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?
In the Spring of 2011, surgeon Cristiana Bertocchi finished a stint in
Côte d’Ivoire–Ivory Coast–working with Médecins Sans Frontières (MSF).
She served in the Abobo Sud neighborhood of Abidjan, one of the main
flash points in the country’s widespread violence. At the time of her
visit, the Ministry of Health hospital in Abobo Sud was the area’s only
fully-functioning hospital and one of the few in the city. Medical teams
there treated hundreds of emergency patients, most of whom had bullet
When emergency physician Ken Mwatha fell asleep after a shift, he
set in motion a chain of events that would change his life – and his
practice of emergency medicine – forever.
I want to save victims from cardiac arrest. I want to apply good CPR,
use the right tools to improve outcomes, and use only the medications
and processes that improve long-term restoration of neurologic function.
Unfortunately, as Jimmy Buffett would say, “I arrived a little too
Spontaneous bacterial peritonitis (SBP) is a well-recognized, severe
complication in cirrhotic patients presenting to the emergency
department (ED) with ascites. The prevalence of this disease varies
widely among study populations, with a range of 10% to 30% in
hospitalized patients with ascites, compared to 0% to 3.5% among
asymptomatic outpatient clinic populations.