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Test for drink spiking in ERs should be used to reduce psychological distress, says new study

Medical Xpress

More should be done to help victims of suspected spiking attacks process the psychological trauma of the event by testing patients who arrive at the hospital intoxicated, say the authors of a new study titled, "Drink and injection spiking: how to approach an increase in presentations?"

ER 74
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Fleece Pajama Bottoms 2019

StorytellERdoc

I can't pinpoint the moment exactly, but several years ago I began to notice that many of our ER patients were presenting for treatment wearing nice fluffy fleece bottoms. Most of these earlier bottoms for the younger patients were of superheroes and childhood figures, like kitties and ponies. Yes, I am being serious.

ER 100
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The Witness

StorytellERdoc

The patient arrived in cardiac arrest. His transport from his house to our department had been less than ten minutes and the pre-hospital team had done an excellent job of intubating this patient and establishing an IV to begin resuscitation efforts. A picture is worth a thousand words. His wife was with him.

ER 100
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To Care Or Not

StorytellERdoc

Recently, due to the stress that several of my dearest friends have been experiencing in caring for their elderly parents, I am even more appreciative and respectful of my privilege in caring for elderly patients who have attentive and loving adult children who accompany them to our ER. You get the picture, right? Later, she found me.

ER 100
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Music as Medicine: Jenny Chen, Tyler Jorgensen, & Theresa Allison

GeriPal

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Jenny reached out to us because she plays music regularly for her patients, and she said, you should do a podcast about music. And I performed for many palliative patients, and that’s when I started to understand.

IT 96
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CDC Proposes Updating Practice Guideline for Prescribing Opioids, Warning Against Continued Misapplication

FDA Law

CDC’s proposed 2022 practice guideline takes a more flexible, patient-specific approach relying on clinicians’ judgment rather than applying “inflexible standards of care across patient populations.” Proposed 2022 CDC Practice Guideline, 7,839. Purpose of the Proposed Guideline. The guideline is neither law, regulation nor policy.

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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath

GeriPal

If the purpose of initiating dialysis is improving function – our complex, frail, older patients are likely to be disappointed. Are we seeing people like more older adults, more nursing home patients starting dialysis, and even at a higher gfr? Let it be (hint hint). So I wonder if I could turn to either of our nephrologists.