Posts filtered by tags: Emergency Medicine[x]


 

Emergency departments need to claim their role in the social safety net

A patient once told me, “I sit on the side of the road asking for change. People look right through me like I’m invisible. Food stamps aren’t enough. I can’t afford to exist and I want to die.” A man is dying of poverty — this is an emergency, but not one I have been […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Policy, Emergency Medicine, PA NP, Public Health & Policy, CRNA


In the emergency department: Patients ravaged by mental illness

The emergency department is fast-paced. Full of chaos. Incredible suffering. Frustration. Disappointment. Screams, tears, smiles. Reassurance. Good news. Bad news. Diagnoses. Failure to find a diagnosis. Getting a last-minute cardiac arrest coming in at 650 a.m., ten minutes before the end of your 12-hour, overnight shift – you have the energy and wherewithal to do […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Conditions, PA NP, CRNA


A story of a gruesome farm accident

An excerpt from 50 Years in the OR: True Stories of Life, Loss, and Laughter While Giving Anesthesia. We were notified one cold winter’s afternoon in February that a farm accident victim with a bad leg injury was coming in from a small town twenty-five miles west of Bemidji. When the ambulance arrived, they had […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Bemidji, Conditions, PA NP, CRNA


A story of esophageal variceal rupture

An excerpt from 50 Years in the OR: True Stories of Life, Loss, and Laughter While Giving Anesthesia. Chronic long-term alcoholism causes many health problems, not the least of which is cirrhosis of the liver. In advanced cases of cirrhosis, the liver becomes full of scar tissue and its many functions are then impaired, causing […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Conditions, Gastroenterology, PA NP, CRNA


A child’s cry through haunting eyes

The emergency department. A haven for cardiac arrests and gunshot wounds and respiratory distress and overdoses and auto accidents and children’s sniffles and fever and coughs that won’t go away. The ED was easy access to many. And at times, it was an easy fix not to pay the bill upfront or to be anonymous […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Conditions, PA NP, CRNA


Falling in love during a pandemic: a lesson in self-soothing

The attending physician knelt next to the stretcher to repeat his opening line. “Hello, sir. What brings you to the emergency department today?” The man looked around in a daze, his lips quivering as if he was on the verge of crying. “The demons! The demons, they’re everywhere! Help me. Please, help me. I can’t […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Conditions, PA NP, CRNA


How COVID accelerates change: Bridging business principles with emergency medicine

Over the past year, we have experienced massive organizational change at an unprecedented pace. Traditionally, we could spend weeks planning how to best make a change in our workplaces, but COVID-19 was anything but traditional. Our emergency department at Saint Barnabas Health System in Bronx, NY, needed to pivot on a daily and even hourly […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Infectious Disease, Emergency Medicine, Conditions, Bronx NY, PA NP, CRNA, COVID-19 Coronavirus, Saint Barnabas Health System


Lessons learned from a combat doctor in Iraq [PODCAST]

“My own dream-induced pain started at the same time this child was mowed down. Then and there is when and where my faith in God died because God, the higher power, had allowed this unspeakable nightmare to happen. My hope for the future evaporated, all while helplessness chewed through my guts From Left to Right. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, Iraq, Emergency Medicine, PA NP, Public Health & Policy, CRNA


Create a positive light in nursing

I was an assistant nurse manager (ANM) in a 24 bed ICU in my younger, energetic years. Before that, I was a manager in a very small emergency department. I must say, I loved it. I loved the thrill and the challenge. I was able to work with the Joint Commission; I ordered EKG monitors […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Nursing, Emergency Medicine, Joint Commission, ANM, Conditions, PA NP, Critical Care, CRNA


A witness to desperate poverty and ever-present hopelessness

She shook her head no, eyes brimming with tears, chin quivering with emotion. Again, I told her that without further care, her son would never have use of his arm and possibly would die. Her voice trembling, she told me her husband would beat her if she returned home without the boy. She placed her […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Physician, PA NP, CRNA


It’s time to revisit the 4 R’s of the doctor-patient relationship

“We have met the enemy in medical education, and he is us!” My paraphrase of the “philosophy of Pogo” is pertinent to today’s crop of graduating medical students. We have inserted them into the most toxic environment for learning medicine, ever. Dr. Michael Halberstam once stated that the most powerful treatment the ER had to […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Primary Care, Physician, PA NP, Michael Halberstam, CRNA


Can we do better when delivering bad news in trauma?

On a recent trauma call, we had a busy night, culminating in a horrific motorcycle trauma that came in early in the morning. The patient had devastating injuries and ended up dying. The detectives finally tracked down the patient’s family. I cleaned myself up, put on my white coat and had the family sit down […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Surgery, Emergency Medicine, Conditions, PA NP, CRNA


The aftermath of death

Drip. Drip. Drip. It’s 8:00 p.m. I’m staring at the IV tubing. We forgot to stop the fluids. I’m standing in the resuscitation room alongside the naked, broken body of a teenage male. Unable to break my gaze on that dripping IV line, thinking, We’re going to flood him. But it doesn’t really matter. Somewhere […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Conditions, PA NP, Critical Care, CRNA


A Christmas wish: Thank you for the sacrifices you make and all you do to care for our patients

Christmas Eve 1990, Saudi Arabia, a few miles south of the Iraqi border – it is cold and dark as I lay on my cot, my sleeping bag around me, the constant hum of the generators in the background. I am listening to Pachabel’s Canon in D minor on my cassette player. Rain pelts the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Saudi Arabia, Canon, Emergency Medicine, Physician, PA NP, CRNA, Pachabel


2 a.m. thoughts of an emergency physician during the pandemic

Ooh child Things are gonna get easier. Ooh child Things’ll get brighter. I sing these words to my one-year-old son quite often; I believe them. I’ll never lose hope. Hospitalizations hit greater than 90,000 yesterday, and the trajectory is frightening. This is not a political issue; it’s bigger than any one individual’s opinion. People will […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Infectious Disease, Emergency Medicine, Physician, PA NP, CRNA, COVID-19 Coronavirus


I could not save this life with every possible medical tool at my disposal

An excerpt from The Healer’s Burden: Stories and Poems of Professional Grief. Leaning on the door of Trauma Bay 1, I survey the remains of my latest failure. The story is told in the bloody and jumbled instrument trays, monitors now silent and dark. In the center of the room sits a gurney covered with […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Surgery, Emergency Medicine, Physician, PA NP, Trauma Bay, CRNA


Ballad of a sober man: an ER doctor’s journey of recovery [PODCAST]

“Now, in her afterlife, she occasionally accompanied Maggie on excursions into my head, usually at night. Make that a double vodka. I thought I had finally learned in sobriety how to put them in the past, encased in a box, and keep them there. Still, sometimes they found a way out to visit me. The […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, Psychiatry, Maggie, Emergency Medicine, PA NP, CRNA


I am an emergency and critical care physician. I had COVID-19 infection twice and I’m tired.

I am a critical care and emergency medicine physician, I have had COVID-19 infection twice, and I’m tired. My first infection was early on in the pandemic.  I had to place a Blakemore tube in a young man who was going to die from his massive bleeding from cirrhosis.  I didn’t know then that the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Blakemore, Physician, PA NP, Critical Care, Hospital-Based Medicine, CRNA


I am an emergency medicine physician. I had COVID-19 infection twice and I’m tired.

I am a critical care and emergency medicine physician, I have had COVID-19 infection twice, and I’m tired. My first infection was early on in the pandemic.  I had to place a Blakemore tube in a young man who was going to die from his massive bleeding from cirrhosis.  I didn’t know then that the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Blakemore, Physician, PA NP, Critical Care, Hospital-Based Medicine, CRNA


The trauma of a combat doctor in Iraq

An excerpt from Universal Death Care. Machine gun fire ripped me open—From Left to Right. There were too many bullets. No way could I feel each wound. They blended together like a single strike of lightning. I was paralyzed by pain. It had taken root in me. The sorrow at what I had lost was […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Iraq, Emergency Medicine, Physician, PA NP, CRNA


Behind every patient is a powerful story

A few years back, I took care of a frail elderly gentleman who, accompanied by his wife, had come to the ER with an elbow injury after tripping over a curb in front of a local restaurant. They had been traveling from Buffalo to Cleveland and had stopped for a quick bite and a bathroom […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Buffalo, Cleveland, Emergency Medicine, Physician, PA NP, CRNA


Insecurity and shame at work

She had me in her terrifying grip, and I was paralyzed.  Stuck to my chair, my heart racing, instantly isolated in my desperate confusion.  I heard ordinary sounds like two nurses chatting, papers shuffling, and a telephone ring, but they seemed distant, happening in some safe place far away beyond the dark tunnel I was […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Physician, PA NP, CRNA


Go gentle into that good night

This piece is a retelling of the poem “Do not go gentle into that good night” by Dylan Thomas. As an emergency physician who has borne witness to suffering and death, I have felt the futility and bravery of fighting against the dying of the light among individuals from all walks of life. Bearing witness […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Dylan Thomas, Emergency Medicine, Physician, PA NP, CRNA


How writing can change minds and make you a better physician [PODCAST]

Meet the physician who has written multiple widely-shared articles on KevinMD. How does writing change minds and bring people together? Why is humor such an important part of her pieces? Explore how her articles come together, and why writing has made her a better physician. Rada Jones is an emergency physician and can be reached at […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, Infectious Disease, Emergency Medicine, PA NP, CRNA, COVID-19 Coronavirus, Rada Jones


Loved ones: You’re with us, too

In every single person, there is a furious instinct to guard, preserve, and even trap life. In your final moments, we’re wanting to latch onto your life. I was standing in the elevator when your daughter (presumably), and her husband walked in. I heard her quietly say that you looked like you were ready to […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Education, Emergency Medicine, PA NP, CRNA


The issue of tie-downs in the emergency department

During a typically busy Saturday evening shift in the emergency department (ED), I am summoned to the trauma room for a “tie-down,” an agitated patient needing restraints. I find the entrance choked with police officers and push my way through to see the patient.  Once there, I see a large, young appearing Black man lying […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Physician, PA NP, CRNA


This physician is tired, and he’s not alone

I have a lot of energy. I have been going and going and going for so long. And today, it hit me. I’m tired. I began this pursuit of medicine in 1983 when I decided to be a zoology major. I worked and went to medical school. And I went to medical school and worked. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Physician, PA NP, CRNA


Uninsured and undocumented: a resident perspective

A middle-aged man lies on a gurney. Anxious. Work boots. Blue jeans.  Stained white shirt. Rough hands. “Hi! I’m your doctor. What brings you to the emergency room?” The patient looks at me, puzzled. He’s Spanish speaking. It’s the middle of the night, and I’d rather not use the translator line. We start in broken […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Neurology, Emergency Medicine, Conditions, PA NP, CRNA


COVID-19 anosmia: Unmasking a new dark “twist”

A 4-day-old term, formula-fed male infant with an uncomplicated prenatal course and no ABO set up or other identified cause of excessive jaundice was admitted to the hospital for phototherapy treatment of hyperbilirubinemia with a peak bilirubin of 19.5. He had an uneventful hospital course and was discharged on day 6 of life.  On day […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Infectious Disease, Emergency Medicine, Pediatrics, Conditions, PA NP, CRNA, COVID-19 Coronavirus


A young doctor’s thoughts on our disaster response system, and why we need to change it 

That first day of mid-March in the call center that was later to become the headquarters of our student lead COVID-19 hotline, the disorganization and confusion were almost palpable. I remember the other fourth-year student at the time, Eda, trying to manage the newly arriving group of student volunteers while simultaneously answering a phone line […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Infectious Disease, Emergency Medicine, EDA, Physician, PA NP, CRNA, COVID, COVID-19 Coronavirus