Poppers, Meet Methylene Blue

Poppers, Meet Methylene Blue

Tox Call

'Poppers' proliferate, but methylene blue proves surprisingly effective

Typical Eye Irritation? Don’t Miss This

Typical Eye Irritation? Don’t Miss This

Visual Dx

Presentations can vary, but urgent diagnosis is always essential

Rule #1– Don’t Yell Back

Rule #1– Don’t Yell Back

Director's Corner

A nurse just yelled at you at the nurses station. What you do next could is critical

Bradycardic and Blue

Bradycardic and Blue

Soundings

How bedside ultrasound can help bring a crashing patient into focus

ED Throughput: A Fixable Problem

ED Throughput: A Fixable Problem

Rick's Reviews

Two recent studies give practical steps for shortening the wait in the emergency department

Facing MRSA? Look Beyond Vancomycin

Facing MRSA? Look Beyond Vancomycin

The Rx Pad

With recent vancomycin shortages, it’s important to know what other drugs can be used to treat MRSA

Ditch the Spine Board

Ditch the Spine Board

Questioning Dogma

Placing a patient in spinal immobilization can adversely affect airway management, but does that outweigh the dangers of not immobilizing?

Contrast-Induced Acute Kidney Injury

Contrast-Induced Acute Kidney Injury

The Canary in the Coal Mine?

Contrast in CT scans is said to cause AKI, renal replacement therapy and even death. But is this confounding bias?

Greg Henry Talks Workforce on the ACEP Floor

Greg Henry Talks Workforce on the ACEP Floor

Video

EPM teamed up with MedPage Today to bring readers a series of interviews with EM thought leaders

In Search of a Safe Harbor

In Search of a Safe Harbor

Changemakers

Could bipartisan bill finally cut healthcare costs by reducing defensive medicine?

What’s It All About?

What’s It All About?

Oh Henry

Give me residents who are more than their CVs, doctors who base their practice on actual beliefs and values

Once a Week IV Dalbavancin for Skin Infections

Once a Week IV Dalbavancin for Skin Infections

Worth the Cost?

Once-weekly Dalbavancin might reduce admissions, but it introduces new concerns about antibiotic resistance and high costs

Washington’s Ban on Psych Boarding

Washington’s Ban on Psych Boarding

On the Brink

A cry for help or savvy brinkmanship?

In Memoriam: Gail Anderson

In Memoriam: Gail Anderson

1925 – 2014

Founding Father of Emergency Medicine

Craig Spencer's Data Collection Project Fuels Innovation

Craig Spencer's Data Collection Project Fuels Innovation

EPI Journal

Rwandan fellowship project gives insight into the value for reliable data and the need for experienced local partners

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Current Features

Crashcart RMThis week's crop of critical reads from around the web, along with commentary by EPM senior editors. This week we talk about the potential negligence in the Texas Ebola case, the skyrocketing generic drug costs, the medical issues and safety of inmates, and a drug-resistant bacteria found in the trenches of WWI.

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Toxicology

rush-bottle rmIn this case study, a single administration of methylene blue resolved significant amyl nitrate intoxication and critical methemoglobinemia.

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Real Time Readings

im 1 RMA 43-year-old diabetic male presented to the emergency department with a complaint of right eye irritation for one day. He reported that the day prior he was sanding fiberglass and, when he finished, he had a foreign body sensation in his right eye.

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Management

fight rmDear Director: I recently had a nurse yell at me in front of everyone at the nursing station because I didn’t clean up after repairing a lac. It was an incredibly busy shift; I threw out the sharps but wanted to get back to work quickly so I left everything else for her to clean up. It had already taken her an hour to get everything out of the locked supplies closet so I could do my work. I think her behavior is inappropriate. What should I do?

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Real Time Readings

image 1-1 RMHow bedside ultrasound can help bring a crashing patient into focus 

Read more
 
Current Features

Crashcart RMThis week's crop of critical reads from around the web, along with commentary by EPM senior editors. This week we talk about computers that recognize tumors, doctor rating systems, and why we don't take selfies with patients.

Read more
 
White Coat's Call Room
Back with more of the Ebola Chronicles ... Ebola fears causing discrimination problems all over the US. Thomas Duncan died from Ebola. Now his fiancee is having difficulty finding a place to live as landlords are refusing to rent to her. People of Afri... Read more
 
White Coat's Call Room
More medical news from around the web onmy other blog over at DrWhitecoat.com Study from University of Maryland proves that emergency physicians are idiots ... at least when treating pediatric extremity injuries. Splints were placed improperly in 93% ... Read more
 
White Coat's Call Room
More medical news from around the web onmy other blog over at DrWhitecoat.com So what are medical providers supposed to do if they are faced with a potential or actual Ebola victim? Who knows? Here's a case you don't see every day ... Patient trans... Read more
 
White Coat's Call Room
Pittsburgh police taser a reverend who was praying over his dead stepson in the emergency department. His stepson had been shot and was dead. The hospital stated that the reverend was interfering with attempts to revive the patient, but the video shows no... Read more
 
White Coat's Call Room
This post should be required reading for every physician in this country. A physician finds a document on a chair in his hospital executive's waiting room and reads through it, then realizes it is a manifesto on how to disempower physicians and put... Read more
 
White Coat's Call Room
More updated from around the web at my other blog at DrWhiteCoat.com Study in the journal Pediatrics shows that about 10,000 children are hospitalized each year for accidental medication ingestions. Three quarters of those hospitalizations involved 1 o... Read more
 

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