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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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

comprehensive review of c-collars in trauma- surprise!- no definitive evidence of benefit, + evidence of harm @thesgem.bsky.social at #ACEP26

We have a telehealth protocol with the intent to keep asymptomatic and mildly symptomatic elevated BP patients who call triage from going to the ED, it’s very cool when it works lol

Unfortunately most of mine are older and maxed out on 3 BP meds managed by cards so I do more “urgent office appointment” scheduling than interventions at that juncture

we complain but in fairness <1% of patients who meet HU criteria at a PMD office are sent to the ED

more RCT (preprint) data showing tamiflu doesn’t help for sicker (eg oxygen, pressors, intubated) hospitalized patients (0, 5 or 10d) with flu @thesgem.bsky.social at #ACEP26

(I think for that back of the envelope NNH calculation you should subtract the placebo 13.7% from the 19.8%, so 1/6.1% =16.393) @thesgem.bsky.social at #ACEP26

another small RCT showing IM ketorolac is no more effective than oral ibuprofen @thesgem.bsky.social at #ACEP26