PEMBlog

AUGUST 30, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Michele Nypaver, MD University of Michigan Ann Arbor, MI, USA michelen@med.umich.edu Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

GeriPal

MAY 5, 2022

Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults. And one of the parts of that was actually doing physicals for the students and putting them in job placements. Including more hospital utilization or healthcare utilization, maybe cognitive impairment issues.

IT 102

IT Screening Hospital Clinic 102

FDA Law Blog

JUNE 22, 2022

Moreover, the non-prosecution agreement resulting from the criminal investigation illustrates the extent of liability for hospitals and other health care entities and the importance to maintain robust controls and oversight over employee activities related to dispensing and administering controlled substances. 4, 2022).

Board-Certified 52

Board-Certified Provider Government Management 52

PEMBlog

SEPTEMBER 13, 2023

Selecting the appropriate medications, if necessary, is of paramount importance. The lack of utility of laboratory testing in children with an unprovoked generalized seizure, or a simple febrile seizure is supported by several observational studies. Occult trauma Any trauma that is not seen on your physical (e.g.

Patients 52

Patients Screening Illness Physicals 52

GeriPal

JULY 19, 2024

We didn’t have medications that were effective with a few side effects. So we measure things like hospitalizations and ed visits and the like, and those data are a bit weaker, but they’re also, you know, I think they need to be contextualized in what, why we would even want to reduce hospitalizations right.

Screening 119

Screening Primary Care Patient-Centered IT 119

The Clinical Problem Solvers

MAY 2, 2022

Valtis is a 4th year Med-Peds Resident at Brigham & Women’s Hospital and Boston Children’s Hospital, and his research focuses on race and the utilization of security responses in the inpatient hospital setting. This episode was led by Rohan Khazanchi, and was hosted by Sudarshan Krishnamurthy and Utibe R.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. They were stunned by the number of calls for lift assistance for older adults who had fallen. laughter] Carmen, welcome to the GeriPal podcast! Carmen: Thank you.

Community 114

Community Transportation IT PCP 114

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. But rarely does the podcast and clinical reality meet in the same day. Therapists are so much more. Ann: Thank you. Sarguni: Thank you.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. Stay tuned for a GeriPal podcast with the authors of the other study next week. David: Thank you.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

PEMBlog

JUNE 2, 2025

Recognizing Hypertensive Emergencies The end-organ dysfunction component of this diagnosis presents as particular symptoms, physical exam findings, or laboratory and imaging results. 3 mg/kg/hr; onset of action is less than 5 minutes, and the duration of medication lasts between 2-6 hours. Labetalol dosing: 0.2-1

Hypertension 75

Hypertension Management Physicals Lab Testing 75

PEMBlog

MAY 24, 2023

This entails utilizing the least invasive non-pharmacologic means of assisting them, before moving to physical or chemical restraints. Deaths due to physical restraint. Physical and chemical restraints. Patient that are agitated should always be treated with dignity and respect. Dtsch Arztebl Int. 2012 Jan;109(3):27-32.

Management 55

Management Patient-Centered Physicals Transportation 55

The Motivated MD

SEPTEMBER 19, 2024

A study by Johns Hopkins in 2016 found that medical errors may potentially be the third leading cause of death nationwide. ’ Though it often does not come with the attending salary, medical trainees are getting paid to perform a service, and hospitals provide retirement plans to these individuals. Set it and forget it!

Finance 52

Finance Individual Education Healthcare Professional 52

GeriPal

APRIL 28, 2022

Nathan: I have drawn for my entire life, but I gave up cartoons because I thought I had to during medical school and residency. But if you look at my lecture notes from medical school, it’s just plastered with cartoons and doodles. I thought doctors are serious, cartoons are not serious. It was in there just trying to escape.

IT 145

IT Hospital Patients Illness 145

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. I was always critical care bound since medical school. They were at the VA, but not so much at our main hub hospital where I trained. I do tend to focus in the hospital setting. That’s just not how the hospital works. It’s what I know.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

PEMBlog

MARCH 27, 2024

She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. Brad’s not a pediatric medical geneticist. So my special guest host on this episode is a trainee in pediatrics and medical genetics. And you’re thinking, hey! No, I’m not.

Consulting 59

Consulting Individual Family Families 59

GeriPal

DECEMBER 19, 2024

They are recruiting for a Medical Director of Palliative Care Services to lead and grow innovative outpatient and inpatient palliative care programs. This is a unique opportunity to join UCSFs vibrant and renowned faculty, teach and mentor future doctors, and make a lasting impact at one of the nations leading safety-net hospitals.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

MARCH 28, 2024

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Asking clinicians to document prognosis did not change the primary outcome of hospital length of stay or really any of the secondary outcomes, which I’ll get into. Also the same hospital system? I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” These studies are important.

IT 99

IT Patient-Centered Family Families 99

Mere Mortal MD

MARCH 22, 2025

Nine months later, after lots of rest, sleeping in a recliner, physical therapy, and medications, his back miraculously healed without needing surgery. You’re not going to work in a hospital.” So before Ronando leaves for Valdez I have made sure that we are both listed on all of our financial accounts and utilities.

Hospital 130

Hospital Patients Utilities Physicals 130

GeriPal

AUGUST 24, 2023

Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. Medical Assistance in Dying and Palliative Care: Shared Trajectories Transcript Eric: Welcome to the GeriPal Podcast. Had multiple physical, psychological complications as a result of that.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. Jennifer 00:44 Thanks.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. Wait, so one key message is that social health is linked to physical and cognitive health?!? Disruptive events are medical, surgical.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

FEBRUARY 24, 2022

Alex: And we’re delighted to welcome back, a frequent guest to our podcast, Rachelle Bernacki, who’s a palliative care physician and geriatrician at the Dana-Farber Cancer Institute and Brigham and Women’s Hospital. And it was really good for my mental and physical… Physical health, obviously, but mental health really.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. Too many people do because it’s really hard to keep their loved ones at home for the cost, the enormous financial, mental and physical strain for the family. Malaz: … to restrain them in the hospital.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JULY 20, 2023

Alex: We are delighted to welcome Joe Rotella, who’s the Chief Medical Officer of the American Academy of Hospice and Palliative Medicine. We were the highest utilizers of telemedicine in the whole UCSF health system at that time which we’re very proud of. So now that the emergency response has ended, what’s to be done?

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Telemedicine Telehealth Patient-Centered Board-Certified 73