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.

Burning belly pain awakens Marcus at 2 AM. Having it multiple times before, he’s tired of waking up and having to walk until it goes away.  ‘No more,’ he declares, ‘I’m going to the ER to get some relief.’

Mr. B presented to the ED acutely septic, likely secondary to an underlying pneumonia. He had advanced dementia and was functionally and cognitively declining at home. His recent life had been punctuated by trips back and forth to the hospital

In the name of high quality, cost-conscious care, ACEP has revised its stance on the Choosing Wisely campaign, voting to join the initiative in the fight against low value care.

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