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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. They retrospectively accessed discharge data from the State Emergency Department Databases for California and Florida for 2007-2010, and then merged the data with information on hospital HIE participation from market research firm HIMSS Analytics.

X-ray 59
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15 Year Trend in Inferior Vena Cava Filter Utilization Before and After FDA Communications: Data from the National Inpatient Sample 2005-2019

JVIR

The purpose of this study was to evaluate the contemporary trends in IVC filter utilization in the inpatient setting following the FDA safety communications and to compare those trends in relation to incidence of hospital admissions involving venous thromboembolism. The National Inpatient Sample was queried between 2005-2019.

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

REBEL EM

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 ). A prospective randomized study of inpatient iv. 2014; PMID: 25066627 Li HK et al. 2014; 32(10):1195-9.

Clinic 100
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Meet the Minnies 2024 finalists

AuntMinnie

Louis School of Medicine and completed his residency and a neuroradiology fellowship at Massachusetts General Hospital in Boston. Elliot Fishman, MD, Johns Hopkins Medicine The second finalist is Elliot Fishman, MD, a category for which he took the trophy in 2001, 2007, 2014, and 2017. Deng is lauded internationally as an educator.

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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? Paper : Hawa F et al.

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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. History of liver disease, history of substance abuse disorder, and history of delirium tremens were also extracted from the hospital EMR. 11 of those were admitted to the hospital.

Disease 98
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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. Given the chronology of events that led to the patient’s hospital admission, it is likely that RCVS led to his presentation of TGA.