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For obese kids, the USPSTF recommends diet and exercise; the American Academy of Pediatrics recommends surgery and ozempic

Sensible Medicine

Here is what the USPSTF says: They call for more research. That is my conclusion as well, and I favor large, pragmatic randomized trials in adults and kids with staggered starting times (adults first — to protect kids from harms we may not yet know). Now let’s compare the two documents. And here too with specific endpoints.

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2028 Is language a barrier to inclusion in research in paediatric emergency medicine? A rapid review of PEM research in the UK

Emergency Medicine Journal

Evidence suggests that people requiring translation services are often excluded from research, therefore contributing to already existing health inequalities within the country. Data on the exclusion of people requiring translation services in paediatric emergency medicine (PEM) research is scarce. References 1. J Gen Intern Med.

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Grand Rounds 5.8.24

Taming the SRU

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

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PECARN STELAR Podcast – Episode 2: Food Insecurity

EMDocs

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr. 2022 Mar;22(2):190-192.

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Fear and Opioids in Academic Medicine

Sensible Medicine

Well,” my friend advised, “if you’re feeling nervous right now, that is because the thing you are about to do might upset people, and that takes courage.” I published research on misuse of prescriptions, and profiled the two-decade torrent of prescriptions. It was not).

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On Burnout

Don't Forget the Bubbles

I have been a doctor for half of my life, and my journey to burnout has been a 25-year slow burn that began the day I graduated. A group of US researchers surveyed managers and office workers and found that the more often someone said yes to requests for help from their co-workers, the more they felt their internal batteries were drained.

Burns 88
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Grand Rounds Recap 11.1.23

Taming the SRU

Despite research assessing interventions at various points along the coagulation cascade/inflammatory pathways, there remains no consensus for best treatment and treating the underlying cause is recommended Clinical Decision Rules: Head and C spine Imaging WITH Drs. The ISTH tool on MDcalc can be used to assess the presence of overt DIC.