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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

We walked down to the emergency room and reviewed his chart. Then things started to get a little bit different… His chest x-ray had some peripheral infiltrates, and the emergency department providers ordered a CT scan. But, this requires an adequate understanding of the syndrome and having well-defined illness scripts.

Illness 52
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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. Eric: Okay.

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Palliative Care in Liver Disease: A Podcast with Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson

GeriPal

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. Sarah 24:24 See, I usually always present it as these are things we should think of. Any particular thoughts on how to manage pain and liver disease from a pharmacological perspective? I mean, is it.

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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I think we’re probably managing sicker patients on the floor.

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Assisted Living Communities: Podcast with Sheryl Zimmerman, Kenny Lam, and Ken Covinsky

GeriPal

AlexSmithMD (still on Twitter at present). So, the top two were that assisted living communities, in those communities the resident should be present during assessment and care planning. ” And the requests from management were to ask her to prescribe antipsychotics to try and sedate some of these behaviors away.

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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? This is not why I went into emergency medicine. I went into emergency medicine to act. Why is that important in the emergency room?

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Medical Cannabis Revisted: A Podcast with David Casarett and Eloise Theisen

GeriPal

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? That put me in the emergency room. They want to be able to manage their own symptoms. Eloise 36:49 I would first present to you what I think your options are.

Medical 98