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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

900k ED visits/y for asymptomatic elevated BP 0.7% adverse outcomes after DC which is not long term hypertension – may be reasonable to start BP meds this obs study showed 1 mo supply assoc w slightly better 30d CV outcomes @thesgem.bsky.social at #acep26

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

some limitations but overall this SRMA shows peripheral pressors are probably pretty safe @jamanetworkopen.com jamanetwork.com/journals/jam... @thesgem.bsky.social at #ACEP26

higher LOS, resource use by NPs may outweigh the (salary) cost savings, lots of limitations and intra-group variation @thesgem.bsky.social at #ACEP26

important #GeriEM questions, SRMAs and #GeriED guidelines 2.0 are trying to answer #ACEP26

first #GeriED guideline is out on delirium good questions, imperfect data to answer #ACEP26

next #GeriED guideline on medication safety is almost ready for submission #ACEP26

current #GeriED guidelines 2.0 status #ACEP26

get all your #GeriED guidelines 2.0 publications at the GEAR website

lots of challenges with #misinformation #ACEP26

we might not be able to convince someone out of their #misinformation but we might be the first step on their path in the right direction #ACEP26

consensus framing works set up for success with banality #ACEP26

when someone pushes back on recommended care due to #misinformation: #ACEP26

work with patients & their values #ACEP26 on #misinformation

work with patients and their often understandable (even if based on #misinformation) to help get them the best care #ACEP26

#misonformation summary from Dr. Bernice Fokum, MD, MPP #ACEP26

we don’t choose what crises we face if patients don’t have access to other care, they come to the ER #ACEP26

SCOTUS’ Dobb’s decision means states are going to revisit birth control access adolescents especially are at high risk for poor access, unintended pregnancy and reproductive-related health risks #ACEP26

the post-Dobbs landscape means worse health care for miscarriages and other reproductive care, not “just”elective pregnancy terminations state laws adds legal risks to necessary medical care #ACEP26