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https://www.aapc.com/blog/26777-5-key-points-about-the-em-history-component/
Mar 03, 2014 · Without a chief complaint, the service is preventive. If documentation substantiates that the provider is unable to obtain a history from the patient or other source (e.g., the patient is unconscious), the provider is not penalized, nor are the overall level of medical necessity and/or provider work discounted automatically.Author: John Verhovshek
https://quizlet.com/213269718/emt-chapter-9-patient-assessment-flash-cards/
(You cannot assess or treat an unconscious patient's breathing until the airway is patent—that is, open and free of obstructions.) ... The secondary assessment should focus on a certain area or region of the body as determined by the chief complaint. The chief complaint is most accurately defined as the:
https://quizlet.com/27554888/emt-chapter-14-flash-cards/
When interviewing a patient with a specific chief complaint and a known history, the EMT may need to: ... When conducting a physical exam of an unconscious adult patient with a suspected medical problem, you remember there was a "Vial of Life" sticker on the front door of …
https://www.reddit.com/r/ems/comments/3ydw27/chief_complaints/
Dec 27, 2015 · I think the best way to answer your question is to say don't think of providing such a literal answer to "what is your chief complaint?" Think of it as the reason for being called. For example, if a trauma victim is unconscious you wouldn't say that the pt had no chief complaint, the chief complaint would be unconsciousness.
https://www.health.ny.gov/professionals/ems/pdf/srgpadefinitions.pdf
should focus on the patient’s chief complaint. An example of a patient requiring this assessment would be a patient who has sustained a fractured arm with no other injuries and no life threatening conditions. Focused History This is used for patients with a medical complaint who are conscious, and Physical able to adequately relate their ...
https://journals.lww.com/academicmedicine/Fulltext/2000/03000/Residents_and_Medical_Students_Noting_the_Chief.22.aspx
There were 55 patients over the study period (15 admitting days) who were able to give a chief complaint; patients who were intubated or unconscious upon arrival were not included. House officers presented 35 cases, noting the chief complaint in 17 (49%), and medical students presented 20 cases, noting the chief complaint in 12 (60%).
https://iaedjournal.org/what-is-an-emd-to-do/
Nov 28, 2017 · Remember that a caller’s mention, word, or impression do not always equal the Chief Complaint. The EMD needs to listen carefully to the complete Chief Complaint description, always clarifying when incomplete and, from that information, use sound, clinical judgment to formulate a …
https://emttrainingbase.com/taking-sample-history-opqrst-pain-assessment/
The emergency medical technician can use the SAMPLE history to begin a conversation about the patient’s chief complaint. The SAMPLE history can be used by the EMT during any patient assessment. It will usually begin after the ABC’s and Primary Survey is complete.
https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1553-2712.2001.tb01098.x
able, unambiguous, and coded chief complaint. The chief complaint is routinely and often repeatedly collected during a patient’s encounter and repre-sents a central piece of information that directs care. It is the ‘‘patient’s reason for seeking care or attention, expressed in terms as close as possibleCited by: 66
https://www.ncbi.nlm.nih.gov/pubmed/1219016
Based on the theory that the dream represents an important conflict of wishes essentially occurring between the id and superego, with some participation by the adaptive ego, the first dream reported by the patient is considered to be the chief complaint of the unconscious.Cited by: 2
https://iaedjournal.org/art-and-science/
A Chief Complaint may be described as the reason a caller is seeking help. The Chief Complaint may or may not be accurately expressed by the caller for various reasons including a tendency to self-diagnose, a lack of knowledge concerning clinical or situational priorities, multiple/concurrent problems, or emotional distress, among other factors.
https://emtlife.com/threads/chief-complaint-on-a-ift-run.14786/
Oct 17, 2009 · In general for discharges or transfers, I use the diagnosis as the chief complaint. A "S/P" would be appropriate if you know that the patient had any major procedures in relation to the CC or if the reason for hospitalization was for a specific procedure (e.g. S/P R knee replacement) and used the S/P to denote that specific procedure.
https://coreem.net/core/chief-complaint-chest-pain/
While you emphasized loss of consciousness as the confounding chief complaint when Paul Ryan insists that people need the “freedom” to choose to have health insurance (no one can refuse an ambulance when unconscious) – you could have also noted folks with chest pain who present to the ER; a large % have benign etiologies but intervention can be life-saving.
http://www.emstar.org/usr/PA/How_to_Write_a_PCR..pdf
Chief Complaint •Should be a direct quote from the patient (or bystander), such as “I feel sick” or “my stomach hurts” (it should also be in quotes), even if it has nothing to do with why you are there.
https://www.emergencydispatch.org/articles/911Magz_1103_FallsVsCollapse.pdf
Falls vs. Sudden Unconscious as the Chief Complaint when the patient is reported to have fallen or collapsed, but when the event itself was unwitnessed. A case provided to the Academy by an Accredited Center has shed light on the necessity to refine our thinking behind the selection of the correct Chief Complaint regarding these types of calls.
https://www.cabrillo.edu/academics/publicsafety/documents/PatientInterviewAssessmentGeneralCallFlow.pdf
Patient Interview/Assessment and General Event Flow Initial Patient Contact • Unconscious patient o ABC’s o LOC (AVPU) o If trauma is suspected take initial c-spine precautions o Determine chief complaint if possible o Introduce yourself to bystanders, family members, etc if …
https://www.nuemblog.com/blog/the-comatose-patient
Thank you for your succinct review of a common, and often complex, chief complaint in the ED. The comatose patient, by definition, cannot provide much context or history to his or her condition, so the clinician must rely on examination skills and some of the heuristics mentioned in the post.
https://www.aapc.com/blog/27349-confirmed-billing-provider-must-document-the-hpi/
The exam and medical decision making are also considered physician work and not relegated to ancillary staff. In certain instances, an office or emergency room triage nurse may document pertinent information regarding the chief complaint (CC)/HPI, but this information should be treated as preliminary information.Author: John Verhovshek
https://www.coursehero.com/file/p5nu3ji/The-component-of-the-patient-history-that-identifies-the-chief-complaint-and/
The component of the patient history that identifies the chief complaint and. ... A.Current health status B.Past medical history C.Chief complaint D ... medications often produce allergic reactions B.This information may be important and useful to others involved in the patient's care C.Many unconscious patients are suffering from an allergic ...
https://www.chegg.com/homework-help/questions-and-answers/chief-complaint-68-year-old-man-collapsed-exertion-history-roger-crockett-68-year-old-man--q22159225
Chief Complaint: 68-year-old man who collapsed during exertion. History: Roger Crockett, a 68-year-old man with a 40-pack-year smoking history and recent complaints of angina (sub-sternal chest pressure) upon exercising, collapsed while mowing his lawn. The paramedics at the scene found him unconscious, not breathing, and without a pulse.
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