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.
A 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
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.
Last 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.