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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. 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.

Asthma 52
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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

I heard this beautiful thing the other day, which was to an electronic medical record, I am not a whole person. Joe 18:38 Yeah, you know, it’s interesting, Soo, I’m doing a county by county visit here in Minnesota where I actually give a presentation on the basics of dementia and Alzheimer’s disease. I’m busy.

Screening 119
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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly.

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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). He was the special prosecutor. The hospital refused without a court order, and the case eventually made its way to the Supreme Court.

Family 112
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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. And that was one of the reasons that was appealing to us is that the conversation guide and could be delivered by lay facilitators in partnership with the clinical practice.

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

GeriPal

It’s really special to be here and to be talking about this paper, which was really important to Randy. He really practiced what he preached. And I think that his research was informed by his clinical practice, his clinical practice was informed by his research. Erin: Yeah, I can go first. Eric: Okay.