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Lauren Westafer
Emergency Physician , SoMe editor, cohost.Passionate about & knowledge translation 🏳️‍🌈she/her
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Lauren Westafer retweeted
Ali S. Raja, MD 15h
Not risk stratifying pregnant patients with suspected PE? Time to change y(our!) practice! Great summary of the literature,
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Lauren Westafer 16h
EMRA ABX guide is good but even more importantly, get a copy of your LOCAL ANTIBIOGRAM. Tired of seeing azithro monotherapy for PNA tx, TMP-SMX and FQ as 1st line for UTIs (terrible resistance in our area)
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Lauren Westafer 16h
yes! i had same realization as an intern. i think it's important to learn how to affect institutional change..often by simply asking ?/bringing up studies provider by provider. many institutional things are done for good reason, but often...'cause that's how it's been done
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Lauren Westafer 17h
Haha. I think evaluation of PE is emotional evocative for providers (subconsciously). Also, all the guidelines essentially say you can’t use dimer etc so it feels so wrong to go against them even if evidence that supplants them is >>>
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Lauren Westafer 17h
Risk stratification and dimer for suspected PE in pregnancy. Guidelines mostly recommend against it BUT I think it's time for that to change because...new evidence, yay!
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Lauren Westafer Jun 22
Teaching a super engaged group on How to create a medical podcast at My tip #1 -> consider a cohost that holds you accountable (and who you enjoy spending time with)
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Lauren Westafer retweeted
Andrew Chou Jun 20
While ED clinicians were still freaking out about <<2% MACE rate for low-risk chest pain, d/c-ed OUD pts were experiencing >5% mortality. We should/can/must play an active part in the solution. Important work by and
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Lauren Westafer Jun 21
Yep. But again have to choose a topic that is relevant and will be interesting. People find them weird but also if you choose something that’s relevant, particularly if it’s around implementation scienceBecause people can almost see themselves in the data
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Lauren Westafer Jun 21
I have drafted a template for a podcast series called STAT! (Because emergency medicine + statistics) But have not had the time or partner to get it off the ground yet. That’s my dream
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Lauren Westafer Jun 21
🤣 totally understand. I get delighted when From time to time my partner let’s us do this on our show. Weak on in depth stats but introduces some issues
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Lauren Westafer Jun 21
There’s the thought that CTPA I’m pregnant patients may be indeterminate bc timing of contrast with hyper dynamic state but I haven’t seen recent PE studies with this issue (righini, van der pol)
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Lauren Westafer Jun 21
I CTPA because if I’m going to image, I feel that this modality is higher yield and will give me other answers where is a VQ scan maybe indeterminate and is unlikely to show other pathology
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Lauren Westafer Jun 21
This is complicated. CT > rads to maternal breast, fetal dose not crazy different. ACR gives them equal appropriateness. ATS recommends VQ over CT but issue is indeterminate and then still need CT (I’m not super convinced that the evidence supports this)
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Lauren Westafer Jun 21
stats/study design training 1. stats lectures (15 minutes, 1 topic at a time, focus on interpretation not the nitty-gritty) 2. focus JC on 1-2 stats topics for spaced repetition 3. sneak stats into cutting edge lit updates
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Lauren Westafer Jun 21
disseminate useful/practice changing articles 1. focus JC and stats articles on landmark/cutting edge/novel articles with high clinical utility (ALL articles we talk about should be clinically useful...or a "hot topic"..i.e. high yield) 2. have quarterly "Lit update" lectures
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Lauren Westafer Jun 21
our format is multipronged training to read articles/critical appraisal -> 1. 15 min stats/study design lectures in EM conference. 2. Small group journal clubb standardized critical appraisal questions for pre-work 3. de-sensitization (pick 1-2 articles to focus on)+guided interp
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Lauren Westafer Jun 21
Point depends. training to read articles/critical appraisal stats/study design training disseminate useful/practice changing articles. At we decided socializing was NOT one of the points and moved alternate topics to a dinner/drinks venue to improve yield (success!)
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Lauren Westafer retweeted
Tara Lagu Jun 20
Our new study lead by that reports that inpatient is not associated with better patient outcomes in patients with AMI ⁦
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Lauren Westafer Jun 19
Using it. gave me a moratorium on PE shows but we are including it in a lit update coming out soon
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Lauren Westafer retweeted
Ali S. Raja, MD Jun 19
Dosing for in - initial doses of benzodiazepines for status epilepticus below guideline recommendations, especially for lorazepam & midazolam AG Sathe MD et al
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