Episodes
Thursday Oct 24, 2019
ACEP E-QUAL 32: Headache Clinical Policy
Thursday Oct 24, 2019
Thursday Oct 24, 2019
In this episode from the ACEP-EQUAL series, Dr. Steven Godwin and Dr. Richard Shih review the recently published ACEP clinical policy regarding the treatment of headaches in the emergency department.
Guests: Dr. Steven Godwin (Professor and Chair of Emergency Medicine, University of Florida), Dr. Richard Shih (Professor of Integrated Medical Science and Program, Charles E Schmidt College of Medicine at Florida Atlantic University)
Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu
References:
- Perry JJ et al. Clinical decision rules to rule out subarachnoid hemorrhage for acute headache. JAMA. 2013 Sep 25;310(12):1248-55. doi: 10.1001/jama.2013.278018 Carpenter CR et al. Spontaneous Subarachnoid Hemorrhage. A Systematic Review and Meta-analysis Describing the Diagnostic Accuracy of History, Physical Exam, Imaging, and Lumbar Puncture With an Exploration of Test Thresholds. Acad Emerg Med. 2016 Sep;23(9):963-1003. doi: 10.1111/acem.12984. Epub 2016 Sep 6.
- Perry JJ. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. BMJ 2011; 343 doi: https://doi.org/10.1136/bmj.d4277 Dubosh NM et al. Sensitivity of Early Brain Computed Tomography to Exclude Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis.Stroke. 2016 Mar;47(3):750-5. doi: 10.1161/STROKEAHA.115.011386.
- Carstairs SD. Computed tomographic angiography for the evaluation of aneruysmal subarachnoid hemorrhage. Acad Emerg Med. 2006 May;13(5):486-92. Epub 2006 Mar 21.
- El Khaldi M. et al. Detection of cerebral aneurysms in nontraumatic subarachnoid haemorrhage: role of multislice CT angiography in 130 consecutive patients. La radiologia medica. 200 Feb;112(1):123–137.
- Menke J et al. Diagnosing cerebral aneurysms by computed tomographic angiography: meta-analysis. Ann Neurol. 2011 Apr;69(4):646-54. doi: 10.1002/ana.22270.
- Friedman BW et al. Randomized study of IV prochlorperazine plus diphenhydramine vs IV hydromorphone for migraine. Neurology. 2017 Nov 14; 89(20): 2075–2082. doi: 10.1212/WNL.0000000000004642
Tuesday Oct 08, 2019
ACEP E-QUAL 31: Sepsis-1 National Quality Measure and EQUAL
Tuesday Oct 08, 2019
Tuesday Oct 08, 2019
Dr. Adam Rodos discusses the CMS measure SEP-1 as well as the EQUAL sepsis initiative. The talk focuses on the effect of these measures on patient care and strategies for sepsis care improvement.
Guest: Adam Rodos MD (Assistant Professor, Dept of Emergency Medicine and Medicine, University of Illinois College of Medicine)
Host: Dr. Jason Woods
References:
- Barbash IJ, Davis B, Kahn JM. National Performance on the Medicare SEP-1 Sepsis Quality Measure. Critical Care Medicine. 2019. 47(8):1026–1032. doi: 10.1097/CCM.0000000000003613 Kahn JM, et al. Association Between State-Mandated Protocolized Sepsis Care and In-hospital Mortality Among Adults With Sepsis. JAMA. 2019. 322(3):240-250. doi: 10.1001/jama.2019.9021.
- Venkatesh AK et al. Preliminary Performance on the New CMS Sepsis-1 National Quality Measure: Early Insights From the Emergency Quality Network (E- QUAL). Annals of Emergency Medicine. 2018;71(1):10-15.e1. doi: 10.1016/j.annemergmed.2017.06.032
Friday Sep 27, 2019
Friday Sep 27, 2019
In this episode from the ACEP-EQUAL series, Dr. Alexis LaPietra reviews greater trochanteric pain syndrome and its treatment, as well as gives an overview of one piece of osteopathic manipulative therapy called muscle energy.
Guest: Alexis LaPietra, DO (Chair, ACEP Pain/Addiction Section System Chief, Pain/Addiction St. Josephs Health, Paterson NJ)
Host: Dr. Jason Woods
www.acep.org/equal
Thursday Sep 12, 2019
ACEP E-QUAL 29: Occipital Nerve Blocks and Low Paraspinous Injections for Headaches
Thursday Sep 12, 2019
Thursday Sep 12, 2019
In this episode from the ACEP-EQUAL series, Dr. Katherine Vlasica reviews the technique, indications, contraindications, and benefits of the use of occipital nerve blocks and low paraspinous injections in the treatment of headache in the ED.
Guest: Katherine Vlasica DO (Director of EM Pain Management, St Joseph’s Health in Paterson NJ; Clinical Assistant Professor of Medicine, New York Medical Center)
Host: Dr. Jason Woods
www.acep.org/equal
Link for video of nerve blocks:
Friday Aug 30, 2019
ACEP E-QUAL 28: Renal Colic Imaging
Friday Aug 30, 2019
Friday Aug 30, 2019
In this episode from the ACEP-EQUAL series, Dr. Jay Schuur, Dr. Chris Moore, and Dr. Courtney Moreno discuss the development of and recommendations from the new publication from the ACEP EQUAL group, "Imaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensus."
Article: https://www.ncbi.nlm.nih.gov/pubmed/31402153
DOSE project (Dose Optimization for Stone Evaluation): https://medicine.yale.edu/emergencymed/dose/
Radiology Safety Information: https://www.radiologyinfo.org/en/info.cfm?pg=safety-xray
Host: Dr. Jason Woods
www.acep.org/equal
Monday Aug 26, 2019
ACEP E-QUAL 27: Thoracic Aortic Dissection
Monday Aug 26, 2019
Monday Aug 26, 2019
In this episode from the ACEP-EQUAL series, Dr. Jay Schuur, Dr. Deb Diercks, and Dr. Kaushal Shah discuss the development and primary recommendation from the ACEP Clinical Policy for Thoracic Aortic Dissection.
Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu
Thursday Aug 08, 2019
ACEP E-QUAL 26: Suspected Acute Venous Thromboembolic Disease
Thursday Aug 08, 2019
Thursday Aug 08, 2019
In this episode from the ACEP-EQUAL series, Dr. Stephen Wolf (Professor and Vice Chair at the Department of EM, Denver Health Medical Center; Chair of the ACEP clinical policies committee, subcommittee chair for this policy) talks about the development and primary recommendation from the ACEP Clinical Policy: Suspected Acute Venous Thromboembolic Disease
Host: Dr. Jason Woods
Tuesday Jul 23, 2019
ACEP E-QUAL 25: Avoidable Imaging Success Story
Tuesday Jul 23, 2019
Tuesday Jul 23, 2019
In this episode, Dr. Craig Hostein and Dr. Thomas Vaughan discuss their success in reducing avoidable imaging for low back pain in the ED.
Host: Dr. Jason Woods
Monday Jul 22, 2019
ACEP E-QUAL 24: Appropriate Use Guidelines for Cardiovascular Imaging
Monday Jul 22, 2019
Monday Jul 22, 2019
Dr. Frank Peacock and Dr. Michael Kontos review the 2015 guidelines, published in the Journal of the American College of Cardiology regarding appropriate use of cardiovascular imaging.
Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu
PDF of slide deck: https://www.acep.org/globalassets/sites/acep/media/equal-documents/webinar_chestpainw3_policy_cvimaging.pdf
References
- Rybicki FJ, Udelson JE, Peacock F et al. 2015 ACR/ACC/AHA/AATS/ACEP/ASNC/NASCI/ SAEM/SCCT/SCMR/SCPC/SNMMI/STR/STS Appropriate Utilization of Cardiovascular Imaging in Emergency Department Patients With Chest Pain. JACC. Feb 2016. 67;7. DOI: 10.1016/j.jacc.2015.09.011
- Singer AJ, Than MP, Smith S et al. “Missed myocardial infarctions in ED patients prospectively categorized as low risk by established risk scores”. Am J Emerg Med. 2017 May;35(5):704-709. DOI: 10.1016/j.ajem.2017.01.003.
- Poldevaart JM, Reitsma JB, Backus BE. “Effect of Using the HEART Score in Patients with Chest PAin in the Emergency Department: A Stepped-Wedge, Cluster Randomized Trial.” Ann Intern Med. 2017 May 16;166(10):689-697. doi: 10.7326/M16-1600
- Than MP, Aldous SJ, Troughton RW et al. “Detectable High-Sensitivity Cardiac Troponin within the Population Reference Interval Conveys High 5-Year Cardiovascular Risk: An Observational Study.” Clin Chem. 2018 Jul;64(7):1044-1053. DOI: 10.1373/clinchem.2017.285700
Tuesday Jul 16, 2019
ACEP E-QUAL 23: Implementing High Sensitivity Troponin
Tuesday Jul 16, 2019
Tuesday Jul 16, 2019
Dr. Simon Mahler, Dr. Deborah Diercks, and Dr. Christopher Baugh discuss how to implement the use of high sensitivity troponin in your clinical setting on this featured ACEP E-QUAL podcast.
Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu