Posts filtered by tags: Emergency Medicine[x]


 

Change the approach to triage to alleviate ER overcrowding

“Triage” is French for “to sort.” It developed as a concept on the battlefield as a way to address injured soldiers and ensure that care was provided to those most in need. In the emergency department, triage is usually the responsibility of a trained, experienced nurse. Patients present to the emergency department, the nurse obtains […] 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, CRNA


Fleece pajama bottoms in the ER

Can someone please tell me the exact moment when fleece pajama bottoms became the fashion sensibility of America? I can’t pinpoint the moment exactly, but several years ago I began to notice that many of our ER patients were presenting for treatment wearing nice fluffy fleece bottoms. Men. Women. Old. Young. These fleece bottoms seemed […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, America, Emergency Medicine, Physician, PA NP, CRNA


Could patients be their own scribes?

One day while on shift in the emergency department, I looked out into the waiting room at the dozens of people waiting to be seen.  Many had been waiting for hours. Some looked bored. Others appeared agitated by the long wait time. One thing that nearly all of them had in common, though, was the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Tech, Emergency Medicine, Health IT, PA NP, CRNA


How Grey’s Anatomy made this physician into a better doctor

I am an obstetrician-gynecologist, and my favorite show is Grey’s Anatomy. I dare say I have not missed an episode since I started watching in 2006 (as a busy obstetrician, multiple shows are watched on DVR). I fell in love with the show when, at random, I ended up watching the final episode of the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Grey, Emergency Medicine, Physician, OB/GYN, PA NP, Hospital-Based Medicine, CRNA


Important new information in the tragic cases of child abuse

Like many pediatric intensivists, I care from time to time for victims of child abuse in the form of what is often called “shaken baby syndrome.” This syndrome is a characteristic constellation of finds that happen when a strong person grasps a child around the chest and aggressively shakes the infant. It was first described […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Pediatrics, Conditions, PA NP, CRNA


Should medical residents appear in reality TV shows?

This notice appeared on a general surgery news website in early February. I don’t know who has been long anticipating this, but I’m pretty sure it’s not people on medical Twitter. My informal, nonscientific Twitter poll garnered 707 votes with 87 percent of those responding saying they would not allow their residents to participate in a reality […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Mainstream Media, Emergency Medicine, Physician


Being a nurse: the hardest and the best job of all

I became a nurse at the age of 23. I was pregnant with my first son and dove into nursing headfirst, accepting a job in the pediatric ICU of the hospital where I worked. I still remember the call when I received the job offer. I hung up and jumped up and down, screaming in […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Nursing, Emergency Medicine, Conditions, PA NP, Critical Care, CRNA


Patient satisfaction should not be driven by poorly-designed surveys

A young male patient checks into the emergency department (ED) and is brought back to a room for an ankle injury he suffered the day before. He states that he twisted it while doing some indoor rock climbing and tells the triage nurse that it is swollen and tender, but that he can walk on […] 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


Can you put me to sleep? Why ER physicians have to say no.

The heavy young man curled on his left side is in the ER for a pain in his backside. The sweaty blue dragon on his chest smells like fear. “It’s an abscess. I’ll have to open it. It’s gonna hurt.” “Can you put me to sleep? I hate pain.” I can. Should I? Remember Michael […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Michael, Emergency Medicine, Physician, PA NP, CRNA


An emergency physician does a tooth extraction

I was working a few days ago and pulled a tooth.  Mind you, it’s not something I do with any regularity.  However, it was a very sweet little lady who was too weak and ill to get to the dentist and had other issues.  That lower incisor was loose, and constantly in the way. Furthermore, […] 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 tragic Fentanyl story without redemption

Matt was 40, my sister’s age. He was training for a marathon and trying to talk his many friends into joining. He lay in bed with his three-year-old son every night to help him fall asleep. It’s hard to sleep train a toddler with a newborn to nurture at the same time, but he loved […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Matt, Physician, PA NP, Critical Care, Hospital-Based Medicine, CRNA


A physician’s empathy in urgent care makes a big difference

While winter is traditionally the busiest time of year for pediatricians, this winter has been particularly difficult in the Midwest with not only a larger number of ill visits, but a late and heavy flu epidemic hitting at a point where most of us were already wearing out. With this flu epidemic, our urgent cares, […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Midwest, Pediatrics, Physician, PA NP, CRNA


Take the naloxone challenge

Last week I took the naloxone challenge. I walked up to a pharmacy window, waited in line, and requested naloxone from the pharmacist. She showed a supportive but knowing look, and I became acutely aware of the four people in line behind me. After giving her my name and date of birth, she was able […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Pain Management, Meds, PA NP, CRNA


An image that reminds us what life versus death looks like

This is what life versus death looks like. This is what medicine verses mortality looks like. This is what science verses humanity looks like. After a thoracotomy, a fellow ER doctor Dr. Mitch Li snapped this picture of the spilled blood and Propofol on the trauma bay floor. Blood courses through every one of our veins to sustain life. Propofol courses through […] 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, Mitch Li


Hope is essential in every field of medicine

A man in his fifties is wheeled into the emergency department on a gurney hoping he’ll still be around to cheer from the sidelines at his daughter’s next soccer game. A little girl on the pediatric floor upstairs simply hopes her tummy stops hurting. A woman in the clinic explains her puzzling symptoms and hopes […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Conditions, Emergency Medicine, Oncology/Hematology


Why are we hemorrhaging emergency nurses?

I started my medical career late. Really late. By that time, I’d lived a few lives. I’d earned a boatload of initials. I’d changed husbands, languages, and continents. I’d written a useless novel, and I’d been a Mary Kay lady. One day over lunch as I was looking for something to do with myself, my […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Policy, Nursing, Emergency Medicine, Mary Kay, PA NP, CRNA


Emergency medicine and the inevitability of death

Though many are not thrilled about the April 15th deadline, death is an even more inevitable part of life than taxes. Sometimes we try to lessen the impact of death through our words:  bit the dust, bought the farm, kicked the bucket, flat-lined, passed on, checked out, gave up the ghost, met his maker, paid […] 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


Clear and concise communication is key while delivering bad news

“Guys, are you alright in there?” I ask casually while taking the first bite of my dinner on a 24-hour PICU shift. No answer. “What is going on? Why is she beeping so much? Is her tube blocked?” My voice gets louder. Complete human silence. Except for the deafening hypoxia monitor going to 30s. Heart […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Neurology, Emergency Medicine, Pediatrics, Physician, PA NP, CRNA


49 ways to stay out of my ER

I’m an ER doc. I care for patients. All patients: Those who need to be in the ER; those who don’t; those who wouldn’t be there if they knew better. For them, for you and for fun, I’ve got some tips to keep you happy, safe and away from my ER. Enjoy. 1. Never, ever […] 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


A scribe’s haunting view of emergency medicine

If you’re in the emergency department, it’s probably the worst day of your life. You’re scared, confused, anxious, sad, maybe emotionally numb. You were at home with your husband and witnessed him have a cardiac arrest. He was unresponsive, and he wasn’t breathing. You felt hopeless because you didn’t know how to help him, but […] 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


Death by patient satisfaction

The new Holy Grail of business, Customer Satisfaction — CSAT to her close friends — is a measure of how products and services supplied by a company meet customer expectations. In a marketplace where businesses compete for customers, CSAT is a key element of strategy. Why? Money. Satisfied customers buy. They come back and buy […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Emergency Medicine, Physician, PA NP, CSAT, CRNA


The most loving thing: end of life and saying goodbye

“Grandma fell and we’re in the emergency room. She’s very distressed and does not look good. I’m going to put the doctor on the phone.” I could hear my mother’s voice strain on the other end of the phone line as I braced myself for my conversation with the emergency department physician. The emergency physician […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Palliative Care, Conditions, PA NP, Hospital-Based Medicine, CRNA


Refusing to walk past the old sexist standards in medicine

When I was a third-year medical student in 2006, I was assigned to spend the day at a well-known women’s health clinic in Toronto. I walked into the procedure room and introduced myself to the attending. His first words to me were: “Are you married?” I replied that I wasn’t married, and he (while continuing […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Toronto, Emergency Medicine, Physician, PA NP, Public Health & Policy, CRNA


An emergency physician with no friends

Every time I call a friend, all I have for them is more work. I’ve never yet called to say: “I hope you’re having a great day. Why don’t you take a break and have some fun? You’ve worked enough.” Nope. I only call to give them extra work. Whether it’s 2 a.m. or 2 […] 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


A physician who’s always in control

My friends and family used to say that I was born 30 years old.  I get it.  From the time I was young, I was controlled, risk-averse, studious, and polite.  In addition to the fact that I was naturally reserved, I learned over time to do my best not to make anyone uncomfortable.  I frequently […] 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


A patient gives the gift of poop

In broken English, against the backdrop of the emergency department’s chaos and clatter, Mr. Simon relayed his story: unintentional weight loss, gradually yellowing skin, weeks of constipation. He punctuated his list of devastating symptoms with laughter — exaggerated but genuine guffaws. Over the next few days, as the medical student responsible for his care, I […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Simon, Conditions, Gastroenterology, PA NP, CRNA


When a baby arrives dead in your emergency department

When a baby arrives dead in your emergency department … … the world stops. You stop breathing. You are gasping for air. She is limp; she is cool; she is pulseless. Chest compressions on the tiniest six month old I have ever met are done with the finger pads of my index finger and middle finger. Quick, […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Pediatrics, Physician, PA NP, CRNA


5 things emergency physicians should consider when looking for jobs

Whether you recently completed your residency as an emergency medicine (EM) physician or are ready to move on from your current position, potential locations for work are undoubtedly a big factor in determining which emergency physician jobs you’re willing to consider. If you have children, location is especially important, because you want to be confident they can […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Emergency Medicine, Physician, PA NP, CRNA


The unsung heroes of sick kids

Chances are that if you have kids, you’ve had at least one unplanned visit to the hospital. Taking care of children in the emergency department (ED) is a special challenge for many reasons including the fact that the child’s parents don’t choose to see me specifically, they are usually meeting me for the first time, […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Pediatrics, Physician, PA NP, CRNA


For most, the flu is a misery, not an emergency

If you think that you might have the flu, don’t head to the emergency room at the first sign of fever. Emergency departments were created to handle emergencies – heart attacks, strokes, severe trauma, and other life-threatening emergencies. No matter how awful it feels, the flu typically doesn’t fall into this category – unless you […] 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, PA NP, CRNA