Podcast #235: ER Discharge and Mortality

Podcast #235: ER Discharge and Mortality

Author: Pete Bakes, M.D.

Educational Pearls

  • One of the roles of the ER provider is to discharge patients only after life-threatening conditions have been ruled out. However, some patients that are discharged from the ED die within days of their discharge. One recent study sought to investigate the factors and diagnoses associated with death within 7 days of discharge.
  • This study was a retrospective study in 10 million medicare recipients that presented to the ER over 10 years. They excluded palliative, hospice and SNF patients.
  • 0.12% of these patients died within 7 days of ER discharge. Signs and symptoms such as altered mental status, general malaise and fatigue, and nonspecific dyspnea had relative risks of 3-5 for death following discharge.
  • Think carefully before discharge in patients with the signs/symptoms above.

References: Obermeyer Ziad, Cohn Brent, Wilson Michael, JenaAnupam B, Cutler David M. Early death after discharge from emergency departments: analysis of national US insurance claims data BMJ 2017;356 :j239

Jaksot(1145)

Brewcast Part IV: A Physician's Perspective on Medical Marijuana

Brewcast Part IV: A Physician's Perspective on Medical Marijuana

Authors: Don Stader, M.D. & Peter Pryor, M.D. Topic: What caused Dr. Pryor to leave emergency medicine and enter the realm of medical marijuana?

5 Heinä 201723min

Brewcast Part III: Cannabinoid Hyperemesis Syndrome

Brewcast Part III: Cannabinoid Hyperemesis Syndrome

Author: Rachael Duncan, PharmD BCPS BCCCP Topic: Rachel explains the science behind one of the most common maladies thought to be induced by chronic cannabis use.

4 Heinä 201714min

Brewcast Part II: Pharmacology of Cannabis

Brewcast Part II: Pharmacology of Cannabis

Author: Brett Marlin, M.D. Topics: Brett explains the biochemical and physiological properties of cannabis.

3 Heinä 201718min

Brewcast Part I: The History of Cannabis in Medicine

Brewcast Part I: The History of Cannabis in Medicine

Author: Don Stader, M.D Topic: Don kicks things off with an overview of the history of marijuana and how it has made its way into medicine.

2 Heinä 201720min

Podcast #224: Troponin

Podcast #224: Troponin

Author: Sam Killian, M.D. Educational Pearls Not every troponin elevation is an MI. Trop elevates in about an hour in ACS and stays elevated for days. Non-MI conditions that cause elevated troponin: ...

1 Heinä 20174min

Podcast #223: Acyclovir Toxicity

Podcast #223: Acyclovir Toxicity

Author: Nick Hatch, M.D. Educational Pearls Acyclovir toxicity can uncommonly cause altered mental status, low blood glucose, hallucinations and myoclonic jerks. Toxicity often occurs in the setting ...

29 Kesä 20172min

Podcast #222: Wells Criteria for PE

Podcast #222: Wells Criteria for PE

Author: Michael Hunt, M.D. Educational Pearls Wells Criteria was initially designed to screen patients for further workup for PE. Aspects of the Wells Criteria include: signs and symptoms of DVT (3...

27 Kesä 20174min

Podcast #221: Walking Corpse Syndrome

Podcast #221: Walking Corpse Syndrome

Podcast #221: Walking Corpse Syndrome Author: Erik Verzemnieks, M.D. Educational Pearls Walking Corpse Syndrome (aka Cotard Delusion) is a very rare psychiatric disorder that leads to the belief that...

25 Kesä 20171min

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