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.
As 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?
In 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.
A 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.
A Global Survey Snapshot from Emergency Physicians International Issue #9 - SOURCE // DISPATCHES
Despite 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
A few years ago, on a busy night in my small ED, I had an encounter with
a toxic-appearing lung cancer patient with increasing shortness of
breath. It didn’t require years of medical training for me to quickly
decide that this gentleman required intubation. However, in the spirit
of our patient-centered care model, I restrained myself from whipping
out my belted laryngoscope on the spot and actually took the time to
speak to him and his family.