Decision Science Rounds: Can we predict early deterioration in hospitalized patients?

In this podcast, I am joined by Ryan Arnold M.D. and Muga Capan Ph.D. who are directing our newly formed Center for Healthcare Analytics and Decision Science. They put together a graduate student team of Andrew Armstrong, Devanshi Dholakia, Karen Nwal, Karan Gandhi, Mallika Mhapankar, Matthew Shaw, Mihir Chheda, Parth Girme, Sharath Chandra, Zoya Khalife to analyze the hospital rapid response database created by EM Resident Mark Ramzy MD. Their goal was to use decision science tools to try to determine if there was a pattern that predicted early v late rapid response in patients admitted through the ED. The hope was that characteristics, identifiable in the ED, could predict who would deteriorate early. There was a pattern – but not what you’d expect! Listen in to find out more!

Screen Shot 2018-12-12 at 5.05.46 PM.pngListen here to the Podcast

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Drexel Business Dragons working with Drexel Medical Dragons!

November Journal Club for Drexel EM: Appy’s, Oxygen, and CT for Seizures

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Reading the literature is not just a part of residency training – it’s an important habit of EM physicians who have an evidence based practice!

Here’s the articles we are reviewing!

Five-Year Follow-up of Antibiotic Therapy for Uncomplicated Acute Appendicitis in the APPAC Randomized Clinical Trial

Is every appendicitis case a surgical emergency – maybe not!

Mortality and morbidity in acutely ill adults treated with liberal versus conservative oxygen therapy (IOTA): a systematic review and meta-analysis 

Oxygen – too little is not so good. What about too much? Well that’s another matter…

Emergency department neuroimaging for epileptic seizures This article looks at whether imaging is really required in patients who have a seizure with a known history of epilepsy and no other concerns really need a head CT

Enjoy – thanks for listening as always and see you at the boathouse!

Find the podcast here:

Podcast for November Journal Club Drexel EM

 

 

 

Epinephrine, agitation, and pediatric DKA – important articles for August Journal Club

Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis

Years in the making, this study finally establishes that a rapid resuscitation approach to pediatric DKA is appropriate and is not responsible for cerebral edema.

Intramuscular Midazolam, Olanzapine, Ziprasidone, or Haloperidol for Treating Acute Agitation in the Emergency Department

Single agents for acute agitation – is one better than the other?

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest

Epinephrine saves lives, but at what cost?

Enjoy the podcast below:

Poison Mushrooms! Got’a Pic’em (GOTAAPPICEM) A mnemonic device to sort through mushroom ingestions

The old 6 hour rule to differentiate mushrooms with limited toxicity (early i.e. < 6 hr GI symptoms) from those that cause serious end organ damage (late >6 hr GI symptoms) has been busted by the recognition of two additional mushrooms that cause both early GI symptoms and late end organ toxicity. Furthermore, another mushroom has been added to the group with late GI symptoms and delayed end organ damage. Hope this mnemonic and vodcast will help sort them out for you!

Got'a Pic'em Mushroom Mnemonic

Enjoy the vodcast!

The Opioid Crisis: Treating Opioid Withdrawal in the Emergency Department

Dr. David Vearrier, Program Director Medical Toxicology Fellowship Drexel University College of Medicine, joins me to discuss the physiology of opioid withdrawal and approaches to treatment including suboxone and other approaches.

Outline of the show can be found here:

The Opioid Crisis _Treating Opioid Withdrawal in the ED

Check back for another podcast on our lessons learned when we initiate the program.

Thanks for listening!