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Sepsis Screening Decreases Mortality. Well, not really.

Sensible Medicine

If there is one thing a medicine resident or hospitalist should be able to do well is identify the patients who are sick and need attention. I’ve predicted that any screening tool would be more sensitive but less specific than a well-trained doctor. .” So said my program director during my internship.

Sepsis 98
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The Power Of Trauma Research?

The Trauma Pro

The veracity of medical research conclusions, specifically trauma research, has always fascinated me. However, having read thousands of research papers over the years, I am no longer surprised when these easy-to-digest blurbs don’t entirely match up with the actual details embedded within the manuscript.

Research 113
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Staff retention in the ED

Don't Forget the Bubbles

As well as being a practice and policy priority, there have been repeated calls for research to better understand the problem. The study was an ethnography (a research method that involves embedding researchers in the study environment). This helps the researcher identify and analyse patterns in data.

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New "sepsis tests" are here: how well do they work?

PulmCCM

The lack of a reliable diagnostic test or universally accepted criteria to diagnose sepsis leads to significant challenges in clinical practice and research. Bands 2 and 3 did not discriminate well and did not provide useful or actionable information. This was seen in about 1/4 of the patients.

Sepsis 45
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The Study of the Week Is a Beautiful Example of Science Done Well

Sensible Medicine

Along with a team of researchers at numerous hospitals, they randomized ≈1000 patients who had had stroke of unknown cause and evidence of atrial cardiopathy to either treatment with an oral anticoagulant (apixaban) vs aspirin. The Most Important Lesson Professor Kamel has shown us science done well. It made sense.

Wellness 132
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SGEM#469: You Take My Breath Away – D-dimer for Ruling out PE in High-Risk Patients

The Skeptics' Guide to EM

She is the cofounder of FOAMcast and a pulmonary embolism and implementation science researcher. Dr. Westafer serves as the Social Media Editor and a research methodology editor for Annals of Emergency Medicine. Excluded: Patients with missing D-dimer values, missing data elements for the RGS or Wells score, inconclusive CTPA.

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Seed Oils: Real Harm or Just Another Food Fear Fad?

Sensible Medicine

His research has led him to a pretty clear opinion about the role of seed oils in health and disease. As a physician, scientist, wellness/longevity podcaster, and Ironman Triathlete, I strongly support healthy life choices. He is also an Ironman Triathlete, and wellness/longevity/health podcaster and writer.

Wellness 111