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

PEMBlog

While no validated clinical prediction rule is available yet to determine which children should receive a CXR, we do know that the presence of bacterial pneumonia is uncommon in otherwise healthy, immunized children with usual presentations of asthma, bronchiolitis and croup. But it’s just a CXR right?

Asthma 52
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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. And we were able, because of the way OHSU has the registry and POLST link had just been integrated into our electronic medical records.

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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. I’m just stunned even writing that! We’ve come so far as a field. Eric: And how did you do that?

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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.