4.8 • 1.1K Ratings
🗓️ 13 January 2023
⏱️ 30 minutes
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0:00.0 | There's a set of decisions that you have to make right off the bat, which is am I really |
0:10.8 | worried about this person or not? |
0:13.1 | Sometimes it's obvious if they're unconscious, if they're vital signs are completely abnormal, |
0:18.1 | but a lot of the things that we worry about the most in the emergency department are things |
0:22.7 | that can actually look pretty subtle at first. |
0:25.1 | Dr. Ziat Obermeyer is an emergency medicine physician and a professor at UC Berkeley. |
0:31.0 | So everyone's first image of a heart attack is a middle-aged man clutching his chest |
0:35.6 | and saying something about an elephant, but most heart attacks don't look like that. |
0:39.0 | Most heart attacks are a little bit of nausea or a tinge of chest pressure. |
0:43.7 | The stakes are high in the emergency department. |
0:46.6 | People arrive with symptoms that could be life-threatening or benign or anywhere in between. |
0:52.5 | There's approximately billions of tests and combinations of tests that you could order |
0:57.2 | for any given patient, so you need to narrow down to the ones that are going to help you |
1:00.8 | figure out what to do with this person right now. |
1:03.7 | A lot of Ziat's research is focused on tests and how to make sure we're testing the right |
1:08.9 | people for the right things at the right time to get the right information. |
1:14.1 | In emergency medicine, that means making choices that help you answer one big question. |
1:20.5 | How do I do with this person next? |
1:22.6 | Do I bring them into the hospital or do I send them home? |
1:26.7 | And that's a really hard one. |
1:33.4 | In 2020, there were more than 33 million hospital admissions in the US. |
1:38.8 | That number is down slightly from prior years, probably because of the pandemic. |
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