@mdaware.orgEMTALA supersedes state abortion bans
BUT it’s often legally unclear what carve outs for ectopic pregnancies, often unclear what “medically necessary” or missing technical details (eg c section scar ectopics)
worse care means more transfusions and deaths
@mdaware.orgthe post-Dobbs landscape means worse health care for miscarriages and other reproductive care, not “just”elective pregnancy terminations
state laws adds legal risks to necessary medical care
@mdaware.orgSCOTUS’ Dobb’s decision means states are going to revisit birth control access
adolescents especially are at high risk for poor access, unintended pregnancy and reproductive-related health risks
@mdaware.orgwe don’t choose what crises we face
if patients don’t have access to other care, they come to the ER
@mdaware.orgwe do a LOT of reproductive health care in the ER
aortic dissection, PTX, tamponade, ruptured AAA: each *well* below 1% of ED visits
each ER doc treats 800 patients with early pregnancy loss in their career
@emergencymednews.bsky.socialClinical updates ✅
Networking ✅
Puppies ✅🐾
Just another memorable day at #ACEP26. Stop by, connect with colleagues, and experience everything emergency medicine has to offer.
@mdaware.org#misonformation summary from Dr. Bernice Fokum, MD, MPP
@mdaware.orgwork with patients and their often understandable (even if based on #misinformation) to help get them the best care
@mdaware.orgwork with patients & their values
@mdaware.orgwhen someone pushes back on recommended care due to #misinformation:
@mdaware.org
@mdaware.orgwe might not be able to convince someone out of their #misinformation but we might be the first step on their path in the right direction
@mdaware.orglots of challenges with #misinformation
@mdaware.org
@mdaware.org@mdaware.org
![Recommendations
Risk Stratification
Lin older adults presenting to the ED, the Delirium Risk Score may be used to identify subsets of older adults at low risk for delirium. [Very low certainty of evidence]
2. In adults over age 65 admitted to the ED observation unit from the ED, Zucchelli's risk assessment tool with score threshold of 4 or 5 may be used to identify those at low or high risk of delirium. Very low certainty of evidence!
3. In adults over age 75 presenting to the ED, REDEEM Score threshold of 11 may be used to identify those at low or high risk of delirium. The low-risk cutoff of 5 may be used to rule out high risk for delirium. Very low certainty of evidence
Diagnostic Tools
4. In older adults in the ED, 4AT, CAM, CAM-ICU, mCAM, or RASS may be used to rule in or rule out delirium. [Very low certainty of evidence]
5. In older adults in the ED, DTS may be used to rule out delirium. Very low certainty of evidence
Brain Imaging
6. In the undifferentiated older ED patients with delirium, we have insufficient data to recommend obtaining a head CT vs not obtaining a head CT. [Very low certainty of evidence]
UNITE. PROTECT. EMPOWER.
Total 6 recommendations for risk stratification, diagnostic tools, and imaging in the ED.
Lee, Khoujah et al, 2025 AEM](https://cdn.bsky.app/img/feed_fullsize/plain/did:plc:i7g62qhqwyobrqzg63yyz7vf/bafkreibyjrl7vftcstjcxo2fdax62i6xz2sdpyn36tp473cyvvftkzpkia@jpeg)
@mdaware.org
@thesgem.bsky.socialCopy of my slides #ACEP26
thesgem.com/wp-content/u...
@benzabar.bsky.socialSelfie with @www.evidencetriage.com ? Hard to tell, he’s locked in. But hollar at the #FOAMed grind.
@benzabar.bsky.social