Podcast # 327: No More Hemoccults

Podcast # 327: No More Hemoccults

Author: Don Stader, MD

Educational Pearls:

  • The use of fecal occult blood tests is falling out of favor in emergency departments
  • These tests have strong evidence suggesting their efficacy in colon cancer screening but clinical significance in ED is limited
  • They have relatively high false positive and false negative rates
  • Small/microscopic bleeding are often not clinically significant in the ED but can lead to increased costs from over-testing and other harms from fecal occult blood testing

References:

Gupta A, Tang Z, Agrawal D. Eliminating In-Hospital Fecal Occult Blood Testing: Our Experience with Disinvestment. American Journal of Medicine. (2018). 10.1016/j.amjmed.2018.03.002

Jaksot(1147)

Podcast # 392: Maggot Therapy

Podcast # 392: Maggot Therapy

Author: Jared Scott, MD Educational Pearls: Interest started as it was noticed soldiers who had wounds infected with maggots had better outcomes than those without maggots Studies have shown that wou...

15 Loka 20183min

Podcast # 391: Necrotizing Fasciitis

Podcast # 391: Necrotizing Fasciitis

Author: Peter Bakes, MD Educational Pearls: Necrotizing fasciitis is an infection of the deep soft tissues with destruction of the muscle fascia and overlying fat Think of it if pain is out of prop...

12 Loka 20186min

Podcast # 390: Haloperidol for Pain

Podcast # 390: Haloperidol for Pain

Author: Gretchen Hinson, MD Educational Pearls: Reasonable approach of haloperidol 10 mg IM (or 5 mg IV) for pain relief in opioid-dependent patients; can repeat once Chronic opioid use results in ...

10 Loka 20185min

Podcast #389: BRUE

Podcast #389: BRUE

Educational Pearls: BRUE (Brief Resolved Unexplained Event) replaces what was previously called ALTE BRUE describes an event in a child less than one year of age with one or more of the following...

8 Loka 20184min

Podcast #388: Antibiotics for Appendicitis

Podcast #388: Antibiotics for Appendicitis

Author: Aaron Lessen, MD Educational Pearls: 5-year follow up study on antibiotic treatment for uncomplicated appendicitis showed 39.1% recurrence rate requiring appendectomy by 5 years Nearly 6...

5 Loka 20182min

Podcast #387: Fluoroquinolones are Perfectly Safe?

Podcast #387: Fluoroquinolones are Perfectly Safe?

Author: Don Stader, MD Educational Pearls: Fluoroquinolones can cause connective tissue disruption leading not only to tendon rupture but also aortic dissection Retrospective study from Taiwan s...

3 Loka 20183min

Podcast #386: Respecting Transgender Patients

Podcast #386: Respecting Transgender Patients

Author: Kasey Champion, MD Educational Pearls: Transgender populations are frequent victims of discrimination in healthcare Ask transgender patients what their preferred pronoun is It is somet...

1 Loka 20183min

Podcast #385: Probiotics

Podcast #385: Probiotics

Author: John Winkler, MD Educational Pearls: Probiotics are bacteria that are ingested to promote gut health but recent research casts doubt on their effectiveness. Recent study suggests that most...

28 Syys 20182min

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