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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. Provider level factors such as newly autonomous trainees, advanced practice professionals, and clinicians with infrequent exposure to pediatric respiratory illnesses may lead to overreliance on tests.

Asthma 52
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Who should get Palliative Care? Kate Courtright

GeriPal

We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? We can’t possibly meet the needs of all people with newly diagnosed serious illness. By diagnosis? By prognosis? It’s what I know.

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Sweet! A Metabolic Disorders focused podcast episode

PEMBlog

My special guest podcaster, Emily Groopman, is an actual Pediatric Geneticist in training and we hope that you will find this episode useful. She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. You can contact her via email at egroopman@childrensnational.org.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

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

GeriPal

Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly. 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! We’ve come so far as a field. Eric: And how did you do that?

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RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

So, I do think that we have, I think of our team as an overlapping venn diagram or anyone not to be able on, the team ought to be able to listen deeply and provide some of this, but then the chaplain does have these special domains. Eric: LaVera, I got a question for you. Alex, is it okay if I ask? Alex: Yeah. Lexy: Well, so no.

IT 99
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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.