. at the Wayne State University School of Medicine and completed his residency in internal medicine at the University of South Florida College of Medicine. Subscribe to Dr. Brundage’s weekly documentation tips, or ask him about specific documentation issues, by emailing him at

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