Patwari Academy videos: ACLS and the Airway
This videos below include a 2-minute introductory video on the ACLS video and the first 2 (Airway) of 11 video discussions on different components of ACLS.
PV card: PE Severity Index (PESI) score
Do you send some of your low-risk patients with pulmonary embolism home?
This is a controversial issue which warrants a look at risk stratification tools. The primary one used is the validated Pulmonary Embolism Severity Index (PESI) score. In Lancet 2011, the authors looked at whether PESI class I and II (low risk) patients could be managed safely as outpatients. It turns out in their study, regardless of whether their PESI class I and II patients were treated as outpatients and inpatients, all fared equally well from a complications standpoint (recurrent clot, bleeding from anticoagulation).
I like the validated PESI scoring system to risk-stratify patients as low vs high risk for complications. I, however, do caution people to look closely at the exclusion criteria for this study before applying this to all ED patients.
The exclusion filter was so strict that they likely have captured a very narrow and unrealistic scope of patients to be widely applicable. It makes sense from a research standpoint to have these criteria to achieve internal validity but the question is external validity. Two exclusion criteria that struck me as awfully strict were: (1) needing parenteral opioids or (2) active alcohol or drug abuse.
Bottom line
For me, this study alone seems not have enough external validity to decide about the decision to treat PE patients as inpatient vs outpatient. Although I think that ultimately some can be managed as outpatients, I’d like to see more studies.
PV Card: PESI Score for Pulmonary Embolism
See other ALiEM (PV) Cards.
Eavesdrop into LIVE International EM Faculty Development Conference
Today is the second day of the International EM Faculty Development and Teaching Course hosted at the University of Maryland by Dr. Rob Rogers and Dr. Amal Mattu. Although unable to attend, I have been able to be a virtual participant in real-time for many parts of the large-group didactic sessions.
Have you heard of Livestream?
New video series for med students: The Patwari Academy
Similar to Salman Khan of the Khan Academy, which is famous for “flipping the classroom”, Dr. Rahul Patwari is a one-man innovating machine at Rush University’s Department of Emergency Medicine. He has been creating digital whiteboard “chalktalks” on common EM conditions for the past year, which target the senior medical student. These 2-15 minute videos are way too amazing not share with the EM community of learners. I bet these would be really great supplemental learning material for EM medical students everywhere.
Welcome new blog team member: Dr. Nikita Joshi
Welcome our newest team member on the blog with a specific focus on teaching about Medical Education, Dr. Nikita Joshi!
She is a graduating EM resident, pursuing a career in academics. “My goal with this blog is to share ideas, thoughts, and experiences about teaching. Teaching is after all one of our most sacred and treasured skills as clinicians. I hope to ignite the same passion I have with the readers and to engage in insightful dialogue.”
I joined Twitter. Now what? (Tutorial video #2 – Desktop)
In Part 2 of this Twitter tutorial (Part 1 video), I focus on how to navigate Twitter using the Twitter native website on my desktop/laptop. I personally, however, use Hootsuite (free) so that I can see more items at a single glance.
I joined Twitter. Now what? (Tutorial video #1 – iPhone)
There has been a recent groundswell of interest and support for using Twitter purely for medical education. After getting several requests to get a quick tutorial of how I use it, I thought I would do a quick, on-the-fly video in my hotel room of how I use it on my iPhone (Echofon app) and on my laptop (Hootsuite). This is the first video on using the iPhone for Twitter.