Night Shift

Night Shift

Shell Game

Are declining rates of inpatient utilization really a marker of success?

Soundings

Soundings

LUQ Pain: Another Use for Ultrasound

What does your ultrasound show?  Your waiting room continues to swell—what should you do next?  

Rx Pad

Rx Pad

Colchicine (Colcrys)

Facts and pearls about some of the drugs we use frequently in the ED 

Rural Medicine

Rural Medicine

Flying Solo

Two cases highlight the challenges of practicing in rural, resource-limited settings, far from the academic centers where guidelines are drafted.

The Recruiter

The Recruiter

Hot Spots

Four tips for landing an emergency medicine job in one of the nation’s most competitive regions 

Director's Corner

Director's Corner

How to Beat the Clock

You think you’re seeing as many patients as you possibly can. But maybe there are subtle (and not so subtle)…

Clinical Focus

Clinical Focus

Take a HINTS

Say hello to the HINTS exam, a cheap, quick bedside test to help differentiate central from peripheral vertigo

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Toxicology

colchicine-90After a recent study of colchicine use for gout, the FDA approved its use and granted 3-year exclusive marketing rights to the company that performed the study, leading to a huge jump in the price.

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Management

director-90Dear Director,

My chairman tells me I need to see more patients. I’ve been doing this for a long time, and, believe me, I really am working as fast as I can. Now, I’m being told that if I don’t speed up, I could lose my job. Are there any tricks to being faster?

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Technology

“How the hell did you get this number?” asked the angry surgeon. To be fair,  no  one  likes  a late night consult, and I was working an overnight shift.  After trying both his pager and office answering service without any luck, I took the next logical step – I Googled him.

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Current Features

Myles-RinerThe evidence continues to pile up confirming that boarding patients in the ED while they wait for an inpatient bed is bad for patient care and bad for hospital business. So why is boarding still so prevalent, and why are hospitals so reluctant to take action to alleviate this practice?

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White Coat's Call Room
Ouch. Tree trimmer using chainsaw mistakes his neck for a branch and shows up in the ED with the chainsaw embedded into his neck and shoulder. Trauma surgeons removed the saw and the patient is expected to make a full recovery. You think eating all of ... Read more
 
White Coat's Call Room
Who makes more money over the course of their career - a high school teacher or a doctor? Doctors are obviously paid more. However, when you also consider that doctors work 1.5 times more each week than other Americans, that doctors spend an average o... Read more
 
White Coat's Call Room
See more healthcare-related news from around the web on my other blog at DrWhitecoat.com Emergency physicians more likely to miss signs of strokes in young patients - often headaches with dizziness. Those misdisgnoses may account for 40,000 to 80,000 p... Read more
 
Current Features

nick-genesWhat’s not to like about FOAM? You certainly can’t beat the price. It’s as ubiquitous and portable as your laptop or phone. And many of the contributors are leaders in our field – not simply knowledgable, but also exceptional communicators.

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Current Features

joe-lexThe editor of this publication asked me to address the question, “Is FOAM an essential tool for medical education?” My first response was, “Are you kidding me? Of COURSE it’s an essential tool, and especially for emergency and critical care practitioners.” We of notoriously short attention spans who endure the blessings and curses of shift work are exactly the people for whom FOAM is essential.

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White Coat's Call Room
I'm developing an increasing dislike for certain forms of social media. Fortunately, this first incident didn't happen to me, but the nurses who endured the onslaught were still twitching the following day when I came into work. The day before start... Read more
 
White Coat's Call Room
See other medical news on my other blog at DrWhiteCoat.com Liberal use of blood transfusions may increase the incidence of serious infections. I don't have access to the entire article, but wonder if the study also looked at overall mortality. In other... Read more
 
White Coat's Call Room
According to the Southern Medical Association, Doctors' Day was first observed in 1933 as a way to honor the profession. Initially, it involved mailing cards to physicians and their wives and placing flowers on the graves of deceased physicians. I... Read more
 

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