Upstairs Downstairs

Upstairs Downstairs

Director's Corner

How many clinical shifts does your chair need to work in the trenches in order to stay current with what’s…

Five-Year-Old With Dysuria, Abdominal Pain and Incontinence

Five-Year-Old With Dysuria, Abdominal Pain and Incontinence

Soundings

New patient is a 5-year-old male with a history of recurrent UTIs

Sudden Illness After Dental Procedure

Sudden Illness After Dental Procedure

Visual Dx

A 28-year-old male presents to the emergency department with a chief complaint of chest pain, coughing and shortness of breath.…

Bicep Tendon Rupture

Bicep Tendon Rupture

The Popeye Sign

A 45-year-old-male presents with sudden onset of right arm pain. He reports that he was lifting a heavy piece of…

Leaving Las Vegas... Hopefully

Leaving Las Vegas... Hopefully

By Greg Henry, MD

Travel to medical training venues is becoming more painful. People in line to check-in at hotels want to comment openly…

Understanding ACEP’s Clinical Policy on Seizures

Understanding ACEP’s Clinical Policy on Seizures

ACEP's 2014 Seizure Guidelines

In January, 2014, the American College of Emergency Physicians revised its policy on 'ED Evaluation and Management of Seizures in…

Mid-Level Providers

Mid-Level Providers

Who they are, what they do, and why they’re changing emergency medicine

How to make sense of the puzzle and improve your practice.

When Patients Lie

When Patients Lie

How to Spot Deception, What You Can Do, and Why it Matters

Accusing anyone of lying is serious business, but when that person is your patient, the stakes are even higher. 

Raves and Saves

Raves and Saves

Advanced Emergency Management at Mass Gatherings

EM is crucial at drug-fueled electronic dance festivals, like this month’s Electric Zoo in New York.  

Transfusion Confusion

Transfusion Confusion

Knowing the Real Risks of Blood Transfusion

This routine procedure bears real risks and should be handled accordingly.

The ABCs (and T) of Rural EM

The ABCs (and T) of Rural EM

Situational Awareness is Key

When you’re practicing in the middle of nowhere, planning out a timely patient transfer can be as critical as securing…

DNR Means Do Not Treat . . . and Other End-of-Life Care Myths

DNR Means Do Not Treat . . . and Other End-of-Life Care Myths

Debunking 5 Fallacies

Improve your EOL care and communicate more effectively.

Through the Looking Glass

Through the Looking Glass

Three Novel Use Cases for Google Glass in the ED

How might augmented reality change your practice?

Augmented ED

Augmented ED

The future of emergency medicine?

EPs in Rhode island overcome hurdles to trial Glass for telemedicine and consider other applications.

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Crashcart RMEPM presents a weekly rundown of critical reads from around the web, along with commentary by EPM senior editors. This week, we look at stories from EDs blocking their doors to potential cures for heart failure.
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White Coat's Call Room
Think a patient is faking alcohol withdrawal tremors? Yeah. There's an app for that. Canadian researchers develop app that uses iPod's built-in accelerometer to determine whether or not tremors are more than seven cycles per second. 75% of true alcohol wi... Read more
 
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biceps-rupture-prevA 45-year-old-male presents with sudden onset of right arm pain. He reports that he was lifting a heavy piece of machinery when he heard a sudden popping sound and now complains of significant swelling to his right arm.

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Oh Henry

Greg-Henry-BW-enews-squareTravel to medical training venues is becoming more painful. People in line to check-in at hotels want to comment openly on my column. Recently in Las Vegas at the Paris Hotel – in the private check-in lounge no less – one of the PAs registering for the emergency medicine boot camp course I was teaching at wanted to vent her spleen and give me editorial direction. Enough already.

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seizures-prevIn January, 2014, the American College of Emergency Physicians revised its policy on 'ED Evaluation and Management of Seizures in Adults’. Dr. Rhonda Cadena, a neurointensivist and emergency physician educator at UNC, breaks down the critical updates.

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guarisco-mainThe use of mid-level providers has become increasingly controversial as the workforce realignment in emergency medicine picks up steam. Even the naming structure is unclear – mid-level provider, advanced practice clinician, advanced practice provider? It’s enough to make your head spin.

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Good news is that the number of medical malpractice cases in Pennsylvania is decreasing. Bad news is that if you practice medicine in the Philadelphia area, you've got a big target painted on your back. Philadelphia accounts for only 12 percent of the sta... Read more
 
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malingering-prevHow do you know when a patient is lying about his symptoms, condition and history? The short answer is “you don’t.” But, as this case study will demonstrate, you need to use all your senses, especially your powers of observation.

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White Coat's Call Room
I saw this while driving down the road recently. A person just tooling down a major roadwith their foot hanging out the window. What possesses people do drive with their feet out the window? I see it every once in a while from both drivers and pas... Read more
 
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** CLEAR! ** Not dead yet. Having withdrawal symptoms from lack of blogging and actually violating a cardinal rule of blogging by posting from work. Now that travel is done and life is getting back to normal, will hopefully have more time to write. Sabr... Read more
 
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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
 
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
 

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