A physician recently emailed me with a question (paraphrasing): “Our lab
recently switched over to using the new highly sensitive troponins’ and
we’re confused. What do we do with a positive troponin?”
Next November, when Americans enter the polling booths, there
will be five emergency physicians who are either seeking re-election or
running for a seat in the US House of Representatives.
What makes a successful consult call? New research has resulted in “The 5
Cs”: Contact, communicate, core question, collaborate and close the
Knowing the actual probability that a patient will have a bad outcome
can help you communicate risk to a patient or family, and allow them to
share in the decision-making process.
When asked about the future of the Patient Protection and Affordable Care Act and the possibility of its repeal, Dr. Steven Stack responded, “The law is a game changer, and we needed a game changer. Instead of repeal, repeal, repeal, we should be looking at how to fix the things that are clearly wrong in it and go forward.”
I often get asked to give presentations on what I think are the most
important articles of the year. Clearly, one’s perspective regarding
what is important varies from individual to individual, however, I tend
to gravitate to articles that look at systems issues and those that I
think can have a major impact on how we practice clinically.
When managing acute and chronic pain in the emergency department, EPs
struggle to walk the line between being cold-hearted cynics and becoming
A response to the backlash following last month’s op/ed “Life Cycle of a Parasitic Specialist” Normally, we would allow an opinion piece to stand as just what it is,
an opinion. After all this is America and we still have free speech.
However, in this case, the vitriol and vulgarity of the responses to an
opinion piece demanded an explanation from the editors who published it.
What lies ahead for the Patient Protection and Affordable Care Act
(PPACA)? Many wonder if it can or will be implemented and whether there
is any infrastructure to implement it. Another consideration is
Accountable Care Organizations (ACOs).
An in-depth look at how the Affordable Care Act will attempt to cut $1
trillion over the next two decades, and how it will present both
obstacles and opportunity for emergency medicine.