Have Some HEART

Have Some HEART

REBEL Highlights

Is it time to start using the HEART pathway in the emergency department?

Aortic Dissection in the ED

Aortic Dissection in the ED

Clinical Focus

A Review of ACEP’s New Guidelines

A Grateful Nation

A Grateful Nation

Night Shift

To receive value for service does not invalidate the service, it is the commerce of gratitude

Pilot Project Trains EMS to Bypass the ED with Mental Health Patients

Pilot Project Trains EMS to Bypass the ED with Mental Health Patients

EMS

North Carolina program has reduced the number of ED transports

Doxycycline

Doxycycline

Rx Pad

The drug of Summer in the Southeast

Protecting the Intubated Patient

Protecting the Intubated Patient

Clinical Focus

While much focus is put on intubation, post-intubation ventilator management is arguably just as critical

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Current Features

heart RMIs it time to start using the HEART pathway in the emergency department?

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Current Features

Heart RMDespite this new tool, AAD remains a difficult diagnosis in the emergency department 

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Night Shift

Mark Plaster 90x90This past Memorial Day weekend I was given the opportunity of a lifetime. I got to march through Washington, before a crowd of more than 300,000, with my son, LCDR Graham Plaster (USNA ’02), and his US Navy Reserve unit. For us, it was a poignant reminder of when he and I served in Iraq at the same time in 2003.

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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: West Virginia is paving the way for patients to sue doctors for their addictions. Plus, the NY Times asks: are you responsible for documenting next-of-kin?

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Current Features

Wake RMNorth Carolina program has reduced the number of ED transports, but EMS reimbursement has yet to catch up to paradigm of on-scene treatment

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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: Palliative care principles in the ED. Plus, a Canadian Children's hosptial will rate visits to educate parents on the definition of "emergency."

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Toxicology

Doxycycline RMThe drug of Summer in the Southeast

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Current Features

Ritual RMWhy are we still engaging in unnecessary treatments that have no evidence to back them up?

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Current Features

Intub RMWhile much focus is put on intubation in the ED, post-intubation ventilator management is arguably just as critical to the patient’s ultimate outcome 

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Current Features

Snake RMHow to recognize and appropriately manage a dangerous snakebite

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Oh Henry

Greg-Henry-BW-enews-squareSometimes it takes an old dog to teach you new tricks

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Night Shift

Mark Plaster 90x90You might have noticed that there is a new headshot accompanying my column this month. Times change – I’ve swapped the Navy cap for a suit a some gray hairs – while some things stay the same. I’m still working the night shift and my wife still rolls her eyes at me at least twice a day.

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Current Features

Sepsis RMDuring a large-volume sepsis resuscitation, your choice of fluids – specially which crystalloid solution – could mean the difference between life, death and dialysis

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Visual Dx

Todd RMIs this child’s pain all from a fall down the stairs?

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Management

Chest RMEmergency physicians love their autonomy, but adopting the right clinical protocols and “pathways” can result in safer, more efficient care.  

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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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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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