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.
By winning their contests in Nevada and California respectively, Drs.
Joe Heck and Raul Ruiz doubled the number of emergency physicians in
At the 2012 ACEP Scientific Assembly, EPM executive editor Mark Plaster
sat down for a live interview with Mark Rosenberg to talk about why
palliative care is the most rewarding new frontier for emergency
Are you in the 700 club? Most emergency physicians are. If
you trained in emergency medicine you learned that the work-up of a
potentially dangerous headache isn’t finished until the CSF is back. In
this month’s SMART EM (www.smartem.org) we flesh out our educational
session from ACEP 2012, a talk which asked how many LPs it takes to find
one aneurysmal subarachnoid hemorrhage—and what the fallout is.
Hurricane Sandy may have had an androgynous name, but there was nothing
ambiguous about the impact this “superstorm” had on New York City, where
I live and work. As I pen this article 10 days after the storm, it is
shocking to realized that Beth Israel, where I work as an emergency
physician, still isn’t back to normal.
Big pharma is paying the price for pushing off-label applications and putting inappropriate pressure on medical education, but is it too little too late? Industry influence runs deeper than you might imagine.