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Current Features “I am not sure that any research should be performed in emergency department settings, and I suspect that many grant review study sections feel the same way. Patients come to the ED with an acute problem and they need clinical care, not research protocols and consent forms.” Read moreNight Shift
EM:RAP
White Coat's Call Room Back by popular request ...
All weekend everyone is welcome to post any medically-related comments, questions, observations in the comments section.
Only rules are that there are no personal attacks and that the comments are medically related. I don... Read moreWhite Coat's Call Room It is with a heavy heart that I tell you all that someone else is going to be taking over my duties in the emergency department and on this blog from this point forward. Below is the story why.
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Something didn't look right when the very lar... Read moreCurrent Features
White Coat's Call Room Any patient who demands a ZeePack for a runny nose, who wants amoxicillin for sinus congestion, or who wants Levaquin to "keep this bronchitis from developing into pneumonia" needs to read this Bloomberg article.
We are heading toward a situation where... Read moreManagement Dear Director, White Coat's Call Room FDA decides whether to allow patients to purchase prescription medications over the counter for many common ailments.
This idea is controversial.
On one hand, deregulation would remove one of the largest barriers to receiving treatment for some cond... Read moreUltrasound
White Coat's Call Room Want to score some narcotics and some inappropriate antibiotics? Go to an emergency department complaining of a toothache. 75% of patients complaining of toothaches are prescribed Vicodin. The article also notes how patient satisfaction ratings contribute... Read moreWhite Coat's Call Room Doctor: "No, I'm not giving you a prescription for Levaquin for your 'sinus infection' of the past 12 hours. You don't have a sinus infection and even if you did, antibiotics aren't effective in treating sinus infections."
Patient's husband: "Come on, ... Read more |
Columnists
Recent Comments
One of the primary expectations from the passage of the Affordable Care
Act was that fewer people would go to the nation’s emergency departments
rather than their primary physicians, thereby reducing the overall cost
of health care. 
We just finished a two-part series with one of our former Chief
Residents, Dr. Zachary Shinar. Zach has been working in San Diego at
Sharp Memorial Hospital and more recently at UC San Diego. What he has
been up to down there is nothing short of incredible.
On March 22, the U.S. House of Representatives passed HR-5 – the
Protecting Access to Healthcare Act – by a vote of 234-173. The Act,
which went strongly down the party line (only 11 democrats voted for the
bill) had broad support from ACEP as well as the AMA and a range of
other medical organizations.
It’s going to be one of those shifts. You just sent a 29- year-old male
to the cardiac cath lab for a bona-fide ST elevation MI. Your patient
with a chief complaint of “eye pain” ended up having metastatic cancer
within his right orbit, and your seemingly straight-forward post-partum
woman with a headache had an MR venogram showing a dural vein
thrombosis.Recently on Twitter:
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Want to help a team launch the first emergency medicine residency in Gaborone, Botswana? http://t.co/USy1yAVP
10:59 AM May 8th from Tweet Button -
Loma Linda ER evacuated after man claims to have bomb http://t.co/b9q6HVFx
09:50 AM May 4th from Tweet Button
