EPM reviews the premiere of "The Night Shift," NBC's new drama about emergency medicine and the hospital night crew. Full of preposterous medical situations and soap opera romance, The Night Shift might be a step back from "ER," but it'll provide hours of entertainment.
The great debate over allowing non-boarded EM physicians into ACEP is a battle that doesn’t make sense anymore. Here’s why ACEP needs to open its doors a little wider.
Studies have shown that opioid use is increasing across the country. Abuse is rampant, but so is the misapplication and over-prescribing of opioids by well-meaning physicians. We’ve reviewed four recent papers which can help create a strategy for ED management of this ever-increasing – and often demanding – patient population.
A 70-year-old male comes to the emergency department via EMS febrile, with worsening respiratory distress and altered mental status. You quickly diagnose him as having severe sepsis stemming from pneumonia, and initiate treatment. After setting up and preoxygenating him, you have first-pass success on your intubation, pat yourself on the back, and admit him to the ICU.
Emergency physicians frequently need to manage severe bleeding associated with vitamin-K antagonists (VKAs, eg. warfarin). Most of us are comfortable with the appropriate dosing of fresh frozen plasma (FFP) and vitamin K, as well as the general bleeding control measures that are needed for the intracerebral hemorrhages (ICHs), gastrointestinal bleeds (GIBs) and other major bleeding events in these anticoagulated patients.
This landmark trial suggests that complex, invasive sepsis care brings no statistical mortality benefit while consuming healthcare resources. Here is a quick run-down of the study that is shifting the sepsis conversation.
Traditionally, there is often a large gap in the time between when a therapeutic intervention is proven effective and when it becomes routine clinical practice.
An excellent example: The use of thrombolytic therapy in myocardial infarctions.
The evidence continues to pile up confirming that boarding patients in the ED while they wait for an inpatient bed is bad for patient care and bad for hospital business. So why is boarding still so prevalent, and why are hospitals so reluctant to take action to alleviate this practice?
What’s not to like about FOAM? You certainly can’t beat the price. It’s as ubiquitous and portable as your laptop or phone. And many of the contributors are leaders in our field – not simply knowledgable, but also exceptional communicators.
The editor of this publication asked me to address the question, “Is FOAM an essential tool for medical education?” My first response was, “Are you kidding me? Of COURSE it’s an essential tool, and especially for emergency and critical care practitioners.” We of notoriously short attention spans who endure the blessings and curses of shift work are exactly the people for whom FOAM is essential.