{"id":"https://openalex.org/W2329167696","doi":"https://doi.org/10.1097/01.eem.0000450849.85098.6b","title":"Emergentology","display_name":"Emergentology","publication_year":2014,"publication_date":"2014-06-01","ids":{"openalex":"https://openalex.org/W2329167696","doi":"https://doi.org/10.1097/01.eem.0000450849.85098.6b","mag":"2329167696"},"language":"en","primary_location":{"id":"doi:10.1097/01.eem.0000450849.85098.6b","doi":"https://doi.org/10.1097/01.eem.0000450849.85098.6b","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.eem.0000450849.85098.6b","pdf_url":null,"source":{"id":"https://openalex.org/S4210169955","display_name":"Emergency Medicine News","issn_l":"1054-0725","issn":["1054-0725","1552-3624"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Emergency Medicine News","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Graham Walker","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1343052199","display_name":"Kaiser Permanente","ror":"https://ror.org/00t60zh31","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1343052199"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Graham Walker","raw_affiliation_strings":["","Dr. Walkeris an emergency physician at Kaiser San Francisco. He is the developer and co-creator of MDCalc (www.mdcalc.com), a medical calculator for clinical scores, equations, and risk stratifications, and The NNT (www.thennt.com), a number-needed-to-treat tool to communicate benefit and harm. Follow him @grahamwalker for daily thoughts on emergency medicine, and read all of his past columns athttp://bit.ly/WalkerEmergentology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]},{"raw_affiliation_string":"Dr. Walkeris an emergency physician at Kaiser San Francisco. He is the developer and co-creator of MDCalc (www.mdcalc.com), a medical calculator for clinical scores, equations, and risk stratifications, and The NNT (www.thennt.com), a number-needed-to-treat tool to communicate benefit and harm. Follow him @grahamwalker for daily thoughts on emergency medicine, and read all of his past columns athttp://bit.ly/WalkerEmergentology","institution_ids":["https://openalex.org/I1343052199"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1343052199"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.31973067,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"36","issue":"6","first_page":"13","last_page":"13"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11744","display_name":"Health Sciences Research and Education","score":0.4779999852180481,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11744","display_name":"Health Sciences Research and Education","score":0.4779999852180481,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.2249000072479248,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.07980000227689743,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"emergency medicine","score":0.6100000143051147},{"id":"https://openalex.org/keywords/evidence-based-medicine","display_name":"evidence-based medicine","score":0.7419999837875366},{"id":"https://openalex.org/keywords/critical-appraisal-of-medical-literature","display_name":"critical appraisal of medical literature","score":0.5370000004768372},{"id":"https://openalex.org/keywords/pulmonary-embolism","display_name":"pulmonary embolism","score":0.5600000023841858},{"id":"https://openalex.org/keywords/subarachnoid-hemorrhage","display_name":"subarachnoid hemorrhage","score":0.9290000200271606},{"id":"https://openalex.org/keywords/syncope","display_name":"syncope","score":0.9279999732971191},{"id":"https://openalex.org/keywords/risk-overestimation","display_name":"risk overestimation","score":0.515999972820282},{"id":"https://openalex.org/keywords/salter-harris-fractures","display_name":"Salter-Harris fractures","score":0.8949999809265137},{"id":"https://openalex.org/keywords/medical-misconceptions","display_name":"medical misconceptions","score":0.41999998688697815},{"id":"https://openalex.org/keywords/clinical-decision-aids","display_name":"clinical decision aids","score":0.4300000071525574},{"id":"https://openalex.org/keywords/patient-outcomes","display_name":"patient outcomes","score":0.35899999737739563}],"concepts":[{"id":"https://openalex.org/C7991579","wikidata":"https://www.wikidata.org/wiki/Q17955","display_name":"Criticism","level":2,"score":0.48723354935646057},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4106397330760956},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.39828166365623474},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.3510127067565918},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3452393710613251},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.18543052673339844},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.12499579787254333}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/01.eem.0000450849.85098.6b","doi":"https://doi.org/10.1097/01.eem.0000450849.85098.6b","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.eem.0000450849.85098.6b","pdf_url":null,"source":{"id":"https://openalex.org/S4210169955","display_name":"Emergency Medicine News","issn_l":"1054-0725","issn":["1054-0725","1552-3624"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Emergency Medicine News","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9391000270843506,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2021457961","https://openalex.org/W7009871941","https://openalex.org/W1971655863","https://openalex.org/W1996653455","https://openalex.org/W2064267081","https://openalex.org/W2765409953","https://openalex.org/W2224231727","https://openalex.org/W4389929152","https://openalex.org/W2948990598","https://openalex.org/W3110227495"],"abstract_inverted_index":{"FigureFigureCalling":[0],"all":[1,362,427,784],"enterprising,":[2],"research-savvy":[3],"physicians":[4],"and":[5,26,34,57,69,103,122,129,133,143,159,165,207,230,240,246,259,287,293,318,331,376,413,444,525,546,610,660,664,694,721,739,743,758,760,884,966],"medical":[6,32,40,75,225,291,374,411,415,625,919],"students!":[7],"Want":[8],"a":[9,64,109,268,280,342,388,544,570,573,577,585,614,674,684,729,789,794,859,937],"guaranteed":[10],"professorship":[11],"at":[12,940],"the":[13,49,197,224,325,368,381,395,410,448,507,590,642,668,677,713,745,748,769,813,834,907,952,980,984],"Ivory":[14],"Tower":[15],"of":[16,39,66,111,126,199,216,223,253,263,298,387,409,430,567,588,662,697,716,736,815,822,837,854,914,955],"your":[17,21,290,414],"choice?":[18],"I":[19,433,474,488,493,511,536,666],"have":[20,284,314,328,473,520,530,704],"solution":[22],"right":[23],"here:":[24],"reproduce":[25,605],"re-evaluate":[27],"old":[28],"studies.":[29],"Open":[30],"any":[31,37,438,564],"textbook,":[33,348],"you'll":[35],"find":[36],"number":[38,110],"\u201cfacts\u201d":[41],"that":[42,282,295,310,336,363,435,440,501,687,698,844,875,949,973],"make":[43],"absolutely":[44,305],"no":[45,315,456,807,810,830],"sense":[46,335],"whatsoever":[47],"when":[48,273,644,654],"primary":[50,369,449],"references":[51],"are":[52,151,176,260,267,304,442,584,828],"held":[53,285],"up":[54,538],"to":[55,62,83,93,97,108,155,213,271,289,380,446,464,533,560,592,604,616,622,632,641,648,683,765,804,842,898,964,1003],"investigation":[56],"gentle":[58],"criticism.":[59],"It's":[60,727,871],"time":[61,478,568,969],"end":[63,537],"lot":[65],"this":[67,99,214,465,480,767,989],"nonsense,":[68],"practice":[70,543],"more":[71,548,669,759,761,873,961],"evidence-based,":[72],"appropriate,":[73],"lower-risk":[74],"care,":[76],"but":[77,179,733],"we":[78,89,462,602,655,670,679,703,876,880,886,889,916,926,957],"need":[79,91,161,603,637,868],"some":[80,101,105,183,252,528,580,735,863],"straightforward":[81],"research":[82,948],"move":[84,890],"things":[85],"forward":[86],"(and":[87,145,945],"then":[88,377],"just":[90,455,893,900,927],"medicine":[92,116],"listen).":[94],"We're":[95],"starting":[96,841],"see":[98,447],"in":[100,247,257,351,467,555,576,768,778,812,918,979,994],"fields":[102],"with":[104,188,300,596,686,706,786,801,847,933],"diseases,":[106],"thanks":[107],"great":[112],"studies":[113,168,606,631],"from":[114,201,394,581,747,891],"emergency":[115],"researchers":[117,150,935],"like":[118,702],"Jeffrey":[119,134],"Kline,":[120],"MD,":[121,132,136,206,210],"his":[123],"extensive":[124],"study":[125,798],"pulmonary":[127,202,752],"embolism,":[128],"Ian":[130],"Stiell,":[131],"Perry,":[135],"for":[137,162,193,237,243,307,724,825],"their":[138,220,228,851],"work":[139],"on":[140,185,227,569,607,657,990],"subarachnoid":[141],"hemorrhage":[142],"syncope":[144],"many":[146,845],"others).":[147],"Often":[148],"these":[149,514,941],"developing":[152],"decision":[153],"aids":[154],"help":[156,171],"quantify":[157],"risk":[158,174,198,626],"reduce":[160],"advanced":[163],"imaging":[164],"admission.":[166],"These":[167],"not":[169,349,460,636,728,867],"only":[170],"elucidate":[172],"which":[173,930],"factors":[175],"particularly":[177],"important,":[178],"they":[180,250,365,404,441,634],"also":[181,829],"shed":[182],"light":[184],"patient":[186,685],"outcomes":[187],"different":[189],"disease":[190,675,688,699],"processes.":[191],"Physicians,":[192],"example,":[194,308],"typically":[195],"overestimate":[196],"death":[200],"embolism.":[203],"David":[204,517],"Newman,":[205],"Ashley":[208],"Shreves,":[209],"introduced":[211],"me":[212],"line":[215],"inquisition,":[217],"mostly":[218],"through":[219,324,373],"deep":[221],"dives":[222],"literature":[226,762],"website":[229,992],"free":[231,996],"podcast,":[232],"www.smartem.org.":[233],"(SMART":[234],"EM":[235],"stands":[236],"Scientific":[238],"Medicine":[239],"Research":[241],"Translation":[242],"Emergency":[244],"Medicine,":[245],"full":[248],"disclosure,":[249],"were":[251,974],"my":[254,261,477,504,542],"smartest":[255],"attendings":[256],"residency,":[258],"co-founders":[262],"www.theNNT.com.)":[264],"Their":[265],"podcasts":[266,561],"little":[269,860],"difficult":[270],"swallow":[272],"you":[274,283,323,327,337,558],"first":[275,383,981],"start":[276,366],"listening.":[277],"They":[278,321,344,583],"introduce":[279],"topic":[281],"near":[286],"dear":[288],"brain":[292],"heart:":[294],"local":[296],"injections":[297],"lidocaine":[299],"epinephrine":[301,340],"into":[302,341,523],"fingers":[303],"contraindicated,":[306],"or":[309,385,398,486,562,572,575,630,638,700,806,819,977,993],"Salter-Harris":[311],"1":[312],"fractures":[313],"radiographic":[316],"injury":[317],"require":[319,754,788],"immobilization.":[320],"walk":[322],"concept":[326],"been":[329,475],"taught":[330],"why":[332,601],"it":[333,522],"makes":[334],"shouldn't":[338,887],"put":[339],"finger.":[343],"cite":[345],"textbook":[346],"after":[347,361],"always":[350,425],"our":[352,617,725,737,991,995],"own":[353],"field,":[354],"discussing":[355],"digital":[356],"anesthesia":[357],"techniques.":[358],"And":[359,492,905],"then,":[360],"build-up,":[364],"reviewing":[367],"references,":[370],"tracing":[371],"backwards":[372],"history,":[375],"go":[378,649],"back":[379,707],"very":[382],"article":[384],"mention":[386],"particular":[389],"subject.":[390],"This":[391,458,599,711],"is":[392,437,459,594,600,712,763,839,921,925],"often":[393],"late":[396],"1800s":[397],"early":[399],"1900s.":[400],"One":[401],"by":[402,619,627,987],"one,":[403],"intellectually":[405],"dismantle":[406],"each":[407],"keystone":[408],"concept,":[412],"worldview":[416],"comes":[417],"crashing":[418],"down":[419],"within":[420],"30":[421],"minutes.":[422],"My":[423],"reaction":[424],"includes":[426],"five":[428],"stages":[429],"grief.":[431],"First":[432],"deny":[434],"there":[436,498],"possibility":[439],"right,":[443],"want":[445],"papers":[450],"myself.":[451],"\u201cNo":[452],"way.":[453,457],"There's":[454],"how":[461,589],"got":[463],"point":[466],"medicine.\u201d":[468],"Then":[469,506],"I'm":[470],"angry.":[471],"\u201cWhy":[472],"wasting":[476],"learning":[479],"garbage?":[481],"Does":[482,750],"anything":[483,487],"I've":[484],"learned":[485],"do":[489,613,682,901],"actually":[490,646,681,774],"matter?\u201d":[491],"bargain:":[494],"\u201cPlease,":[495],"please":[496],"let":[497],"be":[499,775,882],"something":[500],"legitimately":[502],"helps":[503],"patients.\u201d":[505],"depression":[508],"sets":[509],"in.":[510],"can't":[512],"believe":[513,667],"\u201cpseudo-axioms,\u201d":[515],"as":[516,888],"describes":[518],"them,":[519],"made":[521],"textbooks":[524],"review":[526],"courses;":[527],"even":[529,872],"mnemonics":[531],"dedicated":[532],"them.":[534],"Finally,":[535],"accepting":[539],"this,":[540],"change":[541],"bit,":[545],"become":[547],"skeptical":[549],"about":[550,673,793,971],"\u2026":[551,553],"well":[552],"everything":[554],"medicine.":[556],"If":[557],"listen":[559],"spend":[563,967],"significant":[565],"amount":[566],"treadmill":[571],"bike":[574],"car,":[578],"download":[579],"SMART-EM.":[582],"fascinating":[586],"example":[587],"road":[591],"hell":[593],"paved":[595],"good":[597],"intentions.":[598],"mortality,":[608],"risk,":[609],"management.":[611],"We":[612],"disservice":[615],"patients":[618,785,800,965],"exposing":[620],"them":[621,633,640],"increased":[623],"iatrogenic":[624],"doing":[628,776,883],"procedures":[629],"may":[635,866,950],"admitting":[639],"hospital":[643,820],"they're":[645],"safe":[647],"home.":[650],"That's":[651],"what":[652,879,885,915],"happens":[653],"rely":[656],"outdated":[658],"assumptions":[659],"misunderstandings":[661],"pathophysiology":[663],"risk.":[665],"truly":[671],"know":[672,929],"process,":[676],"less":[678,968],"will":[680],"process":[689],"(after":[690],"figuring":[691],"out":[692,878],"high-":[693],"low-risk":[695],"features":[696],"complaint,":[701],"done":[705],"pain":[708],"red":[709],"flags).":[710],"new":[714,730,934],"frontier":[715],"improved":[717],"outcomes,":[718],"lower":[719,722],"costs,":[720],"risks":[723],"patients.":[726],"whizbang":[731],"drug,":[732],"shedding":[734],"19th":[738],"20th":[740],"Century":[741],"truths,":[742],"separating":[744],"fact":[746],"fiction.":[749],"every":[751],"embolism":[753],"admission?":[755],"Probably":[756],"not,":[757],"going":[764],"show":[766],"coming":[770],"years.":[771],"Could":[772],"oxygen":[773],"harm":[777],"nonhypoxic":[779],"patients?":[780],"Quite":[781],"possibly.":[782],"Do":[783,896],"pneumothorax":[787],"chest":[790],"tube?":[791],"What":[792],"hemothorax?":[795],"A":[796],"2012":[797],"randomizing":[799],"simple":[802,826,942],"diverticulitis":[803],"antibiotics":[805,808,869],"found":[809],"difference":[811],"rate":[814],"complication":[816],"(abscess,":[817],"perforation)":[818],"length":[821],"stay.":[823],"Antibiotics":[824],"sinusitis":[827],"longer":[831],"recommended.":[832],"Even":[833],"American":[835],"Academy":[836],"Pediatrics":[838],"finally":[840],"admit":[843],"children":[846],"otitis":[848],"media":[849],"\u2014":[850,865],"favorite":[852],"cause":[853],"fever":[855],"(\u201cThat":[856],"ear":[857],"looks":[858],"red.":[861],"Here's":[862],"amoxicillin\u201d)":[864],"either.":[870],"important":[874,978],"figure":[877],"should":[881],"\u201cDon't":[892,899],"stand":[894],"there!":[895],"something!\u201d":[897],"something!":[902],"Stand":[903],"there!\u201d":[904],"that's":[906],"hard":[908],"part.":[909],"Someone":[910],"once":[911],"said,":[912],"\u201cHalf":[913],"learn":[917],"school":[920],"wrong.":[922],"The":[923],"problem":[924],"don't":[928],"half.\u201d":[931],"Hopefully":[932],"taking":[936],"keen":[938],"eye":[939],"\u201cmedical":[943],"truths\u201d":[944],"IRBs":[946],"supporting":[947],"question":[951],"all-godly":[953],"\u201cstandard":[954],"care\u201d),":[956],"can":[958],"provide":[959],"better,":[960],"appropriate":[962],"care":[963],"worrying":[970],"interventions":[972],"never":[975],"true":[976],"place.":[982],"Access":[983],"linksin":[985],"EMN":[986],"reading":[988],"iPad":[997],"app,":[998],"both":[999],"available":[1000],"atwww.EM-News.com.":[1001],"Comments?Write":[1002],"us":[1004],"at[email":[1005],"protected].":[1006]},"counts_by_year":[],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2016-06-24T00:00:00"}
