Sensible Medicine

JANUARY 3, 2024

But in moments of lucidity, he asked for every conceivable intervention, besides intubation. “Once the revolution of exploitation is under way, statesmanship and craftsmanship are gradually replaced by salesmanship. Its stock in trade in politics is to sell despotism and avarice as freedom and democracy.

CDC 142

CDC Allergic Reactions Hospitals COPD 142

Sensible Medicine

APRIL 29, 2024

A few years ago, I wrote about Brian Nosek, a scientist at the University of Virginia who brought together 29 teams of data scientists, to analyze one data set to ask one question: did European soccer referees give more red cards to dark-skinned players. The study question is red meat consumption and mortality. It’s the Methods !

Documentation/Coding 137

Documentation/Coding Stroke Shock Research 137

The Skeptics' Guide to EM

MAY 25, 2024

The SAEM GRACE program addresses the best practices for the care of the most common chief complaints that can be seen on the tracking board of any emergency department in the country, based upon research and expert consensus. Prior to his medical training, he completed a PhD in Pharmacology at U of T. This is an SGEM HOP but with a twist.

Emergency Department 85

Emergency Department Best Practices Seizures Research 85

Emergency Medicine Journal

NOVEMBER 28, 2023

This study aimed to develop a set of expert consensus-based statements underpinning operational design, outcome measurement and evaluation of a Frailty at the Front Door (FFD) model of care for older adults within an Irish context. Members were asked to rank 70 statements across nine domains using a 9-point Likert scale.

Research 40

Research Outcomes Operations Emergency Department 40

Sensible Medicine

DECEMBER 18, 2023

The USPSTF or United States Preventive Services Task Force is an independent volunteer panel of experts in disease prevention and evidence-based medicine. Families with young kids that didn’t mask were asked to step off airplanes, or turned away from day care. Good morning all. This Monday, I take a day off.

Pediatrics 141

Pediatrics Documentation/Coding Burns Academics 141

Sensible Medicine

JULY 9, 2023

When I asked him who was closest to him— he said no one. When I asked him what he enjoys doing, he said working on his cars. When I asked him how his health was, he replied flatly. When I asked him how his health was, he replied flatly. One man taught me about lung cancer screening. He never had kids.

103

103

Dr. Mike Sevilla

NOVEMBER 23, 2022

Every year, I have many friends ask me to share his turkey carving videos. I do not claim to be an expert in grief and loss. I am only an expert in my own grief and loss…. My father passed away in 2020 right before Thanksgiving, and I admit that holiday time is a difficult time for me.

52

52

Dr. Smith's ECG Blog

MARCH 14, 2024

Written by Jesse McLaren Three patients presented with acute chest pain and ECGs that were labeled by the computer as completely normal, and which was confirmed by the final cardiology interpretation (which is blinded to patient outcome) also as completely normal. What do you think? It should never have been published.

EKG/ECG 93

EKG/ECG Documentation/Coding Patient Safety Outcomes 93

The Trauma Pro

OCTOBER 31, 2023

But occasionally our patients present issues that require evaluation by other experts in order to guarantee excellent care. Ask them to further explain, if they can. Consultants provide very important services to trauma patients in the ED and inpatient settings. a cardiologist evaluating a cardiac contusion). What to do?

Risk Management 113

Risk Management Documentation/Coding Hospitals Fractures 113

EMDocs

JANUARY 25, 2024

You never asked about my blood thinner or checked my INR. Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. An INR is not done.

Poisoning 71

Poisoning Documentation/Coding Patient Safety Hospitals 71

Total Medical ComplianceHIPAA

MAY 4, 2022

There is a banner posted on the home page of the website alerting their members of this continuing situation and asking for their patience as the issue is resolved. While not confirmed by the ADA, many cybersecurity experts have reported the ransomware attack was executed by a new group, Black Basta.

Operations 64

Operations Hospitals 64

Don't Forget the Bubbles

SEPTEMBER 13, 2023

The American Academy of Paediatrics Section on Emergency Medicine (AAP SOEM) created a list of five key recommendations for Paediatric Emergency Medicine after a structured review process and expert consensus opinion. Her parents ask you whether any blood tests or brain scans are needed What do the guidelines say?

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

Stop and Think

JANUARY 14, 2024

Everyone kept asking if I had shortness of breath or chest pain. But it is not what experts recommend. Since Andrew Foy and I wrote our Case Against Coronary Artery Scans in an academic journal, the test has only increased in popularity. The imaging test measures the amount of calcium in the coronary arteries.

Academics 123

Academics Outcomes Wellness 123

Don't Forget the Bubbles

AUGUST 30, 2023

The American Academy of Paediatrics Section on Emergency Medicine (AAP SOEM) created a list of five key recommendations for Paediatric Emergency Medicine after a structured review process and expert consensus opinion. Worried about the cause of her illness, her parents ask you whether a chest x-ray would be useful.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

The Skeptics' Guide to EM

AUGUST 20, 2022

On one of the slides, Professor Daniel Fantovich and I were referred to as “Non-Expert EM Contrarians” I reached out to Jeff and we had a very good conversation. The conversation ended well with Jeff requesting one of the t-shirts I planned to make with the title of non-expert ER contrarian on the chest.

Stroke 52

Stroke Best Practices Research EMS 52

Sensible Medicine

FEBRUARY 5, 2024

Experts in HF, therefore, at the time, must not have expected it. Tomorrow over at CardiologyTrials we will describe the CAPRICORN trial of carvedilol vs placebo in patients post myocardial infarction. Do tune in. Also, the bad typo in the original e-mail is fixed.) Here is a screenshot of the trial from NEJM in 1996. How could that be?

Wellness 75

Wellness Hospitals 75

Sensible Medicine

SEPTEMBER 12, 2023

They possess actual scientific knowledge and are experts in extrapolation. They possess actual scientific knowledge and are experts in extrapolation. It doesn’t really matter who this doctor is or, for that matter, what his book is about. The specifics change every few years. The doctor is photogenic and usually male.

Academics 136

Academics Shock Research Wellness 136

SheMD

SEPTEMBER 24, 2023

It was Malcolm Gladwell who proclaimed that practicing anything for more than 10,000 hours allows one to become an expert. It was Malcolm Gladwell who proclaimed that practicing anything for more than 10,000 hours allows one to become an expert. Disclaimer: This post was written before the COVID-19 pandemic.

Wellness 98

Wellness Leadership Academics Research 98

PulmCCM

FEBRUARY 5, 2024

Virtually all the recommendations were based on weak evidence and represent a consensus of expert opinion. Virtually all the recommendations were based on weak evidence and represent a consensus of expert opinion. PulmCCM is not affiliated with SCCM or IDSA. You can read the document here. What’s a Fever? °C (100.9°F).

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

ACEP Now

JUNE 7, 2023

The model was asked to simply supply a response indicating the correct answer from the multiple-choice set presented. If you’re wondering about the hype with chatbots in medicine, perhaps it’s because they’re nothing new: the first medical chatbot, after all, was developed back in 1964.

Documentation/Coding 78

Documentation/Coding Wellness Administration Research 78

AED Leader

APRIL 21, 2024

At AED Leader, we offer a wide range of AED (Automated External Defibrillator) devices and accessories to meet your needs. In this blog post, we will discuss the must-have features to consider when purchasing an AED and provide tips on how to find the perfect one for you. Why is having an AED Important? This is where an AED comes into play.

Shock 52

Shock CPR Research Wellness 52

Northwestern EM Blog

FEBRUARY 21, 2022

Written by: Savannah Vogel, MD (NUEM ‘24) Edited by: Logan Wedel, MD (NUEM ‘22) Expert Commentary by : Matt Pirotte, MD References “Discussing Goals of Care.” VitalTalk, 9 May 2019, www.vitaltalk.org/guides/transitionsgoals-of-care Expert Commentary This is a nice review of the steps of what can be a very difficult conversation from Drs.

Dehydration 52

Dehydration Shock Hospitals Wellness 52

Stop and Think

MAY 4, 2023

He asked: John, why do journals publish so many terrible studies? Yet, in major referral centers, there are doctors who, over years, have become expert at lead extraction. In an expert’s hands, lead extraction is a lot less risky. It made me Stop and Think. So called lead extraction , however, can be a difficult procedure.

40

40

Sensible Medicine

NOVEMBER 14, 2023

Some have asked if his drug or alcohol use had recurred or had contributed to his death. For someone like me who only knew Matthew Perry from occasional glimpses of Friends during my “lost decade” of medical training, I was surprised by the attention paid to his death. He died on October 28 of causes yet to be learned.

Research 116

Research CDC Psychiatric Best Practices 116

Sensible Medicine

AUGUST 11, 2023

She could not identify any palliative or provocative features, and when asked about associated symptoms she said that she felt “bad and scared” when it was present. BW was a 66-year-old woman who presented for an urgent visit to the general medicine clinic. She reported that she had been having dizziness for the last four days.

Psychiatric 78

Psychiatric Documentation/Coding Wellness 78

ACEP Now

SEPTEMBER 11, 2023

Sara Andrabi, MD, FACEP| YPS Past Secretary BONUS CONTENT We asked networking expert Angela Siler Fisher, MD, FACEP, her best tips. Networking and making new friends in the specialty is one of the best parts about ACEP events like the upcoming 2023 Scientific Assembly, but it’s also a bit mysterious. It can feel unnatural, right?

52

52

Emergency Medicine Journal

AUGUST 23, 2023

EM doctors were seen as experts in managing uncertainty, with responses to uncertainty including gathering information, sharing uncertainty and seeking help. Background Uncertainty is particularly obvious in emergency medicine (EM) due to the characteristics of the patient cohort, time constraints, and busy environment.

EMS 40

EMS Emergency Department 40

Total Medical ComplianceHIPAA

MAY 4, 2022

There is a banner posted on the home page of the website alerting their members of this continuing situation and asking for their patience as the issue is resolved. While not confirmed by the ADA, many cybersecurity experts have reported the ransomware attack was executed by a new group, Black Basta.

Operations 40

Operations Hospitals 40

RebelEM

JULY 24, 2023

Over the last decade, airway experts have advocated for reduced induction agent dosing to lessen the risk of hypotension particularly in at risk patients. While there are numerous potential causes of hypotension peri-RSI, induction medications represent an important, modifiable variable. Ann Emerg Med 2023. Standard dosing is etomidate 0.3

Resuscitation 98

Resuscitation Outcomes Emergency Department EMS 98

Sensible Medicine

NOVEMBER 22, 2023

Dr. Wynia goes on to ask if “leaders in the health professions” should respond to events like the war in Gaza. We are the recipients of the curse, “may you live in interesting times.” Like all members of an open society, physicians have opinions on the important topics of the day. Both actions are appropriate.

Leadership 102

Leadership Military Hospitals Wellness 102

ACEP Now

AUGUST 22, 2023

Regardless of the domain, somewhere an expert panel has convened to issue a pronouncement informing all of the ideal care of patients under their specialty umbrella, indirectly extending to their care in the emergency department. 1 To date, there have been three GRACE publications. 1 To date, there have been three GRACE publications.

Emergency Department 98

Emergency Department Academics Critical Access Research 98

EMDocs

SEPTEMBER 19, 2023

Learning points: Have an approach to seizures/status epilepticus: first dose benzo, but while asking for the second dose and other agent, prepare for intubation with ketamine and/or propofol. Today on the emDOCs cast with Brit Long, MD ( @long_brit) , and Rachel Bridwell, MD ( @rebridwell ), we cover two more challenging cases.

Seizures 72

Seizures Documentation/Coding EKG/ECG Emergency Department 72

Sensible Medicine

DECEMBER 1, 2023

If you appreciate our work, consider becoming a free or paid subscriber. If I were to make a pie chart of what I do in the office, there would be slices for counseling, diagnosis, and therapy. Most counseling happens during the visits themselves. My therapeutic interventions are mostly done by me in the office.

Wellness 82

Wellness Documentation/Coding Outcomes Stroke 82

Pediatric EM Morsels

MAY 5, 2023

It seems like every social media persona provides “expert” opinions on the best way to nourish our bodies. Ask about any restrictive diet practices in your patient populations. Our world has become inundated with the newest food and diet crazes. Supplementation is key! Look out for nutritional deficiencies ! 2021 May 18;13(5):1707.

Pediatrics 130

Pediatrics Documentation/Coding EMS 130

SheMD

DECEMBER 10, 2023

She had been noticing the many children in my waiting room, and asked me with great concern, “I’m 70. We are expert at taking a good history, looking for subtle clues that lead us to a diagnosis and conveying that information to our patients. Today's post is on why Dr. Kuwik chose the Med-Peds! They thought I was a pediatrician.

Pediatrics 98

Pediatrics EKG/ECG Wellness Psychiatric 98

PEMBlog

SEPTEMBER 20, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Kelly Levasseur, DO Children’s Hospital of Michigan Detroit, MI, USA docklevasseur@gmail.com Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Pediatrics 123

Pediatrics Emergency Department Hospitals Ultrasounds 123

ALiEM

OCTOBER 26, 2023

The program invited experts from internationally acclaimed institutes with varying interests to present their experiences, observations, opinions, and protocols. The program invited experts from internationally acclaimed institutes with varying interests to present their experiences, observations, opinions, and protocols.

EMS 64

EMS Academics Evidence-Based Practice Emergency Department 64