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Jan 26, 2023
Emergency Physicians’ Perspective: Caring for Persons with Disabilities
As health care professionals, we interact with and see patients with disabilities in one tiny microcosm of their world, in the hospital or the clinic, where they are the patient who may be ill or suffering. In this brief interaction and with limited information, we may make negative assumptions about their quality of life. In reality, people with disabilities will often tell you that disability and health are not the same thing, and quality of life is not determined in the hospital. We need to be aware of our tendency toward this bias in our approach to patients with disabilities, to ensure that this vulnerable population receives the same treatment as all other populations.
Jan 26, 2023
Palliative Care in the ED: Past, Present, and Future
Palliative-care training and education, quality improvement, and research within EM has surged in the past decade. As a result, the practice paradigm for seriously ill patients in the ED has begun to shift to incorporate more palliative-care practices. Despite this progress, substantial work has yet to be done in terms of identifying ED patients in need of palliative care, training emergency physicians to provide high-quality palliative care, creating pathways for ED referral to palliative care and hospice, and researching outcomes and impacts of palliative-care provisions.
Jan 25, 2023
Pelvic Sepsis: A Fatal Complication of Routine Hemorrhoidectomy
Pelvic sepsis is a well-known and feared complication of colorectal and urologic surgery; however, it is not common and may not be recognized by emergency physicians. Patients may present with only mild chief complaints and relatively normal physical exams. Thus it is important to involve surgeons early in these cases and obtain CT imaging.
