PEMBlog

MARCH 27, 2024

So, again, to reinforce, since IEMs have very specific non specific presentations, the goal in the ER is not to specifically diagnose the IEM. So those would be a plasma sample for plasma amino acids, organic acids, acyl carnitine, other compounds, which your friendly geneticist, when you consult them will be incredibly happy you got.

Consulting 59

Consulting Individual Families Family 59

GeriPal

APRIL 10, 2025

I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. You know, most, most ERs admit, you know, far fewer than 50% of their patients. And so we did a similar intervention but using electronic means.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 18, 2024

Alex: Yeah, we talk a lot about de-skilling in geriatrics and palliative care, because so much of what we do is a consultant role. I think a lot of back office function, predicting ER loads and OR loads to do better scheduling of staff. That’s a risk with electronic health records in general.

Electronics 139

Electronics IT Patients Healthcare 139

GeriPal

SEPTEMBER 5, 2024

So elderly people who aspirated, got pneumonia, had an mi, didn’t get hauled off to the emergency room on an ambulance crew so they could die in the ER. We consult all the time on patients who have advanced directors who say one thing and we’re in a situation where it’s clear they want to do something else.

Patients 98

Patients IT Patient-Centered Hospital 98