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Sweet! A Metabolic Disorders focused podcast episode

PEMBlog

You won’t be able to diagnose them on history and physical alone. Therefore, in the ED, the goal is really to recognize the science and symptoms on history and physical exam that are suggestive of metabolic disease. Now, first off, realize that most IEMs present with very nonspecific clinical features. So get the ABCs, start D10.

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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

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. And it bothers me how the nurses are there, the physical therapists are there, some of the social workers are there. The intention was to place it in the beds in nursing homes.