Tag: emergency-room

Addiction and Pain: Who Gets a Script?

February 27th, 2012
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As if we as ER docs didn’t have enough on our plates already with proliferating drug shortages, adapting to the Affordable Care Act, the capriciousness of a new and very temperamental EMR, and my teenage daughter’s mood swings (wait, how did that get in there?), we also find ourselves under the microscope for our treatment […]

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Posted in Quality Efficiency Utilization

We Want Our Healthcare Like We Want our Fast Food

February 24th, 2012
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With due respect to those patient souls among us, America is, in general, an impatient nation. That includes how we think about our healthcare. This is why I read with some interest, and some amusement, stories like “A real ‘doc fix,’” published this week in the New York Times. Basically it says we need to […]

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Posted in Quality Efficiency Utilization

Maryland’s Health Information Exchange Helps Take the Blinders off Emergency Care

February 21st, 2012
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The headline on a Washington Post story last week was enough to give almost any healthcare consumer a moment’s pause: “Maryland Hospitals to Share Patient Data.” To which a patient might respond, “Wait, You Mean Hospitals Don’t Share Data Now?” We see it in the Emergency Department all the time. Patients come in who have […]

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Posted in Future of Healthcare

Sometimes the Best Emergency Medicine is No Medicine at All

February 3rd, 2012
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I was recently reminded by a patient experience that the best medicine sometimes is no medicine at all. I cared for a young woman who had been seen the last few nights complaining of shortness of breath. When it was obvious that she had normal breath sounds, no wheezing and normal oxygen level I started […]

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Posted in Quality Efficiency Utilization

When an Emergency Room Gets New Management, Relationships Come First

January 20th, 2012
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It’s no big surprise that there is anxiety when a new management group takes over an Emergency Department. The question is, what can our group do to effectively confront that anxiety? At midnight on December 31st, 2011, our group took over management of the emergency room at Bristol Hospital. The previous group had managed the ER there […]

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Posted in Hospital Partnership, Leadership, Life in the ER

Twenty Years of Change and the “View from the Box”

December 23rd, 2011
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Once, a really long time ago, before blogs if you can conceive of such a time, I embarked on a part-time writing career. My subject matter was the parade of frailty, the courage and the just plain bizarre that were to be found daily – hourly – in the ER. My first collection of essays […]

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Posted in Life in the ER

Does Emergency Medicine Really Matter?

November 15th, 2011
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I’m always curious when people ask what I do and I say I work in an ER: what exactly do they imagine I do there? They may picture us treating sniffles, ankle sprains, and the uninsured. At least, that’s what some in media and politics would have them imagine. You want to know what I […]

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Posted in Future of Healthcare, Life in the ER

The Expanding Role and Bright Future of Advanced Practice Practitioners in the Emergency Department

October 26th, 2011
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Advanced Practice Practitioners see a wide variety of patients at our hospital sites, from those with chest pain to those with minor lacerations and everything in between. This practice is not limited to us. Nationally, it is estimated that Physician Assistants (PA’s) see 10 percent of emergency room patients in the United States, and a 2009 […]

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Posted in Future of Healthcare, Quality Efficiency Utilization

Child, Scalp, Laceration, Vacation – When the Patient is Your Son

August 17th, 2011
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If there were four words I was hoping to combine on our family vacation this past week, it is safe to assume they would not be the four listed above. My 19 month-old son, Chance (aptly named), decided to take a header off a kitchen chair and struck the back of his head while we […]

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Posted in Life in the ER

New Observation Unit at WMHS Meets Growing Trend

July 22nd, 2011
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We are proud to announce the opening of a new observation medicine unit at Western Maryland Health System (WMHS) in Cumberland, MD. We believe observation medicine will be a growing specialty as health care reform changes the way health care is delivered in the United States. The concept is to allow a focused, intense evaluation of certain patients […]

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Posted in Observation Care