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cool study of my health code, a (non commercial) tablet-based #EndOfLife intervention for patients in the ER to get #GoalsOfCare conversations started & advanced #ACEP26

Seth Trueger

@mdaware.org

1 in 4 ED-initiate hospice & palliative care consults don’t end up being completed of those completed, <12h average time, much faster for hospice than palliative #acep26

Seth Trueger

@mdaware.org

small study of EM residents: report low amounts of palliative education, low confidence in skills, they WANT more palliative care education, and maybe a link with improved burnout #ACEP26

Seth Trueger

@mdaware.org

LLMs can be useful for chart review for ED resus/#EndOfLife conversations research #ACEP26

Seth Trueger

@mdaware.org

as states banned non medical vaccine exemptions, medical exemptions went up except in Mississippi where exemptions are (were) limited (previously to own the crunchy libs) @jeremyfaust.bsky.social at #ACEP26

Seth Trueger

@mdaware.org

tamiflu probably does work, might hurt in flu @jeremyfaust.bsky.social at #ACEP26

Seth Trueger

@mdaware.org

mRNA flu vaccine a bit more effective, a bit more side effects (myalgias, HA and such) @jeremyfaust.bsky.social at #ACEP26

Seth Trueger

@mdaware.org

Paxlovid probably doesn’t decrease hospitalizations (including immunocompromised), probably at least partially because COVID hospitalizations are low now @jeremyfaust.bsky.social at #ACEP26

Seth Trueger

@mdaware.org

ensiltrivir (antiviral) PEP for COVID decreased household contact infections @jeremyfaust.bsky.social at #ACEP26

Seth Trueger

@mdaware.org

small qualitative adults with autism in the ED: communication and flexibility with environment (ie, move to quiet room) seem to work well to avoid escalation, sedation #ACEP26

Seth Trueger

@mdaware.org

prior cath (under 2 years ago) with non obstructive CAD was *not* sufficiently predictive of low risk chest pain… unless you include a negative hsTrop (which we usually do) #ACEP26

5/10/26, 8:35 pm0 reposts0 likes

Seth Trueger

@mdaware.org

2026 lit review: SRMA: all the usual things except bicarb seem to help in hyperK no, prenatal APAP is not linked to autism @thesgem.bsky.social at #acep26

Seth Trueger

@mdaware.org

2026 lit review: no, prenatal APAP is not linked to autism — the big study that includes a sibling analysis make the potential association go away @thesgem.bsky.social at #acep26

Seth Trueger

@mdaware.org

2026 lit review: SRMA of 4 RCTs: no improved functional outcomes for tpa/TNK in minor strokes, 5x higher risk of symptomatic ICH (still low but risk >> 0 benefit @thesgem.bsky.social at #acep26

Seth Trueger

@mdaware.org

violent words, threats, and actions against ER health acre workers are both common and underreported lots of intoxication this study was among agitated patients so the numbers aren’t representative bit having observers record violence = shows underreporting @thesgem.bsky.social at #acep26