Post

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 do a LOT of reproductive health care in the ER aortic dissection, PTX, tamponade, ruptured AAA: each *well* below 1% of ED visits each ER doc treats 800 patients with early pregnancy loss in their career #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

EMTALA supersedes state abortion bans BUT it’s often legally unclear what carve outs for ectopic pregnancies, often unclear what “medically necessary” or missing technical details (eg c section scar ectopics) worse care means more transfusions and deaths #ACEP26

reproductive care resources for ED docs: FemInEM Access Bridge UCSF Hotline ACEP! #ACEP26

ACEP supports reproductive health carre training for residents, including early pregnancy loss care #ACEP26

“manual vacuum aspiration is a life-saving procedure for patients in hemorrhagic shock and we should teach this like we teach pericardiocentesis” (para) #ACEP26