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Dying, Naturally, in the Emergency Department

Mr. B presented to the ED acutely septic, likely secondary to an underlying pneumonia. He had advanced dementia and was functionally and cognitively declining at home.

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Practical Pediatrics

A little less than an hour ago, a father found his toddler son with an open bottle of amitriptyline (a tricyclic antidepressant).

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Ultrasound

72-year-old male brought in by his nursing home aide for abdominal distension. He has a history of dementia and is primarily bedridden at baseline.

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Core Knowledge

How to Treat an Auricular Hematoma in the Emergency Department [PHOTO GUIDE]

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Healthcare at the World’s Largest Pop-Up Metropolis

Pilgrims cross one of many temporary bridges on their way to take a sacred dip in the Ganges.

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Ultrasound

Your next patient also has neck pain and since your hospital is full and your ED is boarding 14 inpatients currently, you are seriously hoping that this is going to be torticollis or a cervical strain that you can eventually…

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Take a [Cognitive] Pause

We often choose to view the error or mistake a person makes as a linear process and assign blame to that individual, but it’s rarely that simple

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The Mediterranean Diet – A Life-Saving Discharge Instruction

The elegantly (and deliciously) simple Mediterranean diet is among the most life-saving post-MI interventions. Look beyond statins and bring on the olive oil!

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White Coat's Call Room
More HealthCare Updates from around the web are at my new digs at http://drwhitecoat.com. “Dear ER staff. Our friend is drunk. Fix him.” Unconscious Arizona college student who was “turning blue” left in hospital lobby with Post-It note stuck ... Read more
 
Oh Henry

altThis month I present a potpourri of concepts and Quixotic explorations of ideas mostly brought on by travel, cocktail parties and my obsessive study of obscure topics. Hold onto your hats. My first topic is the current struggle which the country seems to be having over marriage.

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Current Features

Burning belly pain awakens Marcus at 2 AM. Having it multiple times before, he’s tired of waking up and having to walk until it goes away.  ‘No more,’ he declares, ‘I’m going to the ER to get some relief.’

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Current CME

altThe last 40 years have seen enormous changes in the way the healthcare system handles psychiatric patients. The first shift transitioned psych patients from the inpatient to the outpatient setting, which led to a reduction in the number of available inpatient psychiatric beds. The total number of inpatient psych beds has decreased by 62% since 1970 and the total number of state and county beds decreased by 89%.

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White Coat's Call Room
More HealthCare Updates from around the web are at my new digs at www.drwhitecoat.com. Annals study shows clinical signs that necessitate admission in patients with ALTE (when newborns appear to stop breathing): “obvious need for hospitalization (the... Read more
 
Current Features

Mr. B presented to the ED acutely septic, likely secondary to an underlying pneumonia. He had advanced dementia and was functionally and cognitively declining at home. His recent life had been punctuated by trips back and forth to the hospital

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Finance

You’ve heard that taxes are going to increase and you’re waiting for the hammer to drop. We break down the new tax brackets and regulations that will impact you in the coming year.

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White Coat's Call Room
For those of you who don't know what alarm fatigue is, think of a car alarm. The first time you hear it going off, you run to your window to see who's breaking into a car. Maybe you run to the window the second time and the third time, too. By the tenth t... Read more
 
Pediatrics

alt‘‘We need you in room 4 right now!” You had been in the back room, enjoying a sandwich during a break in a relatively quiet shift. With those words, that quiet (and your sandwich) are over. You sprint down the hall to see what’s going on.

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White Coat's Call Room
More HealthCare Updates from around the web are at my new digs at www.drwhitecoat.com. Diagnostic errors account for most paid claims in medical malpractice cases. Errors in diagnosis were the most common type of claim and also amounted to the highes... Read more
 
White Coat's Call Room
Interesting issue brought to my attention by a reader in South Carolina. One of the hospitals in South Carolina wanted to post a sign in its emergency department waiting room stating the following: Prescribing Pain Medication in the Emergency Depart... Read more
 
White Coat's Call Room
See more HealthCare Updates from around the web at my new digs at www.drwhitecoat.com. More of a free market approach to medical care. Australian private hospitals noting a large uptick in emergency department patients as patients opt to pay for emerge... Read more