Matthew Garber (@MattDavidGarber) profile picture

Matthew Garber

@MattDavidGarber

Medical Director Value in Inpatient Pediatrics Network, Interventional skeptic, multi-instrumentalist

 Jacksonville, Fl
Joined July 2015
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Photo by Matthew Garber (@MattDavidGarber)Photo by Matthew Garber (@MattDavidGarber)Photo by Matthew Garber (@MattDavidGarber)Photo by Matthew Garber (@MattDavidGarber)Photo by Matthew Garber (@MattDavidGarber)Photo by Matthew Garber (@MattDavidGarber)Photo by Matthew Garber (@MattDavidGarber)Photo by Matthew Garber (@MattDavidGarber)Photo by Matthew Garber (@MattDavidGarber)Photo by Matthew Garber (@MattDavidGarber)
Oseltamivir doesn't work in adults yet CDC, AAP, IDSA recommend for all inpatients, why? jamanetwork.com/journals/jam…
Antiviral Medications for Treatment of Nonsevere Influenza

Antiviral Medications for Treatment of Nonsevere Influenza

This systematic review and network meta-analysis evaluates the effectiveness and safety of antiviral treatment for patients with nonsevere influenza and thus support an update of World Health...

jamanetwork.com
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Less CPAP = Less PTX. An Improvement Project to Lower Pneumothorax Rates in Neonates Born at 36 Weeks’ Gestational Age or Beyond publications.aap.org/pediatr…

An Improvement Project to Lower Pneumothorax Rates in Neonates Born at 36 Weeks’ Gestational Age or...

OBJECTIVE. Our institutional data revealed high pneumothorax rates in term neonates resuscitated in the delivery room (DR). Other studies have reported that high rates of continuous positive airway...

publications.aap.org
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Screening for Adverse Childhood Experiences: A Critical Appraisal - "In the absence of this evidence, we cannot assume that screening will not cause harm and that potential benefits outweigh potential harms." publications.aap.org/pediatr…

Screening for Adverse Childhood Experiences: A Critical Appraisal

Adverse childhood experiences (ACEs) are common and can impact health across the life course. Thus, it is essential for professionals in child- and family-serving roles, including pediatric and adult...

publications.aap.org
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On the bright side, I just found out my new dishwasher has an adjustable rack.
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Reducing Low-Value Care in Pediatric Trauma jamanetwork.com/journals/jam…
Reducing Low-Value Care in Pediatric Trauma

Reducing Low-Value Care in Pediatric Trauma

Deshommes et al1 add to the growing body of literature on low-value care by identifying low-value practices in pediatric trauma. Among 10 711 children in a pediatric trauma registry with a primary...

jamanetwork.com
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Unexpected. Isotonic better for newborns? Contrary to recent meta showing increased hyperNA. The efficacy/safety of isotonic and hypotonic fluids in maintenance fluids in term newborns: national multicenter observational (n=420) “neofluid” study browzine.com/articles/628641…
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"Most children will improve without antibiotics, and if antibiotics are prescribed, amoxicillin is recommended for most children with nonsevere ABRS." Antibiotics for Pediatric Acute Bacterial Sinusitis jamanetwork.com/journals/jam…
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De-Implement the freakin WBC for infection already!!! The value of white blood cell count in predicting serious bacterial infections in children presenting to the emergency department: a multicentre observational study adc.bmj.com/content/early/20…
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Child and Teen Firearm Mortality in the U.S. and Peer Countries kff.org/be8ed4d/
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(Good) News to me. I hope it's true for greater severity. The editorial is excellent too. Weight Gain After Adenotonsillectomy in Children With Mild Obstructive Sleep-Disordered Breathing jamanetwork.com/journals/jam…
Weight Gain After Adenotonsillectomy in Children With Mild Obstructive Sleep-Disordered Breathing

Weight Gain After Adenotonsillectomy in Children With Mild Obstructive Sleep-Disordered Breathing

This exploratory analysis compares changes in weight in children with mild obstructive sleep-disordered breathing from baseline to 12-months after adenotonsillectomy compared with only watchful...

jamanetwork.com
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State Policies Regulating Firearms and Changes in Firearm Mortality jamanetwork.com/journals/jam…
State Policies Regulating Firearms and Changes in Firearm Mortality

State Policies Regulating Firearms and Changes in Firearm Mortality

This comparative effectiveness study estimates the changes in mortality rates associated with common US state firearm policies, including age restrictions, waiting periods, and stand-your-ground laws.

jamanetwork.com
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Website Content and Funding of Officially Recognized Disease Awareness Campaigns jamanetwork.com/journals/jam…
Website Content and Funding of Officially Recognized Disease Awareness Campaigns

Website Content and Funding of Officially Recognized Disease Awareness Campaigns

This study examines the content, including mention of benefits and harms of testing and treatment, and funding of disease awareness campaign websites recognized by major noncommercial institutions.

jamanetwork.com
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The "broken heart syndrome": a 60 y/o F overdosed on benzodiezepines & suffered a ground-level fall on the 1-year anniversary of her husband's death. A #POCUS exam of her heart revealed the following:
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I'm confused - can't you switch the definitions of a positive test and get an AUC of .72 for CRP? AUC of PCT (.72) and CRP (.28) for predicting IBI (and SBI). a systematic review and meta-analysis - The Lancet Child & Adolescent Health thelancet.com/journals/lanch…
Diagnostic test accuracy of procalcitonin and C-reactive protein for predicting invasive and...

Diagnostic test accuracy of procalcitonin and C-reactive protein for predicting invasive and...

Within a large cohort of febrile infants, a procalcitonin cutoff of 0·5 ng/mL had a superior pAUC value to a C-reactive protein cutoff of 20 mg/L for identifying invasive bacterial infections. In...

thelancet.com
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Nice work!!!! Reducing IV Antibiotic Duration for Neonatal UTI Using a Clinical Standard Pathway publications.aap.org/hospita…
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Too Much Dentistry (love to meet these authors) jamanetwork.com/journals/jam…
Too Much Dentistry

Too Much Dentistry

This Viewpoint explores whether all dental procedures are clinically necessary given their expense and the disparate access to treatment among some socioeconomic and racial and ethnic groups.

jamanetwork.com
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#VIPedsNetwork last hurrah as it has transitioned to PACC. LIGHT (hyperbili) even bigger, coming soon!!!!QI initiatives tackle antibiotic use, care of febrile infants, high-flow nasal cannula use publications.aap.org/aapnews…
QI initiatives tackle antibiotic use, care of febrile infants, high-flow nasal cannula use

QI initiatives tackle antibiotic use, care of febrile infants, high-flow nasal cannula use

The quality improvement initiatives were from the AAP Value in Inpatient Pediatrics network.

publications.aap.org
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Big day for #VIPedsNetwork.
This Post is from an account that no longer exists. Learn more
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Is Myocardial Infarction Overdiagnosed? No, but is misdiagnosed when not present fairly often. jamanetwork.com/journals/jam…
Is Myocardial Infarction Overdiagnosed?

Is Myocardial Infarction Overdiagnosed?

This Viewpoint examines whether overdiagnosis rather than underdiagnosis may now be the dominant form of myocardial infarction misdiagnosis.

jamanetwork.com
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Stewardship Prompts to Improve Antibiotic Selection for Urinary Tract Infection jamanetwork.com/journals/jam…
Stewardship Prompts to Improve Antibiotic Selection for Urinary Tract Infection

Stewardship Prompts to Improve Antibiotic Selection for Urinary Tract Infection

This clinical trial evaluates whether computerized provider order entry prompts providing patient- and pathogen-specific multidrug-resistant organism risk estimates could reduce use of empiric...

jamanetwork.com
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