altHurricane 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.

altBig 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.

altA 39-year-old-male presented to the emergency department with a chief complaint of one day of left-sided facial swelling and weakness. He denied facial pain, rash, vision changes, fever or chills. He had recently returned from a trip to the mountains but denied any bites/stings.

A 40-year-old man is brought in by ambulance after sustaining a single stab wound to the left lower abdomen. The patient is asymptomatic with stable vitals, a negative FAST exam, no obvious evisceration and no clinical evidence of peritonitis on exam. On local wound exploration with the trauma surgery team, the wound violates the peritoneum.

altLast January, emergency medicine icon Raed Arafat resigned from his post in the Romanian Ministry of Health, sparking unprecedented public protests in defense of Romania’s emergency care system.

Health Care Providers (HCPs) are trained to recognize victims of elder abuse, child abuse and general domestic violence. When it comes to identifying victims of sex trafficking, however – an area where clues can be very subtle – there is a marked lack of practical education. A study by Barrows and Finger in 2008 demonstrated that only 13% of HCPs felt confident they could identify a trafficked victim, and only 3% of medical personnel had received any training on identifying victims.

No mistakes! That’s the mantra these days for medical care in the United States. Another term for reducing error rates to near zero is “Six Sigma” a business strategy developed by Motorola back in the ‘80s, and popularized by Jack Welch at General Electric in the mid-‘90s. Six Sigma is about removing the causes for errors by minimizing the variation in how specific tasks get done.

Jesse Pines sits down with executive editor Mark Plaster to discuss upcoming books, goals concerning publication, myths, examples of admission decisions, urgent matters, Affordable Care Act and lowering healthcare costs.

altDave Packo sits down with Greg Henry to discuss controversy of staffing, issue of funding, staff roles moving on, residency training and the future of contraction medicare.

altWhy aren’t health information systems subjected to the same rigorous research as are other complicated clinical procedures?

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