Tag: er

Body Language and Caring for Our Patients

September 7th, 2010
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The next patient was a 25 year old female in room 2. The nurse’s note read, “severe abdominal pain – rates it a 10 out of 10.” Like any good emergency medicine physician, I was already considering the differential diagnosis prior to entering the room. Severe pain in a young female could be an ectopic, […]

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Posted in Life in the ER, Patient Satisfaction

Pediatric Emergency Medicine in the Community Hospital

August 30th, 2010
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Emergency Departments (ED) across the country are consistently being pushed beyond capacity. The recently passed federal healthcare bill will not likely reduce the stress placed on EDs and volumes may in fact increase as a result of the legislation. Community hospitals in outlying suburban areas have gradually stepped up their pediatric emergency and subspecialty services […]

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Posted in Life in the ER

Risk Management: Rules of the Road for Emergency Medicine

July 9th, 2010
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Risk management are words that strike fear into the hearts of many physicians. It is like seeing police lights in your rear view mirror. There are many physicians who constantly worry about being sued. Ironically, these are the ultraconservative who perform every test possible to exclude any and all potential liability. It’s like driving ten […]

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Posted in Quality Efficiency Utilization

Recruiting Challenges in Emergency Medicine

July 8th, 2010
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With U.S. unemployment figures hovering at about 9.7%, the emergency care provider (physician, physician assistant and nurse practitioner) has continued to be a hunted commodity. Indeed, there are approximately 22,000 board certified emergency physicians currently in practice. Staffing each ED in the US with just one board certified physician at a time would require 40,000 physicians. […]

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Posted in For Residents

The Best Way To Handle Growth Is to Get More Efficient

May 28th, 2010
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During my career as an emergency physician, I have worked in several different emergency departments. Going back to residency, I had shifts in numerous ER’s in Chicago, from inner city locales and large teaching hospitals to smaller community based hospitals in the surrounding suburbs. There are many differences in facilities and processes even within the […]

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Posted in Quality Efficiency Utilization

What Will the Coming Decade In Healthcare Look Like?

January 10th, 2010
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As we welcome a new decade, I’ve been thinking a lot about perspective. This past decade has been marked by terrorism at home and abroad, economic recession, home foreclosures, H1N1, regime changes, and more. Not a very upbeat decade, as decades go. Ronald Reagan spoke of that bright shining city on a hill and challenged […]

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Posted in Future of Healthcare, Life in the ER