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Hey guys!

This podcast, Dr. Wheatley and Dr. Osborne discuss some of the newest literature as it pertains to obs. Instead of butchering these innocent people's names, we put the info here!

First we discussed this hot hot article from NEJM.

Prevalence of Pulmonary Embolism among Patients Hospitalized for Syncope.

N Engl J Med. 2016 Oct 20;375(16):1524-1531.

Prandoni P

Then we talked about this correlating study.

Short-term Prognosis and Current Management of Syncopal Patients at Intermediate Risk: Results from the IRiS (Intermediate-Risk Syncope) Study.

Acad Emerg Med. 2016 Aug;23(8):941-8. doi: 10.1111/acem.13013. Epub 2016 Aug 1.

Numeroso F

Then we talked about this interesting abstract. This is from the forum at ACEP and you can click the link to the PDF. It's abstract 76.

Effect of a Sickle Cell Vaso-occlusive Crisis Observation Unit Pathway on the Admission Rate for Frequent Emergency Department Users

Loeffler P, Sturgis L, Muelller T, Gibson R, Lyon M/Augusta University, Augusta, GA

Then we finished with AHRQ study. It's also free can be found here!

We hope you enjoy!


ACEP 2016 Podcast

Did you miss the meeting of the Obs section?  Do you want to catch up on the MOON and what's going on with the psych-in-obs issue?  Well, look no further.  Dr. Wheatley and Dr. Osborne sum up the meeting and share their insights on the near future of obs and what's going on with the MOON act.  Don't miss this one!


If you are as deep in the world of Obs as Wheatley and Osborne, you'd know it's no secret that the facility payment for obs care has increased significantly.  We sit down with the Godfather of Obs, Mike Ross, who is break down the background and the future of this payment.  It's all you need to know and more to get up to speed on this important obs issue.  In fact, it's so much stuff, we gotta put some in this blog post just to keep it all straight!

This PDF covers how short stay inpatients will be reviewed.  

Hey guys!  Matt and I talk shop during this podcast and get down to the nitty of the gritty in operational details in one our best shows yet.  You've probably run into a lot of the same problems we have had and we're not perfect!  Also, we give some upcoming important dates about meetings and the big obs conference.  We even get to some listener emails.  Enjoy!


We recorded this one guerrilla-style in Boston.  So, those occasional loud bumps are just lobsters trying to get in on the action.  Wheatley and I sit down with Dr. Chris Baugh from Harvard to discuss some of the high points of the section meeting.  We cover a lot, but if you want to catch up on the Notice Act, read about that here!


Wheatley and I go deep in to a fairly controversial article abut the lack of studies in obs.  We recap the conference and talk money and syncope.  


Hey!  We discuss some of the finer updates around the 2 MN rule.  Additionally, we discuss Ben Sun's syncope paper and a smaller paper hammering home the points about how observation care does not hinder massive benefits from seniors.  Hopefully, we saw everyone at ACEP this year.  It was great.  Stay tuned for obs medicine conference.  THE DEFINITIVE ONE!


2 Midnight Rule at ACEP

It's a long episode because it's a big deal.  Matt and I sit down with two big wigs from ACEP and go over the in's and out's of this rule.  We even get their thoughts about EM, Obs and the future.  You don't want to skip any parts of this show!


We've touched on heart failure in the past, but we're getting to the nitty of the gritty with Mike Ross.  We discuss 3 of the more current pieces in the literature today regarding obs and heart failure.  ENJOY!


This week we go to the archives from our trip to denver where we sat down with Carol Clark.  She discussed the upcoming observation medicine conference which will be in Troy, Michigan September 12-13 this year.  Enjoy!


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