Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Various forms of bias exist in medicine, including race, gender, age, socioeconomic status, and weight bias. Weight bias has not received as much attention in the literature as other forms of bias. More often when discussing weight bias, the discussion is with regard to physician to patient bias, or patient to physician. In this article, we summarize the study performed by McLean et al. as well as the podcast and discussion, and social media commentary, in which the investigators evaluate the presence of physician to physician weight bias.
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Despite evidence demonstrating the safety and efficacy of buprenorphine for the treatment of emergency department (ED) patients with opioid use disorder (OUD), incorporation into clinical practice has been highly variable. We explored barriers and facilitators to the prescription of buprenorphine, as perceived by practicing ED clinicians. ⋯ While some participants were hesitant to adopt a "new" role in treating patients with medications for OUD, many already had and gave concrete strategies regarding how to encourage others to embrace their attitude of "this is part of emergency medicine now."
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Observational Study
Predictive model for diagnosing central lesions in emergency department patients with isolated dizziness who undergo diffusion-weighted magnetic resonance imaging.
Only 5% to 10% of patients who visit the emergency department (ED) with isolated dizziness without neurologic abnormalities may have central lesions; however, it is important to distinguish central lesions through brain imaging. This study was conducted to create a nomogram to provide an objective medical basis for selectively performing magnetic resonance imaging (MRI) among patients with isolated dizziness. ⋯ Albumin, inorganic phosphate, previous stroke, presyncope, and nystagmus were associated with the predictive diagnosis of central lesions among patients admitted to the ED with isolated dizziness. The novel nomogram created using these variables can help in objectively determining the need for MRI in patients presenting with isolated dizziness to the ED.