Emergency Physicians Monthly has teamed up with the board prep pros at Rosh Review to bring you a mini board review, so that you can test yourself on a regular basis and track your progress. The following is the test – and answers – from the June edition of Emergency Physicians Monthly. Questions about the test? Talk back on Twitter @epmonthly.

There are few things more satisfying in emergency medicine than employing your technical skill to quickly alleviate a patient’s pain. And there are few things more annoying in modern practice than reading a lit review that relies on animal studies and histology slides to warn you about potential downsides to your skillful, pain-relieving ways. Yet here we are.

New York City’s Mayor Michael Bloomberg stepped into emergency department operations in January with an administrative order restricting the use of pain killers in the city’s emergency departments. While various hospitals are reported to be voluntarily complying (the order lacks legal authority over the 50 hospitals in the city) Bloomberg is on a collision course with a recent ruling from CMS that suggests that those hospitals are in violation of EMTALA.

altWith the baseball and softball seasons well underway, you are likely to encounter children with arm pain in the emergency department. Injuries to the elbow and shoulder in the pediatric throwing athlete are relatively prevalent and result from a variety of factors, including skeletal immaturity, poor mechanics, and overuse.

altThe April 2013 Boston Marathon bombings brought the sobering reality of domestic terrorism back to the United States. Yet amidst the carnage and chaos that followed the explosions emerged a superb response by the Boston EMS system and the emergency medicine community.

altThe routine use of contrast (both oral and IV, and certainly rectal) is unnecessary for the majority of abdominal CT scans performed in the ED.  At least that is what the literature says over and over.

Merely utter the term “patient satisfaction” among most emergency physicians and you’ll quickly see us retreat into a world of skepticism and exasperation. The term has become symbolic of a never-ending battle over flawed data and an inaccurate evaluation of our performance.

In room six sat a typical 78-year-old nursing home patient with the history of a cough and low grade fever. She was pleasantly confused but followed instructions; grey and wrinkled but otherwise she looked better than most. Her vitals were normal. We found no fever at the time of triage and she had received no antipyretics.

altI occasionally enjoy intellectual jousting, especially with other airway enthusiasts, and its fun to prognosticate about the future of our practice. So let me give you my controversial take on the future of airway management. As I see it, the future of oxygenation in emergency airways is through the nose, not the mouth.

altAre Tasers a safe alternative to lethal force, or are they dangerous weapons associated with dysrhythmia and sudden cardiac death? Everything you need to know to treat the taser victim in the ED.

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