Tag: acep
Seizures In Adults, Part 1
March 23rd, 2017by: USACS
Does your emergency practice seem to care for adult patients with seizures every shift? Some basic questions we often face with seizure patients are: Should you start first time seizure patients on medical therapy? Should you admit a first time seizure patient? For a known seizure patient, does the route of administration of anti-seizure medication […]
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Seizures in Adults, Part 2
March 23rd, 2017by: USACS
Seizures in Adults – Status Epilepticus In Seizures in Adults, Part 1, we discussed the workup, treatment, and disposition of ED patients with unprovoked seizures, as well as the route of medication administration for ED patients with known seizures. Although we frequently encounter patients with seizures in the emergency department, it is less common to […]
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Stampede! The Herd Mentality of Recruiting Season
August 3rd, 2016by: Dr. Chesney Fowler
When is peak recruiting season for emergency medicine residents? It depends. Everyone knows about when it starts and roughly when it ends. The first residents to sign usually do so in the summer, and the last are usually picking up the rear sometime in January (on the East Coast, that is). But it’s that start of […]
read articlePosted in For Residents
Becoming an Emergency Medicine Destination of Choice for Women
July 27th, 2016by: Dr. Patsy McNeil
I’ve been an attending physician in emergency medicine in or around our nation’s capital for the last 16 years. Throughout my career as an African American woman, whether in academia or in leadership meetings, I have often been the only one. I’ve been the only woman often and even more frequently the only African-American. It […]
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Are Emergency Medicine Residents Getting More Entrepreneurial?
October 12th, 2012by: Dr. Jesse Irwin
One needn’t have traveled to Denver for the annual ACEP conference to know that the practice of emergency medicine is undergoing rapid change. But one thing I did sense there is that the new crop of emergency medicine physicians are more interested than ever in understanding and adapting to that change. Leaving the political pundits […]
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Strategies to Address ED Boarding Must Include Strong Partnership Between Hospital and EM Group
October 5th, 2012by: Dr. Josh Muyderman
Two recent articles on ED boarding and patient flow highlight growing awareness of the importance of this issue and its impact on what emergency physicians do every day. But while both articles suggest some ways of dealing with ED boarding, neither addresses directly the key ingredient to ensuring those strategies succeed: correct framing enabled by […]
read articlePosted in Quality Efficiency Utilization
How to Communicate with Patients in the ER: First Seek to Understand
September 25th, 2012by: Dr. David Klein
A new patient is placed in room 18. I read the chief complaint as I sign up to see the patient: 32-year-old male seeking detox from narcotics. Let’s be honest: most of us in emergency medicine are not thrilled to see this patient. First of all, in most cases, there is not much that we […]
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Thoughts on Choosing Wisely and Overuse
August 2nd, 2012by: Dr. Vipul Kella
About five months ago nine physician specialty groups got together and decided to examine specific tests and procedures that are commonly used but not necessary in their respective fields. They named their organization “Choosing Wisely”, and compiled a list of over 45 specific recommendations on practices that should be curtailed. Examples included “lumbar series in […]
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Done With Residency? 3 Pieces of Advice for New Emergency Medicine Physicians
July 24th, 2012by: Dr. Jesse Irwin
January may be the universal month for new starts, new years resolutions, and self-reflection, but for those of us in medicine, it has always been July. Do you remember your first shift as an ED attending? I sure don’t. I’m sure I was nervous, overwhelmed, and scared I was going to hurt somebody or, perhaps […]
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Advance Directive: Allow Natural Death
May 18th, 2012by: Dr. Angelo Falcone
The more I practice emergency medicine, the more I think about end of life care and the futility of much of what we do as patients try to complete their time on this earth. Many emergency physicians have been faced with the reality of “coding” an elderly nursing home patient because the family insists that […]
read articlePosted in Future of Healthcare