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The Impact of a Health Professions Education Program on Concussion Management: A Multi-Methods Study of ECHO Concussion [Neurologic illness]

Annals of Family Medicine

Context Concussions, or mild traumatic brain injuries, are diagnosed in 150,000 Ontarians annually, resulting in disruptions to work, school, and sport. Concussion management is complex: variable onset of symptoms, urban/rural disparities, and the many professionals involved in case management.

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You don’t need X-Rays to tell if a child is constipated

PEMBlog

Use of abdominal radiographs to diagnose constipation has been associated with increased diagnostic error, possibly due to the cognitive bias of search satisfaction. In a portion of cases a false diagnosis is given of constipation resulting in missed diagnoses and increased return visits. 2017;186:87-94.e16. PMID: 28457526.

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Using technology to reclaim our time

Today's Hospitalist

At its core, the technology utilizes sophisticated speech recognition to transcribe a conversation in the exam room or at the bedside. These systems also provide a consistent note structure, which can improve the overall readability and utility of patient records. That’s the essence of ambient dictation.

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More than the rule of 2s: All about Meckel Diverticulum

PEMBlog

This nuclear medicine scan utilizes a radioactive tracer that is taken up by the gastric mucosa in Meckel’s diverticulum, thereby helping to identify its presence. The Meckel’s scan is the preferred diagnostic modality, and prompt surgical consultation may be necessary for symptomatic cases. Clin Radiol.

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You don’t need labs to medically clear a psych patient

PEMBlog

They carry existing diagnoses and are followed by outpatient mental health providers. In those without psychosis, those with likely psychosocial issues, especially those with a prior history of psychiatric diagnoses, and with reassuring history and exam, lab tests are not necessary to exclude a medical condition. Health Aff (Millwood).

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You don’t need to order comprehensive viral panels for most patients

PEMBlog

As we emerge from the Covid-19 pandemic, it’s important to remember that most viral respiratory infections can be diagnosed based on symptoms alone, and in otherwise healthy children, they are all generally managed the same. The clinical utility of respiratory viral testing in hospitalized children: a meta-analysis. JAMA Pediatr.

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

GeriPal

So, the consult will come in and then we’ll do what we call a clinical bedside evaluation, where we’ll go and see the patient at the bedside. You see something on a bedside swallow, or on a FEES, you’re diagnosing what you think it is. Eric: I also wonder, is it just the utilization review standpoint?

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