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

PEMBlog

Special thanks to Todd Florin, MD, MSCE who contributed to this post – he is also an expert on respiratory and infectious emergencies. Provider level factors such as newly autonomous trainees, advanced practice professionals, and clinicians with infrequent exposure to pediatric respiratory illnesses may lead to overreliance on tests.

Asthma 52
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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

Not the most common circumstances that people with serious illness face where attention and understanding of what my goals and values are. Anne: Well, speaking of your kids, a very special, sometimes listener, chimed in named Ren Smith. Why are all these companies after me trying to get my money and get me an electronic wheelchair?

IT 127
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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). They were seriously ill and had a chance to get to know. In 1990 the Supreme Court ruled…for the state of Missouri. What words to use?

Families 113
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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. Eric: And how did you do that? Alex: We had you on just recently, the podcast. Kate: Sounds right.

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Pragmatic Trial of ACP: Jennifer Wolff, Sydney Dy, Danny Scerpella, and Jasmine Santoyo-Olsson

GeriPal

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. Outcomes are typically assessed from available records.

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Jumpstarting Goals of Care Convos: Erin Kross, Bob Lee, and Ruth Engelberg

GeriPal

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.