Browsing: June 2017

Medical Education , Simulation

Medical Simulation 102: Introduction to Simulation in EM Residency

6/6/2017 Xiao C. "Tony" Zhang, MD, MS , Shehni Nadeem, MD , Scott Pasichow, MD, MPH, FACEP

Medical Simulation 102: Introduction to Simulation in EM Residency The goal for simulation is not task completion but optimization. Medical simulation was first formalized with roots in military medi

Health Policy

All About the Benjamins: What You Must Know About MACRA

6/6/2017 Christopher Parks, MD

All About the Benjamins: What You Must Know About MACRA MACRA is going to bring about change whether providers are ready for it or not. The process in which health care providers and hospitals are re

Protecting the Protectors: Physician Roles in Tactical Emergency Medicine Support

6/6/2017 Jonathan Hardy, DO , Faroukh Mehkri, DO

Protecting the Protectors: Physician Roles in Tactical Emergency Medicine Support Just before 9 pm on a warm July evening in Dallas, gunfire rang out during a protest. As civilians ran, the men and w

Health Policy Journal Club

Everyone Else Ends Up Paying the Price

6/6/2017 Elizabeth Sherrill, MD

Everyone Else Ends Up Paying the Price Every 1% increase in uninsured leads to a $20 increase in ER bills for privately insured. "When someone without health coverage gets urgent—often expensive—medi

Editorial , Wellness , Compassion Fatigue

The Crucible of Medicine: Reflections on Becoming a Doctor

6/6/2017 Debra Ravert, MD

The Crucible of Medicine: Reflections on Becoming a Doctor I entered the third year of medical school with great excitement. I was finally out of the classroom and seeing real patients, connecting w

EMPower

Angela Siler Fisher, MD, FACEP

6/6/2017 EM Resident

Angela Siler Fisher, MD, FACEP Name/credentials: Angela Siler Fisher, MD, FACEP; @afishermd @TeamMaveRx Medical School: Texas Tech University Health Sciences Center Residency: Christiana Care Health

Tough Calls: Prehospital Termination of Resuscitation

6/6/2017 Thomas W. Engel II, MD , Joseph M. Weber, MD , Ari Edelheit, MD

Tough Calls: Prehospital Termination of Resuscitation Paramedics are on scene with a 65-year-old male who had a witnessed cardiac arrest (CA). CPR was not started until EMS arrived, and they have bee

Hematology

Blood Transfusion Reactions: TACO, TRALI, and Other Considerations

6/5/2017 Joseph R. Giles, MD , Gary F. Pollock, MD, FACEP

Blood Transfusion Reactions: TACO, TRALI, and Other Considerations A 67-year-old woman with no known medical problems presents to the emergency department (ED) with severe anemia identified by her pr

Critical Care

Beyond ATLS: What the Manual Doesn't Tell You

6/5/2017 Ram Parekh, MD , Clark Owyang, MD

Beyond ATLS: What the Manual Doesn't Tell You All these factors coalesce in the trauma bay to create a downward spiral of shock where life-saving interventions wrestle with each other as the patient

Critical Care , Cardiology

Dual Defibrillation: The Achilles' Heel of Refractory V-Fib?

6/5/2017 Dhimitri Nikolla, DO

Dual Defibrillation: The Achilles' Heel of Refractory V-Fib? Proposed theories as to why DD may be efficacious include the delivery of more energy to overcome the defibrillation threshold as well as