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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. 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

I’m a dementia specialist, and so what I was experiencing was that many people were coming to see me to get a diagnosis of a very straightforward case of mild Alzheimer’s or moderate Alzheimer’s disease, whose doctors had told them there was nothing wrong with them or that their memory was better than my own, says the doctor.

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

GeriPal

So we know the individual actually has a swallowing disorder at that point, whereas proactive care is having more of that multidisciplinary approach, where the speech pathologist is part of the care team, we’re involved at the time of diagnosis, or soon after, and we can start doing our assessments.

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.” What does this diagnosis mean to you? And sometimes social workers feel intimidated by it, too. And you feed the medicine in.

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 I’d really like to see is that when POLST is utilized, it’s utilized correctly.