“I Wish Things Were Different”

“I Wish Things Were Different”

End of Life

...and six other ways to communicate clearly and compassionately when the end is near

The New Payment Paradigm

The New Payment Paradigm

In My Opinion

10 reasons why emergency medicine shouldn’t be payment reform's scapegoat

STEMI in the Presence of LBBB

STEMI in the Presence of LBBB

Tracings

"You have to be the expert"

Battle Tested

Battle Tested

What’s So ‘Special’ About Ketamine?

Ketamine Proves its worth on the front lines

Ketamine’s Troubled Past, Promising Future

Ketamine’s Troubled Past, Promising Future

What’s So ‘Special’ About Ketamine?

From club drug to horse tranquilizer to adverse events, ketamine has had a notorious (occasionally mythic) past

Six Ways To ‘Roth’ Your Investments

Six Ways To ‘Roth’ Your Investments

Financial Consult

At some point you may have thought “Should I use a Roth account for my investments?"

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Current Features

Different RM...and six other ways to communicate clearly and compassionately when the end is near

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Current Features

paradigm RM10 reasons why emergency medicine shouldn’t be payment reform's scapegoat

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EKG

STEMI RMA male in his mid 40’s presented with 20 minutes of chest pain in the middle of the night. He had no previous cardiac disease. After looking at his first ECG, you see there is sinus rhythm with left bundle branch block (LBBB).

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Current Features

battle rmKetamine’s use in the ED as a sedating agent is well established. However, ketamine use as an analgesic agent, rather than anesthetic agent, dates back to the early 1970s, when ketamine was first introduced.

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Current Features

K RMFrom club drug to horse tranquilizer to adverse events, ketamine has had a notorious (occasionally mythic) past. Today, ketamine is well established as a sedative, but it turns out “Special K” could play a bigger part in the emergency physician’s arsenal.

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Current Features

Crash Cart Logo NewThis week's crop of critical reads from around the web, along with commentary by EPM senior editors. This week: Is Google Glass finally making inroads in the ED? Plus, Dr. Oz defends himself against physician critiques.

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Financial Consult

Roth RMAt some point you may have thought "Should I use a Roth account for my investments?" The answer is yes; here are six ways to get started.

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Current Features

webinarIs your emergency department often understaffed - or overstaffed? You can fix it. But you need to use data science and advanced analytics. In this 1.5 hour webinar, David Gillison, Chief Data Scientist of the ReefPoint Group, explains first-hand how to model and predict actual patient demand, develop optimal scheduling targets, and define shifts.

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Current Features

Crash Cart Logo NewThis week's crop of critical reads from around the web, along with commentary by EPM senior editors. This week: Medicare is giving star ratings for hospitals based on patient satisfaction. Plus, Candy Crush is rupturing tendons.

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Management

books rmNon-medical reading material to improve and expand your skills in management

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Current Features

SBuckyBalls RMHow to handle the ingestion of rare earth magnets

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Night Shift

mark-plasterEveryone agrees that we need to lower the cost of healthcare. After all it represents upwards of 17% of GDP with some sectors still rising. But that’s about where the agreement ends. Immediately we begin to fight over what is making costs rise and what to do about it.

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Current Features

Crash Cart Logo NewThis week's crop of critical reads from around the web, along with commentary by EPM senior editors. This week, two new threats entering the ED: the tick-born Powassan Virus and a street drug called "Flakka."

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Current Features

Lost rmLet’s worry a little less about using big words, and a little more about being understood

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Financial Consult

taxes RMUpping your tax bill today may cost you less tomorrow

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Visual Dx

figure 1 RMDoes your pediatric center perform CT with IV only contrast for evaluation of appendicitis?

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Current Features

balance rmEvidence-based EMS suggestions may not add up realistically in practice

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Current Features

Crash Cart Logo NewThis week's crop of critical reads from around the web, along with commentary by EPM senior editors. This week: A journalist and a celebrity battle on Twitter about frequent health screenings. Plus, the accountable care experiment in NY.

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Current Features

crack rmThe big deal about small print. From due process to non-competes, there are a few clauses you need to check twice before signing your next contract.

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Ultrasound

Preg RM“Ugh, what a waste of time and resources…” you hear your intern mutter under his breath. You decide not to let a good mentoring and teaching moment slip past you, so you reply, “What’s going on? What can I do to help you?” Your intern looks so exasperated with the patient that he just saw that he doesn’t even register your look of consternation.

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