Other

Patients happy to get results from the radiologist

This prospective study of outpatients receiving non-oncology CT scans, or non-OB ultrasounds, found that almost all patients indicated they would be comfortable receiving their test results from a radiologist, that they found the review very helpful, and that they would prefer to have future test results delivered by a radiologist. This would be a new paradigm for delivering radiology test results, but one that most patients report desiring (abstract)

“Spice”; new drugs of abuse

Synthetic cannaboids are relatively new recreational drugs that can not be picked up on routine drug testing; also known as "spice", they have resulted in almost 2,000 poison control reports in only 9 months. Of those reported, most patients were young (median age 20), and clinical symptoms included tachycardia (40%) agitation (23%) vomiting (15%), lethargy-confusion-hallucinations-delusions (9-14%) and seizures (4%). Most completely resolved within 24 hours with supportive treatment. The use of "spice" should be inquired in patients presenting with such symptoms (abstract)

Improving transitions from ED to inpatient

The expert panel adresses current gaps and potential remedies for improving the transition from ED to inpatient care. They offer a structural outline of types of communications between the ED and inpatient provider, and offer measurements to determine the efficiency, effectiveness, and safety of the handoff (abstract).

Patients rarely understand discharge instructions

In this single center prospective cohort of 159 English-speaking patients discharged from the ED, follow up interviews at 24-36 hours assessed their understanding of their diagnosis, medications, home care, follow up, and return instructions. Knowledge deficits were found in 80% of patients for home care instructions, 79% for return instructions, 39% for follow up, 22% for medications, 14% for diagnosis. Continued research is needed to determine how to assess knowledge deficits in discharge instructions before patients are discharged (abstract).

Gout guidelines

New guidelines for the prevention and treatment of gout have been issued by the American College of Rheumatology. For prevention, allopurinol or febuxostat are first line (alternative is probenecid if these are contraindicated), which should be maximized for a goal serum urate levels <6 mg/dL. For treatment of acute gouty arthritis, monotherapy with steroids, NSAIDs, or colchicine are recommended. Full guidelines are available at (ACR site)
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