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Does This Black Cloud Have a Silver Lining?

An otherwise healthy 43-year-old female comes to the ED tonight because she is having increased right upper quadrant pain. Your intern notes that she has had intermittent pain for the past few months, but tonight it became unbearable.

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11 Benchmarks That Should Matter to EPs

Become a student of your ED’s stats and move from being a reactive to a proactive problem solver

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Raul Ruiz: Harvard Scholar Vies for SoCal Office

As part of EPM’s commitment to encouraging emergency physicians to become more effective advocates for our patients and our specialty, we’ll be running a series of interviews with the emergency physicians who will be candidates for congressional office in 2012.

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Sen. Barrasso Gives Healthcare Reform a Second Opinion

EPM caught up with the Senator for some of his thoughts on how the Affordable Care Act is going in its early stages of implementation.

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With Discharge Instructions, Less is More

The trend of voluminous, exhaustive discharge instructions puts the pressure on patients to understand and identify complex risk factors, like infection. According to the research, this is probably a bad idea.

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10 Apps that Can Save a Patient’s Life

MedGadget.com presents the top 10 smartphone applications that can save a patient’s life … before they get to the emergency department.

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Why the Worsening Chest Pain?

A 52-year-old male presented to the emergency department with four weeks of shortness of breath and right sided chest pain. His symptoms had gradually progressed in severity and were worse with exertion.

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Video + Direct Laryngoscopy

While some still debate the relative merits of direct vs. video laryngoscopy, the newest set of laryngoscopes make it easy, offering the best of both worlds.

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Ultrasound

alt“There is no such thing as a ‘black cloud’,” your colleague jokingly retorts. “We all get the same chances to make the diagnosis and to do what’s right.” You give him your best pseudo-evil-eye as you continue to recount the number of unfortunate cases you’ve seen with the residents this evening already.

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Current Features

An entitlement culture is one which says, “you owe me” because of who I am or what status group I belong to. While some have argued that such a mentality has been on display in the Occupy Wall Street movement – young people believing that they are “owed” a job because a small percentage of the population earns a lot of money – they are certainly not alone.

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White Coat's Call Room
See more medical news from around the web at the Satellite Edition of this week's update on ER Stories.net Meth heads do the “shake and bake” … on their face. New process for making methamphetamines in a 2 liter soda bottle often backfires, causi... Read more
 
White Coat's Call Room
Haven't had an Open Mic in a couple of months. Leave questions, opinions, and any other medically-related comments below and I will try to get to them Monday night. Remember, no personal attacks.... Read more
 
White Coat's Call Room
I made the statement that "I'm glad I'm a doctor" in one of my posts, but when I went back to link to the story behind the statement, I couldn't find it anywhere. So I pulled up the story from the archives and have posted it below. Still holds true today.... Read more
 
Current CME

altSickle Cell Disease (SCD) is an inherited disorder that affects nearly 100,000 Americans. Since its discovery 101 years ago, SCD has fallen largely under the academic jurisdiction of hematology. Today, a small group of clinicians/researchers/scientists (mostly hematologists) works to add to the body of sickle cell literature

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White Coat's Call Room
Never finished describing what happened when we got back from our vacation ... three weeks ago. Dang does time fly. When we walked in the house, the first thing we noticed was that it smelled like cleaning products. There were a mop and a bucket sittin... Read more
 
Current Features

Why should we care about benchmarks? They are a way to be proactive in evaluating and improving your practice before you get criticized, fired, or have your compensation reduced.

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White Coat's Call Room
Want more evidence about how many people expect perfect outcomes in medical practice? Look no further than the Wall Street Journal: "What if the Doctor is Wrong?" by Laura Landro. As a substantive basis for the conclusion that initial treating physi... Read more
 
Current Features

Rolling in like a Trojan horse, CMS is proclaiming that its new ramped up benchmarking efforts are primarily motivated by efforts to improve quality. In reality, they are really focused on cost-reduction.

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White Coat's Call Room
Daughter WhiteCoat's reading is going well. In keeping with the previous posts on the topic, she continues to learn about the adventures of Dick and his family and she still can't understand why mom and dad laugh at her as she reads her workbook. I bet... Read more
 
Oh Henry

A new physician-written book sheds much-needed common sense on end-of-life care in the ED. “The Spirit that is in all beings is immortal in them all: for the death of what cannot die, cease thou to sorrow.”

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