ICEM 2014

ICEM 2014

Tintinalli Headlines & Holliman Assumes Presidency

On June 11, EPM Editor-in- Chief and renowned educator Judith Tintinalli took to the stage in Hong Kong to address…

The Medical Malpractice Rundown: A State-by-State Report Card

The Medical Malpractice Rundown: A State-by-State Report Card

When it comes to medical liability laws and culture, where you live matters.

Find out how your state stacks up against the other 49.

CT – Lowering Cost and Radiation

CT – Lowering Cost and Radiation

Medicare pays only about 20% of typical charges and radiation can be reduced by 90%.

The cost of a CT is actually quite nominal – the charge, however, is an entirely different matter. 

 Aftermath: The Night Shift Season 1 Finale Review

Aftermath: The Night Shift Season 1 Finale Review

At Loose Ends

It’s strange calling this a season finale, because it’s only been an 8-episode summer run, and nearly every episode has…

Doximity’s Next Trick: Connectivity at the Point of Care

Doximity’s Next Trick: Connectivity at the Point of Care

You’ve raised $81 million in investments and your physician membership now exceeds that of the AMA. What’s next?

If you're Doximity, it's time to dream big. 

Subcutaneous Insulin in DKA: Safe — But Not Better

Subcutaneous Insulin in DKA: Safe — But Not Better

Newer Isn't Always Better

Studies show that the benefits of subcutaneous insulin over old fashioned IV insulin are marginal at best.

A Return to (Lousy) Form: Episode 7 of The Night Shift

A Return to (Lousy) Form: Episode 7 of The Night Shift

Forks! Strippers! Guns!

Once again, our characters are responding to the (frankly unbelievable) events unfolding around them, rather than driving the action.

Oxygen is a Drug— Act Accordingly

Oxygen is a Drug— Act Accordingly

Understanding the dangers of indiscriminate oxygenation in the ED setting

As with many things in medicine, dogma seems to overpower the evidence in this arena. 

Oh Henry: A Sucker is Born Every Minute

Oh Henry: A Sucker is Born Every Minute

Pharmaceutical Ads, Government, and the Physician-Patient Relationship

Though it pains me to say it, this is one time where caveat emptor doesn’t apply. 


A Ray of Hope

A Ray of Hope

The Night Shift, episode 6

This was the first episode where it felt like the characters were driving the plot.

The Downside of the Upswing

The Downside of the Upswing

You should have cashed in big-time. 
But did you?

The last several years of returns have been among the best ever.

5 Things Your Patients Might Think After Watching ‘Code Black’

5 Things Your Patients Might Think After Watching ‘Code Black’

An inside view of the ED

Code Black provides a harrowing and enlightening window into the front lines of healthcare. 

Talking Points

Talking Points

Link your vision to action

As an ED leader, you must not only have a vision and plan, but you must communicate that vision effectively…

Toxic Liquid Nicotine

Toxic Liquid Nicotine

New FDA regulations proposed for E-cigs

Highly unregulated, the sale of toxic nicotine concoctions for e-cigarette refills pose a serious threat to children.

All Choked Up

All Choked Up

Best Practices for Battery Ingestion

A two-year-old presents at a clinic with persistent cough and neck discomfort and winds up in the ED.

Gag Order

Gag Order

New ruling prohibits would-be ACEP leaders from answering questions from non-ACEP publications.

Greg Henry seldom fails to deliver on a promise. But this time, it looks like it’s out of his control.

Lock the Gates!

Lock the Gates!

Board certification is vital in EM

Last month, Rick Bukata suggested that ACEP open its gates to non-boarded EPs. 
This would be an insult to EM…

AMA Meeting Highlights

AMA Meeting Highlights

Association Gives Nod to First EP President-elect

This June’s AMA Annual Meeting proved as eventful as ever, with one exciting twist that has the potential to impact…

The Storm Episode!

The Storm Episode!

Episode 5 of NBC's "The Night Shift"

It’s time for the passion that’s been building up between the two lead ED doctors for … the past few…

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Current Features

judy-icem-prevOn June 11, EPM Editor-in- Chief and renowned educator Judith Tintinalli took to the stage in Hong Kong to address the 2014 International Conference on Emergency Medicine (ICEM). With more than 2000 attendees, this biennial meeting is the largest gathering of emergency physicians outside of the ACEP Scientific Assembly. More importantly, it’s the largest comprehensive gathering of “global emergency physicians” – those EPs committed to seeing the specialty develop around the world.

Read more
 
White Coat's Call Room
Busier may be better* ... at least for for patients with life-threatening medical emergencies. When comparing very high volume emergency departments with very low volume emergency departments, a study in Annals of Emergency Medicine shows that patients wi... Read more
 
Medico-Legal

Med-Mal-PrevDo you think our medical liability system has been broken for a while? If so, you’re not alone. And now, with the recent enactment of the Affordable Care Act, our resources are more limited, our decisions more scrutinized, and we’re going to have to do more with less. The current medical liability system is simply not compatible with government-run health care rationing. We are now expected to discharge more and test less; yet, tort reform is not part of the ObamaCare equation.

Read more
 
Rock's Reviews

rick-bukataThe literature is absolutely packed with compelling articles and studies indicating that we order way too many CT scans.

Too many head CTs for trauma and headaches and dizziness. Too many CT pulmonary angiograms in low-risk PE patients who haven’t even had a d-dimer performed. Too many coronary CT studies in individuals with extremely low risk of CAD. Too may abdominal scans in patients with abdominal pain. Too many pan scans for trauma patients without reasonable indications.

 

Read more
 
Current Features

ep-8-surgery-prevIt’s strange calling this a season finale, because it’s only been an 8-episode summer run, and nearly every episode has had the kind of stunts associated with finales.

Read more
 
Current Features

alexblaumd bw-prevYou’ve raised $81 million in investments and your physician membership now exceeds that of the AMA. What’s next? If you’re Doximity it’s time to dream big. This physician social networking powerhouse is setting its sights on real- time care coordination and health interoperability. EPM’s Nicholas Genes, MD, PhD caught up with fellow emergency physician Alex Blau, Doximity’s Medical Director and VP, to learn about Doximity’s value for EPs as well as their challenges and next steps.

Read more
 
White Coat's Call Room
Practicing telemedicine may just get a whole lot easier. Federation of State Medical Boards creating an interstate "compact" that would reduce barriers by providing an "expedited license" to physicians who wish to practice medicine in multiple states. The... Read more
 
Current Features

cohn-insulin-prevDiabetic ketoacidosis (DKA) remains one of the more serious complications of diabetes. DKA management usually involves the continuous infusion of intravenous regular insulin, as recommended by both the American Diabetes Association and the International Society for Pediatric and Adolescent Diabetes.

Read more
 
White Coat's Call Room
A mother brought her son to the emergency department with a rather non-emergent complaint ... chapped lips. The registration clerk started taking the registration information. "Can I get the patient's name and date of birth please?" "Yes, it's ... Read more
 
White Coat's Call Room
Ve have vays of keeping you qviet. Halt den mund! Government-contracted security force who actually call themselves the "Brown Shirts" ... threatens to arrest medical providers if they leak any information to media about all of the medical illnesses that ... Read more
 
White Coat's Call Room
A gentleman in his 40s limped into the emergency department for evaluation of severe back pain. He had a chronic history of back pain, but had decided to forgo recommended surgeries because he was told that there was a chance his pain could worsen. He ... Read more
 
White Coat's Call Room
There was a nice article over at Consultant360.com by Drs. Laren Tan and Samuel Louie on hemoptysis pearls. Learned quite a few things. 200 mls of blood (about a cupful) is enough to fill the dead space in the lungs and is therefore generally considere... Read more
 

Popular Authors

  • Greg Henry
  • Rick Bukata
  • Mark Plaster
  • Kevin Klauer
  • Jesse Pines
  • David Newman
  • Rich Levitan
  • Ghazala Sharieff
  • Nicholas Genes
  • Jeannette Wolfe
  • William Sullivan
  • Michael Silverman

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