Aging ED patients can be likened to the life cycle of a banana. When you
buy a bunch of bananas they are green and hard and if you drop them,
nothing happens. As time goes on, they become more yellow and if you
drop one of these, you might get some bruising on the skin, but once you
open the peal the inside of the banana is intact. As time goes on the
banana starts to accumulate brown spots very similar to aging spots.
When one of these gets dropped on the floor, the amount of damage is
Everyone seems to be talking about this new idea called Accountable Care
Organizations. However, the best way to look at these may be as a
Several years ago, during the last Joint Commission survey of our
hospital lab, we got dinged because we failed to routinely do a strep
culture whenever a “quickie” strep screening test was negative. And we
weren’t alone; I’ve heard from a colleague whose hospital got their
wrist slapped for the same thing.
The Society for Academic Emergency Medicine’s Annual Meeting was held June 1-5, 2011 in Boston, Massachusetts. The Research Forum featured 655 Abstracts, and 24 Innovations in Emergency Medicine education presentations. We selected the 10 we thought had the most potential to impact the practice of emergency physicians.
I recently consulted at a Virginia hospital that is planning on opening
an Emergency Department Observation Unit (EDOU) in 2012. While on site, I
was asked an interesting question by the hospital CEO. “What do you
think will be the role of Observation Units within the structure of an
Accountable Care Organization (ACO) and how can we design our future
unit to meet that challenge?”
The successes and failures of physician in triage regarding waiting room hours, length of stay and consults.
When contemplating the potential complications of a sore throat, it’s
time to consider more than the usual suspects. Lemierrie’s syndrome
might not be the zebra you thought it was.
Kevin Kikta, an EP on duty during the Joplin tornado, recalls the first harrowing moments, and Michael Lohmeier, an EP from St. Louis, recounts the first hours of Missouri DMAT’s recovery effort.
“Do male physicians get preferential treatment in the ED?” EPM
asked this among other questions in this year’s workforce survey. Think
you know the answers? You might be surprised to hear what you colleagues
had to say.
Why are we are still subjecting patients–particularly children–to
dangerous doses of CT radiation when imaging for appendicitis?