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Emergency Procedure - Medical EmergencyUCSC Fire Department personnel are all trained as Emergency Medical Technicians or Paramedics and respond to all medical emergencies on campus with county ambulance Paramedics. The nature of the medical emergency and whether or not the patient is conscious and breathing. Any other pertinent information, such as events leading up to the emergency or known past medical history of the patient. Ensure that the scene is safe prior to approaching the patient and reassure the patient that help is on the way. If the patient is inside a building or a remote location, send someone to meet and direct the Fire Department to the location, if possible. If you are trained in first aid, you may provide care per your level of training until the Fire Department arrives.
Upon arrival of the Fire Department, remain and provide any specific information about the patient and their condition that you are aware of. Do not call or e-mail OES directly to report a hazardous situation.For more information about CruzAlert or to update your contact numbers, click here.
Posters are available free of charge to those who work in the film and performing arts industries in British Columbia. Finding out who to talk to about health and safety in the motion picture and performing arts industries in B.C.
As part of our Propane Safety Awareness Campaign, Actsafe has a fantastic new resource to help workers recognize the hazards of propane radiant heaters in lunch and holding tents. Use this poster in an easily accessible location to communicate vital emergency procedures quickly. Emergency medicine is no stranger to controversy, as demonstrated by its initial struggle to be recognized as a distinct entity. Get full access to all EB Medicine articles published 3 years (or more) ago, including evidence-based, peer-reviewed diagnosis and treatment recommendations. A well established medical response procedure will allow the employee (or customer) involved to receive first response care almost immediately, followed by care and transport to the appropriate medical facility by EMT personnel.


It is best to have the person calling 911 physically with the patient at the time the call is made if at all possible. In the same way, the introduction of bedside ultrasound into the ED has faced, and continues to face, challenges and a lack of acceptance by some specialties.195Despite the initial objections, bedside ultrasound has slowly grown in use to the point that it is now considered a critical component in emergency medicine training.
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Copyright ? 1995 - 2004, all rights reserved, Rick Curtis, Outdoor Action Program, Princeton University.
This policy established a dual pathway for ED physicians, one for residents, and the other for practicing physicians.198 The residents would participate in an established program with pre-defined components, supervision, and evaluation based on ACEP and American Board of Emergency Medicine (ABEM) guidelines.
The practicing physician may attend a recognized training course and then perform studies under supervision with over reads until proficiency is obtained.
Heller et al presented a consensus statement on incorporating ultrasound training into residency training and also included general guidelines on instruction, equipment, and experience that served as guidelines for program development in any setting.131A two-day comprehensive course that focuses on the primary applications of trauma ultrasound (FAST), pregnancy (ectopic and fetal cardiac movement), limited cardiac (arrest and shock), abdominal (AAA detection, biliary, and renal), and procedural ultrasound is desirable for those looking for an initial introduction. These courses are now offered routinely by national and regional professional organizations, at national conferences, by private groups, as well as by some equipment manufactures.
How much experience is needed?The amount of experience required to perform a "focused" exam is almost as controversial as whether it should be performed at all by non-sonographers. Numerous studies over the last ten years have demonstrated the ability of non-radiologists to perform focused ultrasound exams.30, 52, 205 Like any skill that requires a pairing of knowledge and experience, a number is less important than demonstrated accuracy and benefit to patients. Those operating in academic settings may find adherence to professional organization guidelines advantageous while others may utilize a consensus developed through negotiation and based on practice need.
The policy recognized that "ultrasound imaging is within the scope of practice of appropriately trained physicians" and not a specialty specific privilege.
It went on to specify that the determination of who should perform ultrasound procedures is the function of a hospital's medical staff with specific privileges listed in a department's Delineation of Privileges.
What if radiology objects?It is true that radiology has often objected to the introduction of bedside ultrasound.


Recall that the AMA supports emergency medicine's position and rights as well as previous precedents set with the cardiologists and obstetricians.Strongly consider requesting "Limited Emergency Ultrasound" to include the most crucial, best supported, and time sensitive studies. The collected experience of individuals involved in emergency ultrasound across the country is accessible, including many who have successfully implemented programs in their departments.Can you bill for these procedures?Yes. Physicians who are appropriately trained and credentialed may bill for the procedures that they perform, including bedside ultrasound. Most of the ultrasound procedures performed by emergency physicians are described by the Current Procedural Terminology (CPT) codes.209 The selection of appropriate codes and modifiers for these procedures can be complex. There are numerous modifiers; their descriptions and use are best found in professional coding manuals (CPT, etc). Two of the most commonly used are "-26" (professional component modifier) and "-52" (reduced service modifier). The professional component modifier (-26) indicates the interpretation of the study or test and the preparation of a separate and distinct note. A hospital based emergency physician would attach this modifier to virtually all of the CPT codes submitted.
The reduced service modifier (-52) indicates that the usual procedure, as described in the CPT code, was performed in reduced fashion.
For example, some procedures do not have "limited" codes and, if performed in a focused fashion, would need to be reported in a "modified" manner, thus the additional code.
Even from this brief discussion, it is apparent that appropriate coding and billing for services performed can be a complex process.



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