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AuntMinnie 2014: Health information exchange lowers repeat emergency imaging

AuntMinnie

Our top article in 2014 reported on the financial benefits of health information exchanges. Lammers is also part of another team evaluating the effect of the Health Information Technology for Economic and Clinical Health (HITECH) Act, which established the meaningful use program, for the U.S.

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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

REBEL EM

Take Home Points Clinical presentation is very nonspecific; evaluate all patients presenting with back pain for infectious risk factors. MRI is key to diagnosis, obtain this imaging in all patients who raise clinical suspicion Patients with hemodynamic instability and neurologic compromise warrant empiric antibiotics.

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REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal

REBEL EM

REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal Click here for Direct Download of the Podcast Clinical question : Is a phenobarbital-based or lorazepam-based alcohol detoxification protocol associated with a lower hospital length of stay compared to Ativan for alcohol withdrawal?

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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

REBEL EM

Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. This finding persists when looking at a number of other infections including skin and soft tissue infections (SSTI) ( First10EM ), pyelonephritis ( Strohmeier 2014 ) and even bone and joint infections ( Li 2019 ). 1997; 24(3):457-67.

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Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal

REBEL EM

1, 2 Phenobarbital has been studied as an alternative or adjunct to benzodiazepines with encouraging results, but primarily among inpatient services. 1, 2 Phenobarbital has been studied as an alternative or adjunct to benzodiazepines with encouraging results, but primarily among inpatient services. 5 Paper: Lebin J et al.

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Journal Scan – This Month in Other Journals, October 2022

AJNR

Patient demographics, aneurysm characteristics, surgical procedures, and clinical outcomes were analyzed. infield gross target volume [GTV] within the 60-Gy isodose line and infield clinical target volume [CTV] within the 46-Gy isodose line); marginal, within 2 cm of the 46-Gy isodose line; and distant, all outside the 46-Gy isodose line.

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Journal Scan – This Month in Other Journals, May 2023

AJNR

This was a cohort study of adults with anterior circulation large vessel occlusion admitted between 6 and 24 hours after last-seen-well at 5 participating Swiss stroke centers between 2014 and 2021. 14432 RCVS is a cerebrovascular phenomenon that presents clinically as recurrent TCHs predominantly affecting females. 2023;63(1):168-172.