Massive Pulmonary Embolism & Dysrhythmia

Massive Pulmonary Embolism & Dysrhythmia

Visual DX

There are times to consider thrombolytic therapy for PE and times when it may be too risky

Flank Pain Bounce Back

Flank Pain Bounce Back

Soundings

What to do when you pick up a chart of a young man with flank pain and vomiting

Hiring 301: How to Ace Hospital Credentialing

Hiring 301: How to Ace Hospital Credentialing

Dear Director

I want to hire a former colleague of mine. But since we’ve been out of residency, he’s settled two lawsuits...

Working Where Violence is the Norm

Working Where Violence is the Norm

Risky Business

"Healthcare workers are more likely to be attacked at work than prison guards and police officers"

Distal Radius Fractures: Reducing the Confusion

Distal Radius Fractures: Reducing the Confusion

No Ortho, No Problem

With a brief refresher, that shouldn’t be a problem in the ED

Why Your CEO Needs to Fix ED Holding

Why Your CEO Needs to Fix ED Holding

Rick's Reviews

It’s bad for patients and it’s bad for business. Thankfully, there are ways to fight it.

Are Two Heads Better than One?

Are Two Heads Better than One?

Consolidation

Medical M&A expert Jeff Swearingen unpacks TeamHealth’s recent purchase of Premier

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Visual Dx

dx 1 RMThere are times to consider thrombolytic therapy for PE — and other times when it may just be too risky

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Ultrasound

Kidney  Perirenal cyst RMYou are midway through a busy shift when you pick up a chart of a young man with flank pain and vomiting. He was actually seen yesterday in your ED by one of your colleagues who diagnosed renal colic by bedside ultrasound, thus obviating the need for any radiation exposure or even the delays associated with a comprehensive ultrasound by radiology. Unfortunately, now the patient is back with increasing right flank pain...

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Management

hiring rmDear director: I want to hire a former resident colleague of mine. But since we’ve been out of residency, he’s settled two lawsuits and had another quality investigation. My Medical Staff Office tells me I won’t be able to get him credentialed. He’s a great guy and was a fantastic doctor as a resident. Shouldn’t I be able to hire who I want?

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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: Smart syringes that break after one use are being adopted into practice worldwide. Plus, a survey on whether facility renovation affects patient satisfaction.

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White Coat's Call Room
Homeless North Carolina VA patient comes into the ED to be evaluated for the sores on his feet. His shoes are falling apart. Nurse Chuck Maulden bandages up the patient's feet and then gives the patient the brand new Nike sneakers off of his own feet. Chu... Read more
 
Current Features

violence rmSystemic ED violence highlights the need for increased training and legal protection

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Current Features

fracture rmNo available ortho call? With a brief refresher, that shouldn’t be a problem in the ED

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White Coat's Call Room
Home remedy for lice kills a 1 year old child. Headline is a little misleading, though. Family members put mayonnaise all over the child's scalp to suffocate the lice. No the child didn't die from mayonnaise poisoning. The child died because the family me... Read more
 
White Coat's Call Room
Thanks for the patience in putting up with my lack of regular posting. Life has been challenging lately. Still working on it. When government pays for your care, government may try to force its values on you. Learning-disabled mother of six children in... Read more
 
White Coat's Call Room
Penicillin allergy? It's associated with increased bad outcomes, but not for the reasons you think. The allergies themselves are mostly not allergies. And no, "my mother said I had a rash when I was a baby" isn't an allergy. However, when compared with pa... Read more
 
White Coat's Call Room
"How can you be sure?" That question stopped our discussion for a second. During some down time, several nurses and I were talking about childhood coughs. Her 6 month old child had just started daycare 2 weeks ago and has been coughing ever since. T... Read more
 
White Coat's Call Room
Answering the important questions ... why does the flu vaccine suck this year? Keep a lookout for next month's issue of EP Monthly which will tell you everything you need to know about influenza diagnosis and treatment. Of course, if you had read the b... Read more
 

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