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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. The rational clinical examination systematic review.

Asthma 52
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Hearing Loss in Geriatrics and Palliative Care: A Podcast with Nick Reed and Meg Wallhagen

GeriPal

Was there any mention about the impact that hearing loss has in communication or what we should do about it in clinical practice? We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. I’m guessing not. How to screen for hearing loss.

IT 102
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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

So, we use that information to formulate a treatment plan. But again, most of my clinical practice, until recent years, has been in the acute care setting. We have patients who are acutely ill, pulmonary consequences can be really, really serious for a lot of our hospitalized patients. Eric: Great.

IT 124
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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. So I do think it’s useful to have that additional information. Alex: National POLST Collaborative. Good to know.

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

GeriPal

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. 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!

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Dignity at the End of Life: A Podcast with Harvey Chochinov

GeriPal

Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One. And that includes what we call illness-related concerns, the things that are directly mediated by the illness itself.

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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.