April 2017
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Apr 29 2017
HINTS to the Cause of Dizziness
HINTS is a 3-part exam that is a powerful bedside discriminator of vertigo caused by a peripheral insult vs. posterior stroke that outperformed MRI.
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Apr 28 2017
Scribes and RVUs – A Mixed Picture
Scribes appear to be revenue positive in higher acuity adult patients. The jury is still out on low acuity adult patients and pediatric patients.
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Apr 27 2017
PEITHO – Long-term Follow Up
Thrombolytic therapy for submassive PE didn't change the incidence of chronic thromboembolic pulmonary hypertension.
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Apr 26 2017
Don’t Stick Your NEXUS Out for Older Patients
NEXUS was not as sensitive in patients older than 65. These people need imaging.
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Apr 25 2017
Ridiculously Simple Stats – Propensity Score
Propensity scores are a way to account for confounding in observational studies so we can have more confidence that an outcome is truly associated with an exposure.
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Apr 24 2017
They’re Here… High Sensitivity Troponin
High sensitivity troponin may allow for a very rapid MI rule out.
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Apr 22 2017
Why We Give tPA in Stroke
Use of tPA within 3 hours for acute ischemic stroke improved functional outcome at 3 months but increased early risk for intracranial hemorrhage.
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Apr 21 2017
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Apr 20 2017
Opiate+Benzodiazepine Rx – OD Risk Skyrockets
Writing combined prescriptions for both opiates and benzodiazepines was associated with increased risk of opiate overdose.
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Apr 19 2017
Labs Drawn in the WR Shorten Stay
Time in the ED was reduced by 42 minutes, and a decreased percentage of patients left without being seen when diagnostic studies were initiated in the waiting room.