Dr. Zach Shinar: If you can put in a central line or a dialysis catheter, you can place a patient on ECMO
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The laryngeal mask airway has revolutionized routine anesthesia and has become the default rescue airway for difficult intubation and difficult mask ventilation.
MORE
She relates that she tripped and slid down about three wooden steps and
now complains of severe pain in the right midfoot with inability to bear
weight. You notice slight swelling and ecchymosis of the dorsal midfoot
as well.
MORE
What part of the body is each image from, and what does it show? Is your suspicion supported? What should be your next move, and what other test results do you need to wait for before proceeding?
MORE
An assault to the face leaves your patient in need of an emergency
lateral canthotomy to relieve the pressure and preserve vision. Here is a
step-by-step pictorial guide, in case ophthalmology isn’t immediately
available.
MORE
In a democratic emergency medicine group, there are many ways to arrive at decisions, from command-and-control to consensus-building. What works best will depend on the character of your group, and what you hope to achieve.
MORE
Dr. L. Anthony Cirillo talks to Dr. John McGoff about the top issues to face the nation in the coming years.
MORE
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White Coat's Call Room Two interesting studies were published recently.
First was a study in NEJM showing that the beloved ZeePack that so many people think will clear their boogers and resolve their cough instead increases the risk of death. During the 5 days that they took... Read more White Coat's Call Room Very poignant story about how a daughter is dealing with the health problems of her elderly father. Not Watching My Goldfish Die. Read it.
Gatorade and Powerade are going to hate this study. Bananas are just as good as energy drinks as a source of ener... Read more White Coat's Call Room
So I happened to be looking through my blog stats to see which posts are most interesting to you all lately.
One of the stats on the blog is search terms that cause people to end up on my blog. Some of them are amusing, such as "How do I disimpact myse... Read more Current Features Did you know that the macrolide group of antibiotics (erythromycin and
all its cousins) could kill you? Drop dead – sudden death. Well there is
a growing body of literature saying just that.
Read more White Coat's Call Room I decided to stop posting Healthcare Updates every Monday. For one, if I get overwhelmed on a Monday (like what has happened a couple of times in the past month) and can't get everything out into a post, then it doesn't get published. Plus, there's a dela... Read more White Coat's Call Room Going green may make you feel blue. Reusable grocery bag cited as cause for norovirus outbreak. Member of girls soccer team became sick in bathroom where bag was sitting, later passed bag around to other players who ate cookies contained in the bag. The f... Read more White Coat's Call Room Two days later than I planned on posting.
First of all, you all crack me up about the unemployment post. You can't imagine all the e-mails I got about this. I'm not going anywhere. But it is nice to know that my ramblings are modestly interesting to mo... Read more Current Features “I am not sure that any research should be performed in emergency
department settings, and I suspect that many grant review study sections
feel the same way. Patients come to the ED with an acute problem and
they need clinical care, not research protocols and consent forms.”
Read more Night Shift One of the primary expectations from the passage of the Affordable Care
Act was that fewer people would go to the nation’s emergency departments
rather than their primary physicians, thereby reducing the overall cost
of health care.
Read more EM:RAP We just finished a two-part series with one of our former Chief
Residents, Dr. Zachary Shinar. Zach has been working in San Diego at
Sharp Memorial Hospital and more recently at UC San Diego. What he has
been up to down there is nothing short of incredible.
Read more Current Features On March 22, the U.S. House of Representatives passed HR-5 – the
Protecting Access to Healthcare Act – by a vote of 234-173. The Act,
which went strongly down the party line (only 11 democrats voted for the
bill) had broad support from ACEP as well as the AMA and a range of
other medical organizations.
Read more Management Dear Director,
Our physician assistants are fantastic and have functioned independently
for a long time, but recently we had a bad outcome and now the hospital
wants us to supervise all PA cases. This seems like a waste of time and
it will slow down our docs. What do we do?
Read more
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