Oxygen is a Drug— Act Accordingly

Oxygen is a Drug— Act Accordingly

Understanding the dangers of indiscriminate oxygenation in the ED setting

As with many things in medicine, dogma seems to overpower the evidence in this arena. 

Oh Henry: A Sucker is Born Every Minute

Oh Henry: A Sucker is Born Every Minute

Pharmaceutical Ads, Government, and the Physician-Patient Relationship

Though it pains me to say it, this is one time where caveat emptor doesn’t apply. 


A Ray of Hope

A Ray of Hope

The Night Shift, episode 6

This was the first episode where it felt like the characters were driving the plot.

The Downside of the Upswing

The Downside of the Upswing

You should have cashed in big-time. 
But did you?

The last several years of returns have been among the best ever.

5 Things Your Patients Might Think After Watching ‘Code Black’

5 Things Your Patients Might Think After Watching ‘Code Black’

An inside view of the ED

Code Black provides a harrowing and enlightening window into the front lines of healthcare. 

Talking Points

Talking Points

Link your vision to action

As an ED leader, you must not only have a vision and plan, but you must communicate that vision effectively…

Toxic Liquid Nicotine

Toxic Liquid Nicotine

New FDA regulations proposed for E-cigs

Highly unregulated, the sale of toxic nicotine concoctions for e-cigarette refills pose a serious threat to children.

All Choked Up

All Choked Up

Best Practices for Battery Ingestion

A two-year-old presents at a clinic with persistent cough and neck discomfort and winds up in the ED.

Gag Order

Gag Order

New ruling prohibits would-be ACEP leaders from answering questions from non-ACEP publications.

Greg Henry seldom fails to deliver on a promise. But this time, it looks like it’s out of his control.

Lock the Gates!

Lock the Gates!

Board certification is vital in EM

Last month, Rick Bukata suggested that ACEP open its gates to non-boarded EPs. 
This would be an insult to EM…

AMA Meeting Highlights

AMA Meeting Highlights

Association Gives Nod to First EP President-elect

This June’s AMA Annual Meeting proved as eventful as ever, with one exciting twist that has the potential to impact…

Barriers to Admission

Barriers to Admission

Wait time is lost time

Nearly half the time a patient spends in ED is spent waiting for a bed.

The Storm Episode!

The Storm Episode!

Episode 5 of NBC's "The Night Shift"

It’s time for the passion that’s been building up between the two lead ED doctors for … the past few…

Strapped for Care

Strapped for Care

The changing definition of prudence

High deductible healthcare plans are altering EMTALA’s “prudent layperson standard” as patients triage themselves away from the ED based on…

That Ain't My ED

That Ain't My ED

"The Night Shift" is an embarrassment to us all

Having now watched the first two episodes, the only thing I can honestly do is beat my head into a…

Grace Under Fire

Grace Under Fire

EPM Reviews NBC's The Night Shift, Episode 4

This is the 4th episode of “The Night Shift” that I’ve endured watched. If you’ve seen it and you work in an…

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Oh Henry

Greg HenryI present to you, dear readers, a true conundrum, an intellectual Gordian knot of an unusual nature to challenge your thought processes. It will not, at first, seem as profound as the meaning of life or even what sandwich to order at Katz’s Delicatessen (“I’ll have what she’s having”). But it involves the roles of government, the basics of the First Amendment, religion and, heaven forbid, common sense. 

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Current Features

oxygen-prevYour ED patient with recurrent seizures is doing much better, so why is the non-rebreather still on? It was placed half an hour ago by a well-meaning nurse, but never removed. Meanwhile, EMS brings in another patient with chest pain. You notice the patient has a nasal cannula, even though he was satting fine on room air, and breathing comfortably. If you don’t take proactive steps, that nasal cannula may stay on throughout the ACS workup.

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White Coat's Call Room
A mother brought her son to the emergency department with a rather non-emergent complaint ... chapped lips. The registration clerk started taking the registration information. "Can I get the patient's name and date of birth please?" "Yes, it's ... Read more
 
Current Features

portfol-growth-prevI’ve reviewed hundreds of accounts and portfolios for many physicians over the past several years, and no matter what their age or whether they have financial advisors, I keep hearing the same complaint: “The stock market is at a record high, but my investment returns have been poor.”

 

 

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Current Features

ep-6-prevFirst, a confession: I watched this episode right after my own ED night shift. So I'm a little tired, a little strung out on caffeine. And I’m even less tolerant of histrionics, which is often this show’s calling card. 

But I’ve got to say, this was Night Shift's best episode. It actually made me optimistic for the series, which just got renewed for a 14-episode block.

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Current Features

cb-prevCode Black, the recently released documentary by filmmaker and physician Ryan McGarry, provides a harrowing and enlightening window into the front lines of healthcare. Filmed during McGarry’s residency at Los Angeles County General Hospital, Code Black recounts the history of the C-Booth, the trauma bay at LA County where, arguably, modern emergency medicine was born. The documentary chronicles the experiences of a group of resident physicians as they fight to help patients who have nowhere else to turn, amid the demands of a system that seems more interested in paperwork and profit than people.

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Current Features

comm-prev1Leadership is about having a vision and implementing a plan. Communication is the integral ingredient that links your vision to action. In order to provide the best and most efficient healthcare, particularly in a growing environment, everyone must be on the same page and I suspect you feel a constant need to update your team about the changes that are occurring. So the question becomes how do we get our colleagues to listen and retain the pertinent info?

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White Coat's Call Room
Ve have vays of keeping you qviet. Halt den mund! Government-contracted security force who actually call themselves the "Brown Shirts" ... threatens to arrest medical providers if they leak any information to media about all of the medical illnesses that ... Read more
 
White Coat's Call Room
A gentleman in his 40s limped into the emergency department for evaluation of severe back pain. He had a chronic history of back pain, but had decided to forgo recommended surgeries because he was told that there was a chance his pain could worsen. He ... Read more
 
White Coat's Call Room
There was a nice article over at Consultant360.com by Drs. Laren Tan and Samuel Louie on hemoptysis pearls. Learned quite a few things. 200 mls of blood (about a cupful) is enough to fill the dead space in the lungs and is therefore generally considere... Read more
 
White Coat's Call Room
The right to carry a concealed weapon only exists if your doctor says so. Many states are requiring that physicians certify whether patients are competent to carry a concealed weapon. Some states require mandatory reporting of those deemed not competent t... Read more
 
White Coat's Call Room
Missouri is planning to allow medical school graduates who have not completed residency to treat patients in underserved parts of the state. Bills that would allow medical school graduates to provide medical care have passed the General Assembly and are a... Read more
 

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