altAs the director of a single-coverage community ED with about 22,000 visits a year and about 20% admissions, I’ve been fortunate to be left alone by the administration. The nursing director and I – along with a team of scribes, advance practice clinicians and staff, have largely been free to do whatever we could to improve throughput in the ED.

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 March edition of Emergency Physicians Monthly. Questions about the test? Talk back on Twitter @epmonthly.

Oils on the black pavement are freshly released as the cool rain drizzles upon it. Typical morning rush hour traffic as drivers vie for position. She slams on her brakes to avoid a passing car. At 55 mph, her sedan spins out of control. Miraculously avoiding other vehicles, the sedan comes to a stop by sideswiping the median. The driver, Mary S., unbuckles her restraints and runs from the vehicle. One case presentation. Two distinct courses of action. You judge which is right.

altDr. Wayne Barry had a heart attack this year and was forced to leave the practice of emergency medicine. A few months later he had retooled his trajectory and was enjoying life more than he ever could have imagined.

altA series about the cold, hard numbers behind some of our most common ED practices
Does it help to use prophylactic antibiotics during management of gastrointestinal bleeding in cirrhotic patients? 

altThere is still a marked disparity between the number of women in emergency medicine and the percentage of female leaders. This is damaging both to female physicians and to the specialty as a whole.

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.

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