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You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

As many as 40% of these children will receive a chest x-ray (CXR) during their ED visit despite clinical guidelines advising most of these tests are low value. Understanding root causes of CXR use in the ED clinical setting is key to mitigating overuse of this test. But it’s just a CXR right?

Asthma 52
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You don’t need to order comprehensive viral panels for most patients

PEMBlog

The diagnosis of a virus illness is generally made clinically with a history and clinical exam and does not require confirmatory testing. The clinical utility of respiratory viral testing in hospitalized children: a meta-analysis. Reasons to not order a comprehensive respiratory viral panel (i.e., JAMA Pediatr.

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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. What hasn’t been shown, Eric, is that if you apply tools like this, clinical outcomes down the road are better for patients.

Screening 120
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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

So, the consult will come in and then we’ll do what we call a clinical bedside evaluation, where we’ll go and see the patient at the bedside. Here at UW Health, we call it our Swallow Service. We actually have even subspecialization, which is kind of fun. Eric: Fancy. Raele: Yeah, it’s beautiful, colorful images. Raele: Yes.

IT 125
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Social Workers as Leaders on Palliative Care Teams: A Podcast with Barbara Jones

GeriPal

And we’ll tell you the scope of practice, and this is top of license, and this is how you can best utilize a social worker and, no, actually that skillset belongs over here.” Jennifer Temel study did not have a social worker as part of the clinical team. So … Barbara: Yeah. And I love that podcast.

IT 102
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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

It’s like how liberating it is to eliminate resentments, regrets and envy from our lives and how great it is in our clinical practice when we’re able to help families reconcile after an estrangement, how much relief that brings. What they want is things that are important to them, maybe live longer. Eric: Thanks, Scott.