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Articles by Brady Pregerson, MD & Teresa Wu, MD Films and Scans  A 29-year-old female presents late in the evening to your rural emergency department, accompanied by her husband, with a chief complaint of right flank pain for approximately 3 days. It’s busy and she’s been waiting in triage for over two and a half hours, probably because she looks so good.
What does this transabdominal image show? Read the case HERE.
Read moreReal-Time Readings  You can hear the familiar voice before you even step into the exam room. “This is ridiculous,” says Susan, one of your most frequent fliers. “I have been poked seven times today and your nurses still can’t find a vein. I’m tired of feeling like a pincushion.”Real-Time Readings You are working the Sunday overnight shift when you pick up a chart that sends your mood south. You immediately recognize the patient’s name. He’s a frequent flyer on NMN (Need More Norco) airlines.
Read moreReal-Time Readings  “Hey, I have a minor problem in room 10. Can I ask you a quick question?” You know when your resident approaches you with this statement that the problem is never “minor” and the question is never one that can be answered quickly. Real-Time Readings  Your next patient is a 28-year-old woman with the triage complaint of “Right-sided abdominal pain”. Also on the chart is the note “history of gallstones.” You head into the room and meet the patient.
Read moreReal-Time Readings  The unmistakable sounds of nursing shift change roar through the department. Your department’s choice to transition over to electronic orders and charting was welcomed by furrowed brows and a steady flow of four-letter exclamations from those who are still struggling to hunt and peck their way into our technologically advanced era.
Read moreReal-Time Readings  Spring is in the air and the kids are arriving so fast you’re bouncing from room to room quicker than an Easter Bunny with a chocolate high. Towards the middle of your shift, as you grow weary of giving your “It’s a virus and it will get better on it’s own without the antibiotics your pediatrician prescribed” speech, you pick up the chart for a 5 month old with a triage complaint of “Green vomit”.
Read moreReal-Time Readings  On this dark and rainy evening you’ve been spared some of the walking well (who decide not to brave the elements) but there are enough extra URI’s and slip & fall victims to make up the difference. All of a sudden the blue lights go off and you hear the familiar sound of the paramedic radio alarm. A few minutes later you are receiving the report from your MICN on an inbound trauma activation.
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