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@benzabar.bsky.socialOct 5, 2026, 8:38 PM

Why is no one talking about adrenochrome during these tox lectures?

What don't they want you to know?

#ACEP26 @mdaware.org

@mdaware.orgOct 5, 2026, 8:35 PM

prior cath (under 2 years ago) with non obstructive CAD was *not* sufficiently predictive of low risk chest pain… unless you include a negative hsTrop (which we usually do)

#ACEP26

@mdaware.orgOct 5, 2026, 8:27 PM

small qualitative adults with autism in the ED: communication and flexibility with environment (ie, move to quiet room) seem to work well to avoid escalation, sedation
#ACEP26

@mdaware.orgOct 5, 2026, 7:19 PM

ensiltrivir (antiviral) PEP for COVID decreased household contact infections

@jeremyfaust.bsky.social at #ACEP26

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@mdaware.orgOct 5, 2026, 7:16 PM

Paxlovid probably doesn’t decrease hospitalizations (including immunocompromised), probably at least partially because COVID hospitalizations are low now

@jeremyfaust.bsky.social at #ACEP26

Graph
@mdaware.orgOct 5, 2026, 7:08 PM

mRNA flu vaccine a bit more effective, a bit more side effects (myalgias, HA and such)

@jeremyfaust.bsky.social at #ACEP26

@mdaware.orgOct 5, 2026, 7:05 PM

tamiflu probably does work, might hurt in flu

@jeremyfaust.bsky.social at #ACEP26

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@mdaware.orgOct 5, 2026, 6:59 PM

as states banned non medical vaccine exemptions, medical exemptions went up

except in Mississippi where exemptions are (were) limited (previously to own the crunchy libs)

@jeremyfaust.bsky.social at #ACEP26

maps
@thesgem.bsky.socialOct 5, 2026, 6:18 PM

Clinical Pearls from the Past Year of the EM Literature.
Today at 3:45 #ACEP26
See you soon...
@acepnation.bsky.social

@mdaware.orgOct 5, 2026, 5:49 PM

LLMs can be useful for chart review for ED resus/#EndOfLife conversations research
#ACEP26

RESULTS • AGREEMENT AND REVIEW BURDEN The models agreed unanimously on 78.2% of notes. 78.2% Reduction in review volume The three models agreed on 133 of 170 notes and disagreed on 37, so a clinician read only those 37 charts. 99.2% Agreement with human review where models agreed 132 of 133 unanimous notes matched the reference standard; the pooled method's single error fell within this group. ACEP Scientific Assembly - Research Forum
@mdaware.orgOct 5, 2026, 5:35 PM

small study of EM residents: report low amounts of palliative education, low confidence in skills, they WANT more palliative care education, and maybe a link with improved burnout

#ACEP26

Discussion • Limited residency • HIGH training • Strengths: education demand • Valid EB scales • Multiple • Low confidence in • + benefits to residency pall skills pall skills programs • Opioid • Coping with • Challenges: management difficult • Varied for pain, encounters • Survey distribution dyspnea, delirium o Job satisfaction • Burnout • Response rate CHICAGO26 seentilic ASS
@mdaware.orgOct 5, 2026, 5:22 PM

1 in 4 ED-initiate hospice & palliative care consults don’t end up being completed

of those completed, <12h average time, much faster for hospice than palliative

#acep26

Most Consultations Were Initiated Early-but Nearly One in Four Were Not Completed Overall Completion (N=8,760) 22.5% 77.5% • Completed (6,787) • Cancelled (1,973) • ED arrival → Median 4.8 hours to consult order • 97.3% ordered within 24 hours • HPC consult ordered → Median 11.5 hours to completion • 13.7% completed within 1 hour • 24.4% completed within 4 hours • 77.7% completed within 24 hours CHICAGO26
@mdaware.orgOct 5, 2026, 5:16 PM

cool study of my health code, a (non commercial) tablet-based #EndOfLife intervention for patients in the ER to get #GoalsOfCare conversations started & advanced #ACEP26

RESULTS • PARTICIPANT VOICES In participants' words "One of the things that helped me understand more about what could happen.... and not let that decision be taken by someone else, but be able to make that decision beforehand." PERCEIVED USEFULNESS • SURVEY 8 "I think it came right on time ... the app came at a time when we were both mentally and physically ready to deal with the questions." FACILITATING CONDITIONS • SURVEY 1 ACEP Scientific Assembly • Research Forum "You actually got visual technology that show exactly what's going on ... whereas in person you got something quick, fast and short and simple." VALUE BEYOND VERBAL EXPLANATION • SURVEY 4 "It was one of those questions that you have to dig deep into your soul... Do I want to let go and let God, or do I want to be maintained on any kind of machinery?" VALUES-BASED REFLECTION • SURVEY 7my health code. YOUR UITE YOUR CAKE YOURWAY Clarity before the crisis, comfort when it comes. My Health Code prepares patients for the conversation no one should start from scratch at 3 a.m. -teaching what CPR and intubation entail, clarifying their values, and delivering the care team an informed plan to act on. Educate - brief videos on resuscitation interventions Elicit - a values assessment in the patient's language Deliver - an informed care plan to the physician panel ACEP Scis rch Forum my heakh code vee ptes PATIENT VIEW • BEING REVIEWED PATIENT VIEW • PLAN CERTIFIED Collaborate with us We welcome research partners and multi-site collaborators. Scan to start a conversation. My Health Code is a university research project developed at McGovern Medical School, UTHealth Houston. It is not a commercial entity.
@benzabar.bsky.socialOct 5, 2026, 4:48 PM

Yo, where those #FOAMed cool kids?

Makes me sad. Crickets.

#acep26

@ohioacep.bsky.socialOct 5, 2026, 2:20 PM

Congratulations to Ohio ACEP member Dr. Laura Espy-Bell, recipient of the AAWEP Community Champion Award! #ACEP26

@benzabar.bsky.socialOct 4, 2026, 6:32 PM

Pretty upset nobody got this reference in my talk.

Am I an Old?

#ACEP26 #EmergecnyMedicine #EMsky

@ohioacep.bsky.socialOct 4, 2026, 5:34 PM

Ohio ACEP Board Member and Councillor spoke today on the council floor. #ACEP26 #ACEPCouncil

@benzabar.bsky.socialOct 4, 2026, 5:23 PM

Excited that I can use this pic for Alpha Gal, as well as spiders!

#ACEP26

@benzabar.bsky.socialOct 4, 2026, 4:41 PM

We aren’t wearing astronaut Maximum Absorbency Garments on shift. Don’t care what the metrics say.

#ACEP26

@benzabar.bsky.socialOct 4, 2026, 3:56 PM

I am trying, to break your heart.

#ACEP26

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