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.
Laryngoscopy in infants and small children is a technically easier
procedure than in adults. Mouth opening, jaw joint mobility, and
dentition are all more favorable for laryngeal exposure in children vs
The potential is not news to anyone. Two numbers say it all: one-half
and more than three. Half the U.S. population comes to an emergency
department each year as a patient or a visitor. What researcher wouldn’t dream of access to such a
large, captive audience every year? But EPs simply don’t have the time
to take advantage of this opportunity.
Dr. Chris Carpenter speaks with Art Sanders, MD, one of the authors of
‘Chest compression-only CPR by lay rescuers and survival from
out-of-hospital cardiac arrest’ (JAMA 2010)
To survive and prosper under healthcare reform emergency medicine (EM)
must redefine and reinvent itself. EM will not be able to continue doing
business as usual, standing on the Prudent Layperson dictum that “the
patient defines the emergency.”
From the incomprehensible disaster in Cambodia to senseless injuries
during Black Friday shopping, human stampedes are a present reality in
emergency care that can be studied, predicted and ultimately avoided.
Please take a moment to fill out the following brief survey on the impact of personal conflict within the emergency department: