altLast month, New York City mayor Michael Bloomberg cut the proverbial ribbon on a plan aimed at combatting opioid prescription drug abuse in the big apple. The guidelines, which will be rolled out in all 11 of the City’s public hospitals, state that the emergency departments will not prescribe long-acting opioid painkillers; can only prescribe up to a three-day supply of opioids

When people learn I work in the emergency department they usually ask, “How do you do it?” Or they say, “Wow, I bet you see a lot of crazy things.” My answer aloud: “It’s never dull.” My answer in my head: “You have no idea.”

Last month EPM published an article that expounded on the benefits of Twitter in the realm of medical education. In this new, ongoing series, we’ll explore pearls of medical wisdom that have come through the Twitterverse, in the hopes of fleshing out this under-utilized tool.

altAs part of a new series on the maturing of the emergency physician career, EPM’s Fitzgerald Alcindor sat down with EP-turned-administrator Barry Rosenthal, chairman of EM at Winthrop University Hospital in Mineola, New York.

Suppose you get stopped in the hallway outside the ED by a colleague who “has a friend” who went to Las Vegas and, about a week later, developed genital ulcers. He wants your advice regarding what to tell his “friend” to do. What do you tell them?

altIn part one of a series, emergency medicine elder statesmen Ricardo Martinez and Lynn Massingale sit down for a discussion on the changing role of hospitals and the future of Accountable Care Organizations.

altA 52-year-old man with a history of alcoholism was found unresponsive by his family during a family picnic at the park. The patient was found to be obtunded and required nasal intubation by paramedics on the scene. The patient’s family provided the pods pictured and stated that the family was snacking on the seeds.

The lovely and unique Honolulu Convention Center was the scene for the annual gathering of the American Medical Association House of Delegates 2012 Interim Meeting. This meeting was dedicated primarily to the discussion of advocacy issues. Although getting to Honolulu can be a stressful activity, especially for those on the East Coast on the heels of Hurricane Sandy, there was good attendance by every sector of medicine. Emergency physicians were well represented by ACEP’s five delegates and five alternate delegates and by AAEM’s representative.

altA Global Survey Snapshot from Emergency Physicians International Issue #9 -  SOURCE // DISPATCHES

altDespite the expanding array of video and other imaging laryngoscopes there are some fundamental principles that apply to all new airway devices that emergency physicians should know. Below we review four critical concepts: epiglottoscopy and suctioning, lifting to expand the viewing area, tilting the optics toward the ET tube, and two-stage tube delivery.

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