As Emergency Physicians, the treatment of acute pain is our forte! However, it can become more challenging when patients with chronic pain—often on baseline prescribed opioids—present with severe or breakthrough pain. Likewise, convert…
I wanted to share a quick communication teaching pearl pulled from Vital Talk, a platform created by palliative medicine physicians to help all clinicians improve how we talk with patients and families—especially in moments of high emotion….
Will Artificial Intelligence take over my job? Not likely in the immediate future! Can it help me right now to make more evidence based decisions in my daily practice? Possibly! Now that artificial intelligence (AI) tools have become…
A peritonsillar abscess (PTA) is an abscess in the peritonsillar space between the tonsillar capsule, superior constrictor, and palatopharyngeus muscles. If on your initial primary survey, you have concern for airway compromise: drooling, stridor, hypoxia, sniffing position, increased work of breathing, or tripoding–secure the airway. It may be a difficult intubation. Consider awake fiberoptic intubation if [...]
Yours in intentional use of screen time, Danny
The Case: A woman in her twenties with no significant medical history presents with one month of progressive frontal headaches radiating to her occiput. Her headaches have been intermittent, however over the past few days she has had a few…
Have you ever wondered why you get so many epic chats reminding you to use the sepsis order set? Or why you are constantly reminded to reassess the status of your patient to see if they still meet sepsis requirements? Well, there is a…
My TR pearl this week is ethics-related and was inspired by the piece that Charles Sanky sent out last week, “Capacity, Informed Consent and Third-Party Decision-Making” written by Jacob Appel, a Mount Sinai Emergency Psychia…
I know that documenting feels like the bane of our existence most of the time, but it is one of the most important things that we do, for a variety of reasons. The following pearl is going to go through aspects of documentation th…
Ultrasound during cardiac arrest has quickly become standard. Initially, data suggested that the use of ultrasound during arrest increased pauses between compressions which worsens outcomes. To decrease time between compressions, many proto…
Today we’ll be discussing acute kidney injury (AKI). How often are you looking at the Bun/Cr thinking ‘Patient has an AKI’…and then not much more? I’ve done this. While ascertaining the unde…
There are almost 1,000,000 pulmonary embolisms per year. Do all of them need to be admitted? From a dispo standpoint, it can be easier when you’re at larger academic centers to admit or obs them all but the reality is that s…
Insulins and DKA came up in conference last week, but we didn’t discuss the use of subcutaneous insulin in DKA. SQ insulin is a potential alternative to IV therapy in mild to moderate DKA, and I think there is still a lot of variability in…
Review of definitions – Migrant – a person who moves from one place to another – Refugee – a person fleeing persecution or fear of persecution on one of 5 protected grounds. – Asy…
1. New Zealand – The “Beveridge” Model Other countries: UK, Cuba, Spain How it works: Healthcare is provided and financed by the government. The government owns hospitals and clinics and doctors may either be hir…
