It is hard to think of anything that is more iconic in the practice of
emergency medicine than the Sellick Maneuver: application of cricoid
pressure to prevent aspiration during intubation and to improve
EPs share first-hand accounts of train wrecks, close calls & potentially-disastrous errors
Intubation has unique educational challenges because of severe time
restrictions and patient risk. Repetitive practice cannot be done on the
same patient to separate and examine the components of the procedure in
real time. As a result, most clinicians improve their skills slowly,
through cumulated experience of trial and error. Intubation should
involve a planned strategy to achieve first pass success, prevent
hypoxemia and avoid aspiration. This article highlights two of the most
common errors of direct laryngoscopy, and how to avoid them.
Recent retail clinic comparison studies highlight the need for EDs to take a hard look at patient value and sub-par service.
EPM executive editor Mark Plaster sat down with emergency medicine
opinion leaders and informaticists for a candid discussion about the
future of electronic medical records (EMR) featuring Rick Bukata, MD;
Bruce Janiak, MD & Nicholas Genes, MD, PhD
Cramped airline seats might be putting you at more risk than you
realize. Luckily, there are evidence-based strategies for safer travels.
If you were to ask pretty much any layman if they thought that it was
required that hospital personnel get flu shots, I dare say that most
would answer yes. After all, it makes sense. Our nurses and doctors
should be protected from getting the flu from patients and patients
should be expected not to get the flu from the doctors and staff.
A look at the psychiatric medical screening exam (PMSE), and the
age-old misconceptions that too often pit one specialty against another.
Nothing seems to illicit suicidal ideations in me more then arguing with
a psychiatrist or mental health nurse that a patient I have evaluated
and cleared for psychiatric evaluation does not need a battery of tests
prior to transfer.
EP-turned-CMIO Steven Davidson talks frankly about the challenges of qualifying for Meaningful Use.
Last spring the Centers for Medicare & Medicaid Services (CMS)
published a ruling which threatened to take deep sedation medications
like propofol out of the hands of emergency physicians. This January,
after months of negotations involving ACEP, AAEM and ENA, CMS offered a
clarification that is a clear win for emergency medicine.