Articles Tagged With:
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Burnout in the Emergency Department
This article examines the unique challenges of burnout in emergency department providers, exploring its impact on individuals, teams, and patient care. After an overview of the phenomenon, including historical trends and current statistics, this article will discuss actionable strategies to mitigate burnout and foster resilience, illustrated through real-world experiences of emergency medicine professionals.
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Constipation in Adults and Children
Constipation is a common diagnosis that has been steadily increasing in prevalence over the past several decades. As the morbidity and healthcare costs from this condition increase, it is important that physicians be aware of the workup, management, and potential complications of this common condition in adults and children alike.
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Clinical, Biological, and Imaging Features of Intravascular Large B-Cell Lymphoma
A multicenter, retrospective cohort study of 17 patients with pathology-proven intravascular lymphoma involving the central nervous system identified “red flag” clinical features, imaging patterns, and cerebrospinal fluid characteristics that may help expedite the diagnosis of this rare, complex, and deceptive disease.
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ABCD2 Score as a Predictor of Three-Year Stroke Risk
This retrospective cohort study using the National Patient Registry in Denmark analyzed a three-year follow-up period following a transient ischemic attack, looking at the rate of recurrent stroke and mortality. The patients were divided into low risk (ABCD2 score 0-3) and high risk (ABCD2 score ≥ 4). The stroke rate was 6% in the high-risk group and 4% in the low-risk group.
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Modifiable Cardiovascular Risk Factors and Late-Life Brain Health
The major modifiable risk factors for cardiovascular diseases are delineated in Life’s Essential 8 (LE8), developed by the American Heart Association. These risk factors are blood pressure, glucose, cholesterol, body mass index, smoking, physical activity, diet, and sleep duration. The investigators in this analysis of two large databases in the United Kingdom and the United States, demonstrated that cardiovascular health, as defined by the LE8, will also predict brain health later in life.
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Migraine and Ischemic Vascular Disease: The Search for the Missing Link
The presence of traditional vascular risk factors does not explain the increased incidence of ischemic stroke and myocardial infarction in patients with migraine. The use of nonsteroidal anti-inflammatory drugs does not increase the risk of ischemic stroke or myocardial infarction in migraineurs.
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Missed Opportunities for Goals of Care Discussion
Ethics consults often involve conflicts at the end of life. Some of those conflicts could have been avoided with earlier goals of care discussions.
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Ethicists Can Address Low Advance Care Billing Rates
Rates of advance care planning billing remain low, despite billing codes having been introduced by the Centers for Medicare and Medicaid Services nearly a decade ago.
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Mindfulness Improves Advance Care Planning Outcomes
Shelley Johns, PsyD, of the Regenstrief Institute, the Indiana University School of Medicine and the Indiana University Melvin and Bren Simon Comprehensive Cancer Center, and colleagues conducted a study to see if mindfulness was a possible alternative to avoidant coping for people with cancer and their family caregivers.
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Residents’ Moral Distress Is Ethical Concern
Residents experience moral distress just as other clinicians do, raising some unique ethical concerns.