Academics Patient Safety Wellness 
Sensible Medicine
APRIL 14, 2024
Multiple myeloma drugs can cost $600,000 per year of treatment, but if MRD is permitted for drug approval, I suspect we will see a deluge of uncertain drugs added to the roster, and the costs per year per patient will swell to a million dollars or more. The patient advocates— whose organizations are often funded by drug companies.
Dr. Smith's ECG Blog
MARCH 14, 2024
The most recent study found a NPV of 100% of triage ECGs labeled ‘normal’ or ‘otherwise normal’ for final hospital diagnosis of ACS, and concluded that avoiding physician interruption would “alleviate interruptions in workflow and improve patient safety.” It is well known that NOMI usually has a normal ECG or nonspecific ECG.
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Taming the SRU
FEBRUARY 24, 2024
Early recognition and prompt treatment is key. non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.
ACEP Now
MARCH 13, 2024
Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Consequences of this are well documented and include delayed treatment, exposure to error, increased length of stay, and increased mortality. Academic Emergency Medicine 22.2
Pediatric EM Morsels
OCTOBER 27, 2023
Taking care of a critically ill child can be nerve-racking to say the least, and downright petrifying for those who don’t do it frequently, even if they are well-trained and brilliant clinicians. Good correlation to bed scale weight in trauma patients (Pearson coefficient 0.86), but there was some error in the highest weight category.
EMDocs
OCTOBER 30, 2023
Relative proportions of reported diagnostic indications versus clinical outcomes in a retrospective analysis of all CT imaging in 3 EDs over 1 year at an academic center. Some institutions developed a tier-based system for outpatient imaging as well which was updated in real-time. West J Emerg Med. 2017;18(5):835-845. 2019;70(1):13-22.
ACEP Now
AUGUST 1, 2023
The weighting must strongly be on patient safety and on expanding the opportunities for board certified emergency physicians. We do not fund rural fire departments solely based on the number of fires they respond to per year, and we should not pay rural emergency physicians based solely on the number of patients they see.
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