Sensible Medicine

NOVEMBER 14, 2023

He also co-led the team whose work led the CDC to issue a major clarification of its 2016 opioid prescribing guideline and is currently a principal investigator of the only national study to examine individual suicides that occur after the reduction of prescribed opioids. Practices are improving, but not quickly.

Psychiatric 134

Psychiatric Research CDC Best Practices 134

RebelEM

FEBRUARY 29, 2024

Background: Ventilator-associated pneumonia (VAP), or what the CDC recently renamed infection-related ventilator-associated complication (IVAC), is defined as a nosocomial pneumonia occurring on day 3 of mechanical ventilation that was preceded by 2 days of stable or decreasing ventilator requirements. 4, 8 Paper: Dahyot-Fizelier, C.,

CDC 122

CDC Radiology Radiology Head Injuries 122

American Medical Compliance

MAY 16, 2024

CDC Guidelines for Opioid Therapy In response to the escalating opioid crisis, the Centers for Disease Prevention and Control (CDC) developed comprehensive safety guidelines aimed at improving the communication between prescribers and patients regarding the risks and benefits of opioid therapy for chronic pain.

CDC 52

CDC Evidence-Based Practice Best Practices Administration 52

The Skeptics' Guide to EM

JANUARY 19, 2019

2] Three distinct waves have been observed according to the Center for Disease Control and Prevention (CDC-P): * Wave 1: Increase in prescription opioid overdose deaths in the 1990’s [3]. Background: There have been close to 400,000 deaths from an overdose involving any opioid (prescription and illicit opioids) between 1999 and 2017. [1]

EMS 52

EMS CDC Emergency Department Hospitals 52

American Medical Compliance

FEBRUARY 27, 2023

Congress established the Occupational Safety and Health Administration (OSHA) with the purpose of creating safe and health-conscious work conditions by setting and enforcing standards. OSHA Exposure Control Requirements Organizations such as OSHA and the CDC require that facilities revisit and updat exposure controls annually.

EMS 52

EMS PPE Administration Urgent Care 52

ACEP Now

OCTOBER 3, 2023

Prehospital administration of TXA therapy is not generally and widely indicated for the prophylactic treatment of suspected ICH or elevated ICP at this time. National Center for Health Statistics: Mortality Data on CDC WONDER. CDC’s efforts to improve traumatic brain injury surveillance. References Lulla A, et al. J Safety Res.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

ACEP Now

APRIL 2, 2024

Due to concerns regarding THS, the import of ackee fruit was outlawed in 1972, but since 2000 canned exports have been allowed by certain “green listed” manufacturers by the Federal Drug Administration. Centers for Disease Control (CDC). Food and Drug Administration website. Clin Toxicol. 2006;44(3):267-73. Toxicology Rep.

Poisoning 40

Poisoning Administration Urgent Care Documentation/Coding 40

Don't Forget the Bubbles

DECEMBER 16, 2024

To meet CDC and WHO diagnostic criteria for pertussis, suspected cases must exhibit a cough lasting at least two weeks, creating a prolonged period during which patients may be infectious before a diagnosis is confirmed.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

PulmCCM

OCTOBER 16, 2023

There’s no randomized trial data to support this practice, and the Healthcare Infection Control Practices Advisory Committee (HICPAC, whose recommendations CDC generally adopts) has advised against routine replacement of central lines as an infection prevention strategy. At some centers, central lines are regularly replaced (e.g.,

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

PulmCCM

OCTOBER 30, 2023

If you thought administrators had a bee in their bonnet for SEP-1 before, just wait. Hospital administrators put VAP on the kill list. The stakes are going up. CMS has added SEP-1 to its “value-based purchasing” program for 2024, meaning hospitals will face financial penalties for noncompliance. That was the pregame.

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

EMDocs

OCTOBER 30, 2023

Under standard operating protocols, residual contrast materials are usually wasted, according to current CDC and JC standards. Contrast Media, Iodinated, Dose, and Administration. Retrospective study done by Monash University in Melbourne (largest radiology department in Australia) (Average daily scans plotted). J Am Coll Radiol.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

ACEP Now

JULY 6, 2023

Now, many PID patients are treated and released after ED administration of appropriate antibiotics to eradicate possible infection by Neisseria gonorrhea and Chlamydia trachomatis , often with added treatment for anaerobic microbes. CDC website : Sexually Transmitted Disease Guidelines 2021. References Herness J, Buttolph A, Hammer NC.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

EB Medicine

MAY 3, 2019

Jeff: If those figures seem a bit high, another CDC study found that in a general population survey of a quarter million people between 2006-2008, 9% met the criteria for major depression. Nachi: I think that’s good for definitions, let’s discuss some more epidemiology. Pretty big numbers. Jeff: As always, the team approach is preferred.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

EMDocs

JULY 25, 2023

You can view these alternative regimens in the CDC Clinical Practice Guidelines; we will provide a link in the show notes ( [link] , pages 31-32). PEP administration will breed resistance! Contraindications Active HIV infection.

Infectious Diseases 93

Infectious Diseases CDC Documentation/Coding Administration 93

American Medical Compliance

JUNE 30, 2022

The CDC has recently announced that children under 5 will be able to receive coronavirus vaccines within weeks. However, the administration of the COVID-19 vaccine to children will hopefully alleviate these fears and bring families closer together. Most likely, libraries and children’s museums will host these pop-up clinics.

CDC 52

CDC Administration 52

American Medical Compliance

JUNE 30, 2022

The CDC has recently announced that children under 5 will be able to receive coronavirus vaccines within weeks. However, the administration of the COVID-19 vaccine to children will hopefully alleviate these fears and bring families closer together. Most likely, libraries and children’s museums will host these pop-up clinics.

CDC 52

CDC Administration 52

Pediatric Education

SEPTEMBER 24, 2023

Specific testing for toxin is by an immunodiffusion assay called the Elek test which is only performed by the CDC in the U.S. These authors also noted that other good quality studies showed co-administration with other vaccines did not have any clinically relevance interference with efficacy. A review can be found here 2.

Infectious Diseases 45

Infectious Diseases Administration CDC Pediatrics 45

RebelEM

NOVEMBER 11, 2024

PMID: 38739397 Clinical Question: In adult patients with suspected sepsis treated empirically, does the administration of piperacillin-tazobactam compared to cefepime affect 90-day mortality? Mortality of Patients With Sepsis Administered Piperacillin-Tazobactam vs Cefepime. JAMA Intern Med. 2024;184(7):769-777.

Sepsis 113

Sepsis Outcomes Administration Shock 113

American Medical Compliance

AUGUST 31, 2022

The CDC guidelines state that exposed people now only need to wear masks while indoors for up to 10 days. The CDC made these guidelines to help schools who have been suffering as a result of the COVID-19 pandemic. CDC Guidelines for Schools. The CDC is no longer recommending a “test-to-stay” policy for schools.

CDC 98

CDC Administration 98

Sensible Medicine

SEPTEMBER 15, 2023

The real question was why the CDC with their 40,000 employees were not running the same analysis at 20 cities every week, and why random faculty had to do it. This was yet another CDC failure. A few more thoughts… Of course, administrators who don’t stand up for academic freedom are rewarded. I feel bad for Cornell.

CDC 118

CDC Academics Administration 118

EMDocs

NOVEMBER 4, 2024

Prophylactic Administration of Diphenhydramine to Reduce Neuroleptic Side Effects in the Acute Care Setting: A Systematic Review and Meta-Analysis. Prophylactic Administration of Diphenhydramine to Reduce Neuroleptic Side Effects in the Acute Care Setting: A Systematic Review and Meta-Analysis. Emerg Med J. May 2018;35(5):325-331.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

PulmCCM

OCTOBER 23, 2023

Answering this research question has been made more difficult by pip-tazo’s possible status as a pseudo-nephrotoxin (elevating creatinine levels in the blood without harming the kidneys) and frequent co-administration with vancomycin, a known nephrotoxin.

Hospitals 98

Hospitals COPD Emergency Department CDC 98

Sensible Medicine

MARCH 4, 2025

The CDC publishes the precise number of deaths attributable to smoking, but does not break out the number of deaths due to use of traditional oral smokeless tobacco. ” This one is a CDC quote , but that harm has only been seen in experimental animal studies. Myth #1: Tobacco/Nicotine is equivalent to smoking.

CDC 141

CDC Research Documentation/Coding Leadership 141

American Medical Compliance

MARCH 20, 2025

The training covers compliance with Washington Administrative Code (WAC) regulations, OSHAs Hazard Communication Standard, and best practices for managing hazardous materials like mercury in dental offices. The information contained in these trainings was derived from publications of WA.gov, OSHA, and CDC(Government Sourced Material).

Hazardous Materials 52

Hazardous Materials PPE CDC Documentation/Coding 52

American Medical Compliance

AUGUST 12, 2022

Food and Drug Administration is planning to develop updated versions of booster vaccines that are specifically targeted to protect against Omnicron and its variants. Additionally, the CDC recommended a second booster shot for immunocompromised people aged 12 and older. 5 variants. Second COVID-19 Booster. COVID-19 Booster Eligibility.

CDC 52

CDC Administration Hospitals 52

EMDocs

MARCH 11, 2024

Oral antibiotic administration should take place for patients with severe cholera infection as soon as they are able to tolerate oral intake, which usually occurs after rehydration and administration of antiemetics. If soap and water are unavailable, the CDC recommends an alcohol-based hand rub with at least 60% alcohol.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

Sensible Medicine

MAY 17, 2023

Moreover, the CDC found that through September 24 th , 2022 only 83/25,038 (0.3%) cases were in those under 18. Ie encouraged the administration to massively increase availability of vaccinations and testing, and helped prevent more spread (again except in black and brown communities…). I’m glad for progress!

CDC 98

CDC Administration Wellness 98

Sensible Medicine

SEPTEMBER 5, 2023

I make both my posts available here to articulate how the current administration’s vaccine regulation has failed. Vinay Prasad PART 1: The Biden administration seems set on pushing out a fall booster for all age groups. Yet, this administration does not want any. ” That is spot on. We explained that more in NEJM.

CDC 98

CDC Administration Hospitals Research 98

Sensible Medicine

JUNE 23, 2023

Rochelle Walensky is handing the CDC over to Mandy Cohen–a woman who has supported 100% of Walensky’s policies. But not having any good data didn’t seem to bother the CDC. Why evaluate a product if the CDC and ACOG are already sold on the product? There’s actually a precedent.

CDC 101

CDC Research Academics Administration 101

Sensible Medicine

JANUARY 11, 2025

Here, he gives clear guidance for how the CDC can work to restore the trust that the agency forfeited with idiotic guidance, such as: 2 year olds should wear a mask, and kids should sit 6 feet apart on the bus. During the covid pandemic, several of the CDC’s most controversial recommendations were anonymous.

CDC 118

CDC Administration Wellness Research 118

EMDocs

NOVEMBER 25, 2024

6 Worldwide ongoing mass drug administration (MDA) with ivermectin, a public health measure made possible via mass donations from Merck, significantly reduces the burden of infection and associated ocular disease. 5 Epidemiology Onchocerciasis is endemic in 31 African countries but is also problematic in Brazil, Venezuela, and Yemen.

Infectious Diseases 73

Infectious Diseases Emergency Department EMS Administration 73

Sensible Medicine

JULY 27, 2023

Specifically MedRxiv and SSRN have been reluctant to post articles critical of the CDC, mask and vaccine mandates, and the Biden administration’s health care policies. All are consistent with scientific practices and norms, and similar papers not critical of the CDC or Biden administration have been accepted.

CDC 98

CDC Administration Research Hospitals 98

EMDocs

DECEMBER 9, 2024

The outbreak spread to four additional African countries, leading the Africa CDC to declare it a Public Health Emergency of Continental Security. 43 As shown in Table 1, the CDC recommends acetaminophen or NSAIDs for general pain relief, with gabapentin or opioids reserved for more severe cases. In: CDC Yellowbook. 43 Table 3.

CDC 75

CDC Documentation/Coding Infectious Diseases Dehydration 75

Sensible Medicine

JANUARY 28, 2025

.’s nomination to be the secretary of Health and Human Services, which would put him in charge of such critical agencies as the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC… Read more 2 months ago · 718 likes · 327 comments · Vinay Prasad But he also has some good ideas.

Academics 145

Academics CDC Administration 145

Sensible Medicine

SEPTEMBER 4, 2024

Biden-Harris’ CDC recommends boosters even for people who have had COVID 4 times before. Furthermore, this administration just paid for more COVID19 tests without data that these tests improve outcomes. Under Harris, by 2028, some kids will get 12 or more doses.

Administration 130

Administration Operations CDC Documentation/Coding 130

Sensible Medicine

FEBRUARY 13, 2025

Last week, the Trump administration stated it is cutting NIH indirects from currently negotiated rates to a flat 15%. There is massive amounts of administrative red tape to submit NIH grants and to conduct research that help no one. Academic medical centers must eliminate all unnecessary administration. Executive pay must fall.

Academics 118

Academics Administration Research CDC 118