You’ve taken care of this sort of patient countless times: A 65-year-old
is brought to the emergency department after suffering a slip and fall
and gets a small goose egg on the her forehead. She wasn’t knocked out,
it wasn’t syncope, and the rest of her exam is completely normal except
for an irregularly irregular rhythm.
Congratulations! You’ve completed your emergency medicine residency and
you’re ready to finally start your life – less stress, more time and
more money. Sounds nice, right?
Beginning in July, 2013, Dr. Judith Tintinalli will begin serving as
Editor-in-Chief of Emergency Physicians Monthly. Dr. Tintinalli takes
over for Dr. Kevin Klauer, who had served as EPM's editor-in-chief since
Many medical providers look at conflicts of interest (COI) as murky
situations that other, less scrupulous physicians get themselves into.
But unless you practice medicine in a cave, you’ve probably experienced
some degree of conflict in your professional life. It is unrealistic to
think that one aspect of your career will never collide with another.
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.
With 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.
The 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.
The 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.