Browsing: June 2017

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

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

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

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 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

Medical Education , Resident

I Smell a Rat: Advocating for Resident As Teacher

6/6/2017 Nicholas Governatori, MD

I Smell a Rat: Advocating for Resident As Teacher It looked like a scene from a horror movie — tiny bones scattered over the kitchen table vaguely resembling an amateur archeological adventure into a

ECG Challenge , Cardiology , Clinical

ECG Challenge - June 2017

6/6/2017 Maryam Arshad, MD

ECG Challenge - June 2017 Case. A 54-year-old woman presents with weakness, poor appetite, and weight loss for several days. She also reports profuse non-bloody diarrhea. Vital signs are unremarkable

Disaster Medicine , Sepsis

Preshospital Sepsis Alerts: A Stemi or Stroke Equivalent?

6/5/2017 Michael Spigner, MD, EMT-CC , Alanna O'Connell, DO

Preshospital Sepsis Alerts: A Stemi or Stroke Equivalent? “This is Medic 19 bringing in a Sepsis Alert, ETA 5 min.” With that alert, you mobilize your team and prepare for the patient. When they arr

Infectious Disease

Top 10 Zika Facts for Emergency Physicians

6/5/2017 Francesco Adami

Top 10 Zika Facts for Emergency Physicians Zika has gained worldwide attention as an emerging virus, especially with regard to dangerous complications affecting the unborn. In an increasingly interco

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